Diagnosis bias of borderline personality disorder high among
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The researcher states that some health care professionals allow their bias toward lesbian, gay and bisexual persons to show when diagnosing borderline personality disorder (BPD). This bias for BPD—a chronic mental illness known for impulsive behavior, people's uncertainty about themselves, and relationship difficulties—is more pronounced for sexual minorities than heterosexual individuals.

Investigators used data from the National Epidemiologic Survey on Alcohol and Related Conditions-III to compare the differences in BP diagnosis among LGB persons with heterosexual persons. The survey involved responses from more than 36,000 participants. About 1,100 identified as lesbian, gay or bisexual, while the rest were heterosexual.

--BPD was diagnosed in 11% of the entire sample. The prevalence of the illness was almost double among sexual minorities compared with heterosexual individuals.

--However, when the diagnosis was made with specific attention to whether or not the symptoms of BPD cause significant distress or impairment, the prevalence was comparable for sexual minority and heterosexual individuals.

Health care professionals evaluating patients for factors linked to BPD might ignore environmental stressors that LGB persons face or be unable to competently assess the extent to which the behaviors signify BPD or normative reactions to stress, the author says.

Assessment
Source: https://doi.org/10.1177/1073191121991922
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