Personality disorder in adolescence: The diagnosis that dare not speak its name

Chanen, Andrew M; McCutcheon, Louise

doi:10.1002/pmh.28

Cited by 91 publications

(67 citation statements)

References 19 publications

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“…3 In many settings around the world, clinicians are still hesitant to diagnose BPD in youth, mainly because of 4 concerns: First, the diagnosis of BPD is not valid in adolescence. Second, typical features of BPD, such as affective instability or disturbed selfimage, are normative among adolescents.…”

Section: Diagnosing Bpd In Adolescencementioning

confidence: 99%

Borderline Personality Disorder in Adolescence

2014

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This is the 4th in our series on Adolescent Health. abstract Borderline personality disorder (BPD) is a common and severe mental disorder that is associated with severe functional impairment and a high suicide rate. BPD is usually associated with other psychiatric and personality disorders, high burden on families and carers, continuing resource utilization, and high treatment costs. BPD has been a controversial diagnosis in adolescents, but this is no longer justified. Recent evidence demonstrates that BPD is as reliable and valid among adolescents as it is in adults and that adolescents with BPD can benefit from early intervention. Consequently, adolescent BPD is now recognized in psychiatric classification systems and in national treatment guidelines. This review aims to inform practitioners in the field of adolescent health about the nature of BPD in adolescence and the benefits of early detection and intervention. BPD diagnosis and treatment should be considered part of routine practice in adolescent mental health to improve these individuals' well-being and long-term prognosis.

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Section: Diagnosing Bpd In Adolescencementioning

confidence: 99%

Borderline Personality Disorder in Adolescence

2014

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“…Until recently, however, diagnosing personality disorders prior to 18 years of age has been controversial [14]. This is no longer justified and BPD is increasingly seen as a lifespan developmental disorder [15] that is just as reliable and valid in adolescence as it is in adulthood [16,17].…”

Section: Introductionmentioning

confidence: 99%

Axis I and II Comorbidity and Psychosocial Functioning in Female Adolescents with Borderline Personality Disorder

Kaess

Ceumern-Lindenstjerna

Parzer

et al. 2012

Psychopathology

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Background: Borderline personality disorder (BPD) is known to be associated with high rates of comorbidity and severe impairment of psychosocial functioning in adults. The aim of this study was to investigate Axis I and Axis II disorders, as well as psychosocial functioning, in a clinical sample of adolescents with BPD and to compare these with participants with mixed psychiatric diagnoses. Methods: Female adolescent patients were consecutively recruited from the child and adolescent psychiatry department of a university hospital. Axis I and Axis II diagnoses were assessed by experienced clinicians using well-established semistructured interviews, along with psychosocial functioning. Results: The final sample (87 participants) comprised 31 participants with a diagnosis of BPD and 56 participants with mixed psychiatric diagnoses. The most common comorbid disorders in the adolescent BPD sample were mood, eating, dissociative, and substance use disorders in Axis I, and cluster C personality disorders in Axis II. The BPD group showed a significantly higher average number of comorbid Axis I and Axis II diagnoses and significantly lower psychosocial functioning compared with the clinical control group. Regression analyses revealed that psychosocial functioning was predicted by socioeconomic status and comorbid disorders, as well as the unique influence of BPD itself. Conclusion: Adolescent BPD in females is accompanied by high rates of psychiatric comorbidity and poor psychosocial functioning. This underscores the need for diagnosis of BPD at its early stages, in order to facilitate appropriate interventions.

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“…By implication, this developmental perspective on PD opens up the possibility of identifying PD among children and young people. Historically, however, PD during childhood and adolescence has been a neglected area of empirical research and surrounded by controversy (12)(13)(14)(15)(16)(17). Fortunately, research on PD in childhood and adolescence has flourished over the past two decades and shed light on many of the persistent clinical controversies and myths that surround these syndromes.…”

Section: Introductionmentioning

confidence: 99%

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Kongerslev

Chanen

Simonsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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In this article, the authors provide a narrative review of the mounting evidence base on personality disorder in childhood and adolescence. Topics covered include diagnostic validity, prevalence, developmental issues, comorbidity, risk and protective factors, and treatment. Novel indicated prevention and early intervention programs for borderline personality disorder in adolescence are given special priority. To conclude, directions for future research are provided.

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Personality disorder in adolescence: The diagnosis that dare not speak its name

Cited by 91 publications

References 19 publications

Borderline Personality Disorder in Adolescence

Borderline Personality Disorder in Adolescence

Axis I and II Comorbidity and Psychosocial Functioning in Female Adolescents with Borderline Personality Disorder

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

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