Screening for Borderline Personality Disorder in Outpatient Youth

Chanen, Andrew M; Jovev, Martina; Djaja, Danica; McDougall, Emma; Yuen, Hok Pan; Rawlings, David; Jackson, Henry

doi:10.1521/pedi.2008.22.4.353

Cited by 194 publications

(196 citation statements)

References 10 publications

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“…13 These data are comparable to adult prevalence data of 0.7% to 2.7%. 15,16 BPD is a common and important disorder in adolescent mental health settings, with an estimated prevalence of 11% in psychiatric outpatients 17 and up to 50% in inpatient settings. 18 Although the female-to-male ratio in clinical settings is usually reported to be at least 3:1, population-based studies do not show substantial gender differences in the prevalence of BPD in adults 19,20 or children.…”

Section: Significance Of Adolescent Bpd Prevalence and Coursementioning

confidence: 99%

“…95 The official tools of the fourth edition of the DSM (DSM-IV; Structured Clinical Interview for DSM-IV Axis II Personality Disorders) 96 and International Classification of Diseases, 10th Revision (International Personality Disorder Examination) 97 are widely used in clinical and research settings and have also successfully been used in adolescents. 7,8,17,48,98 Recent developments in the field of adolescent BPD have also included the validation of the Childhood Interview for DSM-IV Borderline Personality Disorder, 99 which shows good reliability and validity 100 and is the first interviewbased measure for adolescent BPD.…”

Section: Diagnostic Toolsmentioning

confidence: 99%

“…Examples from the adult population, which have also been successfully used in adolescent samples, are the BPD items of the Structured Clinical Interview for DSM-IV Axis II Personality Disorders Personality Questionnaire, 17,96 the Borderline Personality Questionnaire, 17,98,101 and the McLean Screening Instrument for BPD. 102 The Borderline Personality Features Scale for Children 103 has been developed specifically for children and adolescents and includes a newly developed parent report version.…”

Section: Diagnostic Toolsmentioning

confidence: 99%

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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: Significance Of Adolescent Bpd Prevalence and Coursementioning

confidence: 99%

Section: Diagnostic Toolsmentioning

confidence: 99%

Section: Diagnostic Toolsmentioning

confidence: 99%

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Borderline Personality Disorder in Adolescence

2014

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“…BPD symptoms were evaluated using the Structured Clinical Interview for DSM-IV Axis II Personality Questionnaire (SCID II-PQ). This scale shows moderate sensitivity [29,30] and moderate specificity [29] in identifying diagnosis of BPD. It also shows good testretest reliability and high internal consistency [29].…”

Section: Methodsmentioning

confidence: 99%

The Associations of Borderline Personality Disorder Symptoms, Five-Factor Model Personality Dimensions, and Personality Fragmentation among Depressed Inpatients

Säämänen¹,

Voutilainen²,

Lahti

et al. 2016

J Psychiatry

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Journal of Psychiatry AbstractBackground: Major depressive disorder and borderline personality disorder are highly comorbid. In previous studies, certain Five-Factor Model personality dimensions have been associated with both borderline personality disorder and major depression. Multiple Self States Model personality fragmentation has also been associated with borderline personality disorder. However, the specificity of these associations remains unclear. We examined whether personality fragmentation and Five-Factor Model personality dimensions are associated with borderline personality disorder symptoms among depressed psychiatric patients.

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“…[1][2][3][4] In spite of this, emerging literature claims that the category is valid for use in adolescent, and even child, populations. [4][5][6] The label 'borderline personality disorder' discussed in this article refers to the category that has been operationalised in DSM-IV. 7 Many of the points made are applicable to the comparable category of 'emotionally unstable personality disorder', which is included in ICD-10.…”

mentioning

confidence: 99%

Validity, utility and acceptability of borderline personality disorder diagnosis in childhood and adolescence: survey of psychiatrists

Griffiths¹

2011

Psychiatrist

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Aims and methodTo establish the views of child and adolescent psychiatrists (n = 52) regarding the conceptual and empirical validity, clinical utility and acceptability of the diagnosis of borderline personality disorder in child and adolescent populations. A questionnaire survey was carried out.ResultsThe child and adolescent psychiatrists' perception of the validity of borderline personality disorder for adult populations was relatively high (82% felt it to be valid). Significantly fewer of those considered borderline personality disorder to be valid for adolescent populations (37%). Strikingly different results were obtained when the questions related to child (<12 years) populations (2%).Clinical implicationsGiven the views expressed by these consultant child and adolescent psychiatrists, it would seem appropriate to approach with caution suggestions that the borderline personality disorder category should have extended use with adolescent and child populations.

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Screening for Borderline Personality Disorder in Outpatient Youth

Abstract: Screening for BPD in out-patient youth is feasible but is not a replacement for clinical diagnosis.

Cited by 194 publications

References 10 publications

Borderline Personality Disorder in Adolescence

Borderline Personality Disorder in Adolescence

The Associations of Borderline Personality Disorder Symptoms, Five-Factor Model Personality Dimensions, and Personality Fragmentation among Depressed Inpatients

Validity, utility and acceptability of borderline personality disorder diagnosis in childhood and adolescence: survey of psychiatrists

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