OBJECTIVE: This study examined the outcomes of patients diagnosed with borderline personality disorder (BPD) prior to age 18. METHOD: In a group of 47 adolescent girls assessed over a 10 year period, 31 had a past diagnosis of BPD while 16 had not met criteria. Subjects were assessed with the SCID-I, the Diagnostic Interview for Borderlines (DIB), the SCL-90-R, the Social Adjustment Scale (SAS-SR), the Affective Lability Scale (ALS), the Barratt Impulsivity Scale (BIS), the Continuous Performance Test (CPT), the Wisconsin Card Sorting Test (WCST), and the Attention Network Task (ANT). RESULTS: 4.3 years after initial presentation (mean age=19.6), only 11 index patients still met criteria for BPD and no new cases developed. Those who did not remit were significantly more likely to have a current episode of major depressive disorder, lifetime substance use disorder, and self-reported childhood sexual abuse. Those who still met BPD criteria also scored higher on the ALS and the total severity scale as well as several subscales of the SCL-90, but not on other measures. CONCLUSIONS: These findings support the validity of an adolescent diagnosis of BPD and show that the majority of cases that develop in early adolescence can be expected to remit within 4 years.
OBJECTIVE: This study examined the outcomes of patients diagnosed with borderline personality disorder (BPD) prior to age 18. METHOD: In a group of 47 adolescent girls assessed over a 10 year period, 31 had a past diagnosis of BPD while 16 had not met criteria. Subjects were assessed with the SCID-I, the Diagnostic Interview for Borderlines (DIB), the SCL-90-R, the Social Adjustment Scale (SAS-SR), the Affective Lability Scale (ALS), the Barratt Impulsivity Scale (BIS), the Continuous Performance Test (CPT), the Wisconsin Card Sorting Test (WCST), and the Attention Network Task (ANT). RESULTS: 4.3 years after initial presentation (mean age=19.6), only 11 index patients still met criteria for BPD and no new cases developed. Those who did not remit were significantly more likely to have a current episode of major depressive disorder, lifetime substance use disorder, and self-reported childhood sexual abuse. Those who still met BPD criteria also scored higher on the ALS and the total severity scale as well as several subscales of the SCL-90, but not on other measures. CONCLUSIONS: These findings support the validity of an adolescent diagnosis of BPD and show that the majority of cases that develop in early adolescence can be expected to remit within 4 years.
Authors: Harold W Koenigsberg; Philip D Harvey; Vivian Mitropoulou; James Schmeidler; Antonia S New; Marianne Goodman; Jeremy M Silverman; Michael Serby; Frances Schopick; Larry J Siever Journal: Am J Psychiatry Date: 2002-05 Impact factor: 18.112
Authors: Andrew E Skodol; John M Oldham; Donna S Bender; Ingrid R Dyck; Robert L Stout; Leslie C Morey; M Tracie Shea; Mary C Zanarini; Charles A Sanislow; Carlos M Grilo; Thomas H McGlashan; John G Gunderson Journal: Am J Psychiatry Date: 2005-10 Impact factor: 18.112
Authors: Carla Sharp; Salome Vanwoerden; Matthew W Gallagher; Laurel Williams; Elizabeth Newlin Journal: Res Child Adolesc Psychopathol Date: 2021-01-13
Authors: Jean Marc Guilé; Elissa Zavaglia; Claude Berthiaume; Lise Bergeron Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2021-03-21 Impact factor: 4.328