Carla Sharp1, Peter Fonagy2. 1. Department of Psychology, University of Houston, and The Menninger Clinic, Houston, Texas, USA. 2. Research Department of Clinical, Educational and Health Psychology, University College London, and The Anna Freud Centre, London, UK.
Abstract
BACKGROUND: The past decade has seen an unprecedented increase in research activity on personality disorders (PDs) in adolescents. The increase in research activity, in addition to major nosological systems legitimizing the diagnosis of borderline personality disorder (BPD) in adolescents, highlights the need to communicate new research on adolescent personality problems to practitioners. SCOPE: In this review, we provide up-to-date information on the phenomenology, prevalence, associated clinical problems, etiology, and intervention for BPD in adolescents. Our aim was to provide a clinically useful practitioner review and to dispel long-held myths about the validity, diagnostic utility, and treatability of PDs in adolescents. FINDINGS AND CONCLUSION: Alongside providing up-to-date information on the phenomenology, prevalence, and etiology, we also report on associated clinical problems and interventions for adolescent BPD. It is only through early active assessment and identification of youngsters with these problems that a lifetime of personal suffering and health system burden can be reduced or altogether avoided. A variety of evidence-based approaches are now available to treat BPD and related clinical problems in young people. Future research should focus on establishing optimal precision in the diagnostic processes in different treatment settings.
BACKGROUND: The past decade has seen an unprecedented increase in research activity on personality disorders (PDs) in adolescents. The increase in research activity, in addition to major nosological systems legitimizing the diagnosis of borderline personality disorder (BPD) in adolescents, highlights the need to communicate new research on adolescent personality problems to practitioners. SCOPE: In this review, we provide up-to-date information on the phenomenology, prevalence, associated clinical problems, etiology, and intervention for BPD in adolescents. Our aim was to provide a clinically useful practitioner review and to dispel long-held myths about the validity, diagnostic utility, and treatability of PDs in adolescents. FINDINGS AND CONCLUSION: Alongside providing up-to-date information on the phenomenology, prevalence, and etiology, we also report on associated clinical problems and interventions for adolescent BPD. It is only through early active assessment and identification of youngsters with these problems that a lifetime of personal suffering and health system burden can be reduced or altogether avoided. A variety of evidence-based approaches are now available to treat BPD and related clinical problems in young people. Future research should focus on establishing optimal precision in the diagnostic processes in different treatment settings.
Authors: Carla Sharp; Salome Vanwoerden; Matthew W Gallagher; Laurel Williams; Elizabeth Newlin Journal: Res Child Adolesc Psychopathol Date: 2021-01-13
Authors: Sabine C Herpertz; Steven K Huprich; Martin Bohus; Andrew Chanen; Marianne Goodman; Lars Mehlum; Paul Moran; Giles Newton-Howes; Lori Scott; Carla Sharp Journal: J Pers Disord Date: 2017-09-14
Authors: Jean Marc Guilé; Elissa Zavaglia; Claude Berthiaume; Lise Bergeron Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2021-03-21 Impact factor: 4.328