Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder
Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder
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DOI：
10.4088/jcp.v68n0217
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发表时间：
2007-02-01
影响因子：
5.3
通讯作者：
Jackson, Henry J.
中科院分区：
文献类型：
--
作者：
Chanen, Andrew M.;Jovev, Martina;Jackson, Henry J.
目的：探讨青少年边缘型人格障碍患者的适应功能与精神病理。方法：采用结构化访谈法对1998年3月~ 1999年7月和2000年11月~ 2002年9月期间就诊的177例15 ~ 18岁精神科门诊患者进行人格障碍诊断。三组，即(1)有边缘性人格障碍的人，(2)有边缘性人格障碍以外的人格障碍的人（“其他人格障碍”），(3)没有任何人格障碍的人（“无人格障碍”），在精神症状和社会心理功能方面进行比较。主要结果测量指标为轴I诊断、青少年自我报告、年轻人自我报告、儿童和青少年国家健康结果量表、社会和职业功能评估量表以及社会人口变量。结果：边缘型人格障碍组（N = 46）在各领域的精神症状和功能障碍最严重，其他人格障碍组（N = 88）和无人格障碍组（N = 43）分别次之。在精神病理学、一般功能、同伴关系、自我照顾、家庭和关系功能方面，边缘型人格障碍是超过轴1障碍和其他人格障碍诊断的重要预测因子。结论：在青少年临床实践中，边缘型人格障碍的诊断不应被忽视或被I轴诊断所取代，需要制定早期干预策略。
Objective: To examine adaptive functioning and psychopathology in adolescents with DSM-IV borderline personality disorder.Method: 177 psychiatric outpatients (derived from 2 samples collected between March 1998 and July 1999 and between November 2000 and September 2002) aged 15 to 18 years were assessed using a structured interview for personality disorder diagnoses. Three groups, namely (1) those with a borderline personality disorder, (2) those with a personality disorder other than borderline personality disorder ("other personality disorder"), and (3) those without any personality disorder ("no personality disorder"), were compared on measures of psychiatric symptoms and psychosocial functioning. Primary outcome measures were Axis I diagnoses, Youth Self-Report, Young Adult Self-Report, Health of the Nation Outcome Scales for Children and Adolescents, Social and Occupational Functioning Assessment Scale, and sociodemographic variables.Results: The borderline personality disorder group (N = 46) had the most severe psychiatric symptoms and functional impairment across a broad range of domains, followed by the other personality disorder (N = 88) and no personality disorder (N = 43) groups, respectively. Borderline personality disorder was a significant predictor over and above Axis I disorders and other personality disorder diagnoses for psychopathology, general functioning, peer relationships, self-care, and family and relationship functioning.Conclusions: The borderline personality disorder diagnosis should not be ignored or substituted by Axis I diagnoses in adolescent clinical practice, and early intervention strategies need to be developed for this disorder.