A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls
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Ellen N. Jopling
,
Sarosh Khalid-Khan
Abstract
With an estimated lifetime prevalence as high as 5.9% in the general population, borderline personality disorder (BPD) is a psychiatric disorder characterized by marked impulsivity as well as difficulties in interpersonal relationships, self-image, and affects. The burden on the health care system is immense with BPD patients accounting for 10%–20% of the patients in mental health outpatient facilities and 15%–40% in mental health inpatient facilities. Further, while 75%–80% of BPD patients attempt to commit suicide, 10% succeed; this mortality rate exceeds even that of anorexia nervosa which, with a weighted mortality rate of 5.1%, has often been considered to have the highest mortality rate of any mental disorder. In order to provide treatment and to implement preventative measures, a risk profile as well as clinical features must be identified within the adolescent population. This is presently crucial, as the current criteria for BPD are not developmentally focused, and as a result, criteria initially developed for the adult population are being applied in diagnoses of adolescents. A population of adolescents (n=80) between 16 and 19 years of age meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria either for BPD traits (n=46) or for BPD (n=36) were included in a retrospective chart review; a control group consisting of n=30 mood and anxiety control subjects were included to allow for further comparisons. Complex significant differences were discovered between the three groups in the following areas: history of sexual abuse, suicidal ideation, internalizing/externalizing symptoms, interpersonal difficulties, impulsivity, pre-perinatal stress, bullying, substance abuse, anxiety disorders, disruptive disorders, and finally, learning disorders.
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©2018 Walter de Gruyter GmbH, Berlin/Boston
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- Case Report
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- Short Communications
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Artikel in diesem Heft
- Editorial
- Sibling abuse: a Cadmean victory for societal indifference!
- Original Articles
- Effectiveness of a modified dialectical behaviour therapy for adolescents within a stepped-care model
- The parental role in adolescent screen related sedentary behavior
- Parental support for human papilloma virus vaccination by adolescents in Ibadan North Local Government Area, Ibadan, Nigeria
- Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris
- A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls
- Orofacial pain and quality of life in early adolescents in India
- Immune status of representative infectious diseases among Japanese female university students
- Using photovoice in adolescent health research: a case-study of the Well-being of Adolescents in Vulnerable Environments (WAVE) Study in Ibadan, Nigeria
- Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009
- Parents as partners in adolescent HIV prevention in Eastern and Southern Africa: an evaluation of the current United Nations’ approach
- Eating habits and presence of cardiovascular risks in children
- Ignorance could hurt: an assessment of fertility awareness, childbirth intentions and parenting attitudes among university students
- Influenza vaccination challenges in an at-risk student population: considerations for health services
- Case Report
- From oliguria to urinary incontinence: a case of Munchausen’s syndrome in an adolescent boy
- Short Communications
- Both high and low testosterone levels may play a role in suicidal behavior in adolescent, young, middle-age, and older men: a hypothesis
- Obesity and facial dysmorphism in an adolescent patient with a 16p11.2 microdeletion
