Borderline Personality Disorder and Mental Healthcare Service Use Among Adolescents
Abstract
Borderline personality disorder (BPD) is believed to be frequent among adolescents. While several prospective studies have assessed the use of mental health services among adults who suffer from BPD, few studies have provided adolescent data. This paper presents findings from the first assessment point of the European Research Network on Borderline Personality Disorder (EURNET BPD) study. In this study, we describe lifetime treatment utilization for 85 adolescents with BPD (Mean age: 16.3 years old). In line with adult findings, adolescents with BPD reported greater mental healthcare service use (outpatient: 98%; inpatient: 79%) compared to controls. Phenothiazine, a sedative neuroleptic, was the most frequently prescribed treatment. 47% of patients had received psychotherapy; in one our of three cases this was psychodynamic therapy. Patients who had received psychotherapy did not differ on any psychopathological variables from those who did not receive psychotherapy; however, psychotherapy was more frequent among females.
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Psychopharmacological treatment for adolescents with BPD in general is common.
“No study accounted for the combined effect of pharmacological treatment with DBT-A, despite the fact that psychopharmacological treatment for adolescents with BPD in general is common (Cailhol et al., 2013), and over half of participants treated in the included trials received additional psychopharmacological treatment.”
From Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis (2021) · cites this paper as Cailhol et al., 2013
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- Authors
- Cailhol, L., Jeannot, M., Rodgers, R., Guelfi, J. D., Perez-Diaz, F., Pham-Scottez, A., Corcos, M., & Speranza, M.
- Affiliations
- Inserm (FR)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2013-04
- Volume
- 27
- Issue
- 2
- Pages
- 252-259
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2019702099
- Cited by
- 39
- References
- 22
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 5 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 3
- FWCI
- 5.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- borderline personality disorder, adolescents, outpatient care, inpatient care, phenothiazines, psychodynamic psychotherapy, psychotherapy, sex differences
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Europe, Female, Health Surveys, Humans, Male, Mental Health Services, Phenothiazines, Prospective Studies, Psychiatric Status Rating Scales, Psychotherapy, Sex Factors, Antipsychotic Agents, Young Adult
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