Cited by 386Personality Disorders and PsychopathologyBipolar Disorder and TreatmentPersonality Traits and Psychology

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Borderline Personality Disorder in Adolescence

Kaess, Michael, Brunner, Romuald, Chanen, Andrew·2014·Pediatrics

DOI 10.1542/peds.2013-3677

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Abstract

Borderline personality disorder (BPD) is a common and severe mental disorder that is associated with severe functional impairment and a high suicide rate. BPD is usually associated with other psychiatric and personality disorders, high burden on families and carers, continuing resource utilization, and high treatment costs. BPD has been a controversial diagnosis in adolescents, but this is no longer justified. Recent evidence demonstrates that BPD is as reliable and valid among adolescents as it is in adults and that adolescents with BPD can benefit from early intervention. Consequently, adolescent BPD is now recognized in psychiatric classification systems and in national treatment guidelines. This review aims to inform practitioners in the field of adolescent health about the nature of BPD in adolescence and the benefits of early detection and intervention. BPD diagnosis and treatment should be considered part of routine practice in adolescent mental health to improve these individuals' well-being and long-term prognosis.

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Substance abuse and personality disorder comorbidity in adolescent outpatients: are girls more severely ill than boys?
Korsgaard, H. O., Torgersen, S. O., Wentzel‐Larsen, T., & Ulberg, R. (2016) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-016-0096-5 · Cited by 31
The clinical trajectory of patients with borderline personality disorder
Kjær, J. N., Biskin, R. S., Vestergaard, C. H., Gustafsson, L. N., & Munk‐Jørgensen, P. (2016) · Personality and Mental Health · doi:10.1002/pmh.1337 · Cited by 27
Childhood maltreatment, personality vulnerability profiles, and borderline personality disorder symptoms in adolescents
Marchetti, D., Musso, P., Verrocchio, M. C., Manna, G., Kopala-Sibley, D. C., De Berardis, D., De Santis, S., & Falgares, G. (2022) · Development and Psychopathology · doi:10.1017/s0954579420002151 · Cited by 26
“Given BPD is increasingly seen as a life-span developmental disorder represented on a dimensional continuum of severity (Kaess et al., 2014) with stable features in adolescence and adult-hood (Chanen, Jovev, McCutcheon, Jackson, & McGorry, 2008), understanding how personality profiles may intervene…”
Clinician Reactions When Working with Adolescent Patients: The Therapist Response Questionnaire for Adolescents
Tanzilli, A., Gualco, I., Baiocco, R., & Lingiardi, V. (2019) · Journal of Personality Assessment · doi:10.1080/00223891.2019.1674318 · Cited by 25
Consumer perspective from people with a diagnosis of Borderline Personality Disorder (BPD) on BPD management—How are the Australian NHMRC BPD guidelines faring in practice?
Proctor, J., Lawn, S., & McMahon, J. (2020) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12714 · Cited by 31
“However, recent research has shown that disclosing the diagnosis to the individual assists them in understand - ing their experiences and in receiving effective treatment (Courtney & Makinen, 2016; Kaess et al., 2014).”
Background
Heterogeneity of borderline personality disorder symptoms in help-seeking adolescents
Cavelti, M., Lerch, S., Ghinea, D., Fischer-Waldschmidt, G., Resch, F., Koenig, J., & Kaess, M. (2021) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-021-00147-9 · Cited by 26
Self-citation
Predictors of dropout among adolescents with borderline personality disorder attending mentalization-based group treatment
Jørgensen, M. S., Bo, S., Vestergaard, M., Storebø, O. J., Sharp, C., & Simonsen, E. H. (2021) · Psychotherapy Research · doi:10.1080/10503307.2020.1871525 · Cited by 25
“Compared to adults, adolescents with BPD often present with acute symptoms of BPD, such as impulsivity (Kaess et al., 2014).”
Background
A DSM-5 AMPD and ICD-11 compatible measure for an early identification of personality disorders in adolescence–LoPF-Q 12–18 latent structure and short form
Zimmermann, R., Steppan, M., Zimmermann, J., Oeltjen, L., Birkhölzer, M., Schmeck, K., & Goth, K. (2022) · PLoS ONE · doi:10.1371/journal.pone.0269327 · Cited by 28
Identity Diffusion as the Organizing Principle of Borderline Personality Traits in Adolescents—A Non-clinical Study
Rivnyák, A., Pohárnok, M., Péley, B., & Láng, A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.683288 · Cited by 27
Personality disorders and Axis I comorbidity in adolescent outpatients with ADHD
Korsgaard, H. O., Torgersen, S. O., Wentzel‐Larsen, T., & Ulberg, R. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0871-0 · Cited by 28
Epidemiologie psychischer Störungen bei Kindern und Jugendlichen: Eine narrative Übersichtsarbeit unter Berücksichtigung österreichischer Daten
Fuchs, M., & Karwautz, A. (2017) · neuropsychiatrie · doi:10.1007/s40211-017-0238-x · Cited by 23
Borderline Personality Disorder and Disordered Eating Behaviour: The Mediating Role of Rejection Sensitivity.
Al-Salom, P., & Boylan, K. (2019) · Europe PMC (PubMed Central) · Cited by 23
Link between History of Childhood Maltreatment and Emotion Dysregulation in Adults Suffering from Attention Deficit/Hyperactivity Disorder or Borderline Personality Disorder
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Marqués-Feixa, L., Moya-Higueras, J., Romero, S., Santamarina-Pérez, P., Rapado‐Castro, M., Zorrilla, E. P., Martín, M., Anglada, E., Lobato, M. J., Ramírez, M., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10225293 · Cited by 30
“Additionally, we cannot discount the influence of genetically transmitted temperamental factors that may also influence BPD features and increase vulnerability to stress [85].”
Background
A Psychometric Evaluation of a Reduced Version of the PID-5 in Clinical and Non-Clinical Adolescents
Koster, N., Laceulle, O. M., van der Heijden, P. T., Klimstra, T. A., Clercq, B. J. D., Verbeke, L., Caluwé, E. D., & van Aken, M. A. G. (2019) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000552 · Cited by 23
Trajectories of alliance ruptures in the psychotherapy of adolescents with borderline personality pathology: timing, typology and significance
Schenk, N., Zimmermann, R., Fürer, L., Krause, M., Weise, S., Kaess, M., Schlüter-Müller, S., & Schmeck, K. (2019) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2019.348 · Cited by 30
Self-citation
Trauma and psychopathology associated with early onset BPD: an empirical contribution
Bozzatello, P., Rocca, P., & Bellino, S. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.08.038 · Cited by 22
The Interaction of Childhood Maltreatment, Sex, and Borderline Personality Features in the Prediction of the Cortisol Awakening Response in Adolescents
Kaess, M., Whittle, S., Simmons, J., Jovev, M., Allen, N., & Chanen, A. (2017) · Psychopathology · doi:10.1159/000456549 · Cited by 22
Self-citation
Childhood trauma and borderline personality disorder traits: A discordant twin study.
Skaug, E., Czajkowski, N. O., Waaktaar, T., & Torgersen, S. O. (2022) · Journal of Psychopathology and Clinical Science · doi:10.1037/abn0000755 · Cited by 21
Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder
Blaha, Y., Cavelti, M., Lerch, S., Steinhoff, A., Koenig, J., & Kaess, M. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-023-02353-y · Cited by 25
“Increasing evidence indicates that early treatment of BPD can positively impact life trajectories of the affected young people by preventing psychosocial impairment [5, 7, 11].”
BackgroundSelf-citation
Personality Pathology in Youth
Sharp, C., & Clercq, B. J. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108333931.015 · Cited by 23
Borderline-Persönlichkeitsstörungen
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Self-citation
Zehn Jahre Erfahrung mit der Dialektisch-Behavioralen Therapie für Adoleszente (DBT-A) unter stationären Bedingungen – die Station Wellenreiter
von Auer, A. K., Kleindienst, N., Ludewig, S., Soyka, O., Bohus, M., & Ludäscher, P. (2015) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000371 · Cited by 22
Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
Zimmermann, R., Fürer, L., Kleinbub, J. R., Ramseyer, F., Hütten, R., Steppan, M., & Schmeck, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.660516 · Cited by 21
Association of Adolescent Dimensional Borderline Personality Pathology with Past and Current Nonsuicidal Self-Injury and Lifetime Suicidal Behavior: A Clinical Multicenter Study
Kaess, M., Brunner, R. M., Parzer, P., Edanackaparampil, M., Schmidt, J. S., Kirisgil, M., Fischer, G., Wewetzer, C., Lehmkuhl, G., & Resch, F. (2016) · Psychopathology · doi:10.1159/000448481 · Cited by 21
Self-citation
A design for process-outcome psychotherapy research in adolescents with Borderline Personality Pathology
Zimmermann, R., Krause, M., Weise, S., Schenk, N., Fürer, L., Schrobildgen, C., Schlüter-Müller, S., Valdés, N., Koenig, J., Kaess, M., et al. (2018) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2018.10.007 · Cited by 22
“BPD is associated with clinically significant impairments in social, occupational, and other areas of functioning [5,7,8].”
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Anaerobic muscle strengthening physical activity and depression severity among USA adults
Cangin, C., Harris, R. E., Binkley, P. F., Schwartzbaum, J., & Focht, B. C. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.03.005 · Cited by 19
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Borderline Personality Disorder: Updates in a Postpandemic World
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Übertragungsfokussierte Psychotherapie für Adoleszente (Transference Focused Psychotherapy for Adolescents, TFP-A) mit Borderline-Persönlichkeitspathologie in der ambulanten und tagesklinischen Behandlung
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Neurophysiological activity following rewards and losses among female adolescents and young adults with borderline personality disorder.
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Unraveling Prospective Reciprocal Effects between Parental Invalidation and Pre-Adolescents’ Borderline Traits: Between- and Within-Family Associations and Differences with Common Psychopathology-Parenting Transactions
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Emotional Reactivity and Family-Related Factors Associated With Self-Injurious Behavior in Adolescents Presenting to a Child and Adolescent Psychiatric Emergency Service
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“This subsection contains 9 questions according to the DSMIV diagnostic criteria, and fulfilled criteria on at least 5 items confirm the diagnosis of BPD.”
BackgroundSelf-citation
Gender- and sexuality-minoritised adolescents in DBT: a reflexive thematic analysis of minority-specific treatment targets and experience
Camp, J., Morris, A., Wilde, H. M., Smith, P. A., & Rimes, K. A. (2023) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x23000326 · Cited by 18
“A diagnosis of BPD in adolescent populations is to be provided with due consideration, as many of the symptoms of BPD are normative for adolescence and there are concerns about protecting young people against associated stigma (Kaess et al ., 2014; Swales, 2022).”
Background

Authors: Kaess, M., Brunner, R., & Chanen, A.
Affiliations: Heidelberg University (DE)
The University of Melbourne (AU)
ORCID: Kaess, Michael
Brunner, Romuald
Chanen, Andrew
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2014-10-01
Volume: 134
Issue: 4
Pages: 782-793
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2013-3677
OpenAlex: W2055540900
Cited by: 386
References: 121
Citations by year: 2026: 32 · 2025: 27 · 2024: 40 · 2023: 50 · 2022: 40 · 2021: 45 · 2020: 35 · 2019: 24 · 2018: 21 · 2017: 26 · 2016: 26 · 2015: 16 · 2014: 3
FWCI: 3.60
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (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, diagnosis, early intervention, early detection, psychiatric classification, treatment guidelines, suicide risk, psychiatric comorbidity, family burden, prognosis
MeSH terms: Adolescent, Adolescent Behavior, Borderline Personality Disorder, Humans, Risk-Taking, Diagnostic and Statistical Manual of Mental Disorders, Early Medical Intervention

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Borderline Personality Disorder in Adolescence

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