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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“This heterogeneity can be understood both in terms of different configurations of FFM traits(4,30) or different constellations of BPD symptoms.(23,31,32) For instance, FFM trait domains could be used to distinguish an adolescent with BPD who is anxious, overly compliant and impulsive (i.”
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Disinhibition and Detachment in Adolescence: A Developmental Cognitive Neuroscience Perspective on the Alternative Model for Personality Disorders
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Klinische Stadienmodelle in der Früherkennung und -behandlung der Borderline-Persönlichkeitsstörung
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“Forschungsergebnisse belegen, dass die BPS in der Adoleszenz eine ebenso valide und reliable Diagnose darstellt wie im Erwachsenenalter (Chanen et al. 2008; Kaess et al. 2014; Miller et al. 2008).”
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The impact of a combined mentalisation‐based therapy and therapeutic community programme for adolescents with borderline personality disorder traits on service utilisation in Western Australia
Lake, J. R., Bear, N., Fletcher, C., Pace, G., Salmin, I., & Brealey, G. (2023) · Personality and Mental Health · doi:10.1002/pmh.1579 · Cited by 7
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“…of personality disorders among this cohort is interesting given historical controversies surrounding diagnosis with personality disorders prior to 18 years of age; nevertheless, such diagnoses appear to be reliable and useful to facilitate early intervention among adolescents (Kaess et al., 2014).”
Background
Engagement complications of adolescents with borderline personality disorder: navigating through a zone of turbulence
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Discrimination of Borderline Personality Disorder (BPD) and Attention-Deficit/Hyperactivity Disorder (ADHD) in adolescents: Spanish version of the Borderline Personality Features Scale for Children-11 Self-Report (BPFSC-11) Preliminary results
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Suizidalität bei Adoleszenten – Prävention und Behandlung
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Self-rated risk as a predictor of suicide attempts among high-risk adolescents
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“Respective data are missing for adolescents (Kaess et al., 2014).”
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Mental health professionals’ views of the borderline personality disorder diagnosis for children and young people: a Q-methodological study
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“The examination of BPD and SIBs in adolescents has only recently gained traction following the legitimization of this diagnosis in youth, which was previously considered controversial (Kaess et al., 2014; Sharp & Fonagy, 2015).”
Neurobiological Findings in Youth with Borderline Personality Disorder
Brunner, R. M., Henze, R., Richter, J., & Kaess, M. (2014) · Scandinavian Journal of Child and Adolescent Psychiatry and Psychology · doi:10.21307/sjcapp-2015-003 · Cited by 6
“from recent studies of the impact of childhood adversity on the developing brain, especially by investigating the associated possible disturbances of the brain network architecture (42) and the biological stress response systems (19,82).”
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Assessing the Validity and Clinical Utility of a Developmental Trauma Diagnosis in Ethnic Minority Adolescents
Foster, A. L., D'Andrea, W. M., Fehertoi, N., Healy, C. J., & Miller, A. L. (2019) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-019-00272-2 · Cited by 8
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“Emotional instability may be a normal feature of adolescent development (Kaess et al., 2014), but in some cases it is associated with the existence of psychopathology such as borderline personality disorder (BPD).”
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Mediators and Theories of Change in Psychotherapy for Young People With Personality Disorders: A Systematic Review Protocol
Volkert, J., Taubner, S., Barkauskienė, R., Navas, J. M. M., Sales, C. M. D., Thiele, V., Saliba, A., Protić, S., Adler, A., Cerón, S. C., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.703095 · Cited by 6
Clinical and Psychopathological Features of Borderline Personality Disorder in Adolescence
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Alteration of surface morphology and core features in adolescents with borderline personality disorder
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Persönlichkeitsstörungen im Jugendalter sind kein „lebenslanges Schicksal“
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Borderline Personality Disorder
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The experiences of parents in an early‐intervention program for young people with borderline personality disorder features
Bosworth, C. E., Watsford, C. R., Naylor, A., Buckmaster, D., & Rickwood, D. (2023) · Family Process · doi:10.1111/famp.12929 · Cited by 5
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Adult life outcomes for adolescents 12.4 years after dialectical behavior therapy - a randomized clinical trial
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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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