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Borderline Personality Disorder in Adolescence
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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“Research indicates that adolescents who receive timely and appropriate treatment for BPD exhibit better psychological functioning and reduced symptom severity over time (41–43).”
From Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study (2025) · cites this paper as [41]
In the citing paper
“Several review papers have been published [e.g., (3–6)] supporting the reliability and validity of the diagnosis of PD in adolescents.”
From The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence (2023) · cites this paper as [6]
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Borderline personality disorder
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“These efforts parallel several recent findings that the BPD diagnosis can indeed be made in adolescents with adequate reliability, stability, and validity.(29-30) A systematic review(31) found that rates of BPD in adolescent samples varied substantially depending on study design and sample characteristics but overall…”
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Goodman, M. S., Álvarez, I., Temes, C. M., Fitzmaurice, G. M., Aguirre, B. A., & Zanarini, M. C. (2017) · Personality and Mental Health · doi:10.1002/pmh.1375 · Cited by 213
Metadata
- Authors
- Kaess, M., Brunner, R., & Chanen, A.
- Affiliations
- Heidelberg University (DE)
- The University of Melbourne (AU)
- 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
- 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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