Journal
CLINICAL PSYCHOLOGY REVIEW
Volume 44, Issue -, Pages 13-24Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.cpr.2015.12.001
Keywords
BPD; Youth; Childhood; Adolescence; Validity
Categories
Ask authors/readers for more resources
Controversy surrounds the diagnosis of Borderline Personality Disorder (BPD) in youth. This meta-analysis summarised evidence regarding the aetiological and psychopathological validity of youth BPD (the extent to which youth and adult BPD share common risk factors and psychopathology). We identified 61 studies satisfying predetermined inclusion criteria. Statistically significant pooled associations with youth (19 years of age and under) BPD were observed for sexual abuse (all youth: odds ratio = 4.88; 95% confidence interval = 3.30, 721; children: OR = 3.97; 95% CI = 1.51, 10.41; adolescents: OR = 5.41; 95% CI = 3.43, 853); physical abuse (all youth: 2.79 [2.03, 3.84]; children: 2.86 [1.98, 4.13]; adolescents: 2.60 [1.38, 4.90]); maternal hostility/verbal abuse (all youth: 328 [2.67, 4.03]; children: 3.15 [2.55, 3.88]; adolescents: 4.71 [1.77,12.53]); and neglect (all youth: 3.40 [227, 5.11]; children: 2.87 [1.73, 4.73]; adolescents: 4.87 [2.24, 1059]). Several psychopathological features were also associated with youth BPD, including comorbid mood (3.21 [2.13, 4.83]), anxiety (2.30 [1.44, 3.70]) and substance use (2.92 [1.60, 5.31]) disorders; self-harm (2.81 [1.61, 4.90]); suicide ideation (all youth: 2.02 [123, 332]; children: 6.00 [1.81,19.84]; adolescents: 1.75 [120; 2.54]) and suicide attempt (2.10 [121, 3.66]). Results demonstrate that adult and youth BPD share common aetiological and psychopathological correlates. This offers some support for the diagnostic validity of youth BPD and indicates the need for clinical recognition in this age group. (C) 2015 Elsevier Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available