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Int J Adolesc Med Health. 2016 Jul 21;30(2). pii: /j/ijamh.2018.30.issue-2/ijamh-2016-0036/ijamh-2016-0036.xml. doi: 10.1515/ijamh-2016-0036.

A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls.

Author information

1
Department of Psychology, Queen's University, 99 University Ave Unit 2, Kingston K7L 3N6, Ontario, Canada.
2
Queen's University, Kingston, Ontario, Canada.
3
University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
4
Department of Psychology, Queen's University, Kingston, Ontario, Canada.

Abstract

With an estimated lifetime prevalence as high as 5.9% in the general population, borderline personality disorder (BPD) is a psychiatric disorder characterized by marked impulsivity as well as difficulties in interpersonal relationships, self-image, and affects. The burden on the health care system is immense with BPD patients accounting for 10%-20% of the patients in mental health outpatient facilities and 15%-40% in mental health inpatient facilities. Further, while 75%-80% of BPD patients attempt to commit suicide, 10% succeed; this mortality rate exceeds even that of anorexia nervosa which, with a weighted mortality rate of 5.1%, has often been considered to have the highest mortality rate of any mental disorder. In order to provide treatment and to implement preventative measures, a risk profile as well as clinical features must be identified within the adolescent population. This is presently crucial, as the current criteria for BPD are not developmentally focused, and as a result, criteria initially developed for the adult population are being applied in diagnoses of adolescents. A population of adolescents (n=80) between 16 and 19 years of age meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria either for BPD traits (n=46) or for BPD (n=36) were included in a retrospective chart review; a control group consisting of n=30 mood and anxiety control subjects were included to allow for further comparisons. Complex significant differences were discovered between the three groups in the following areas: history of sexual abuse, suicidal ideation, internalizing/externalizing symptoms, interpersonal difficulties, impulsivity, pre-perinatal stress, bullying, substance abuse, anxiety disorders, disruptive disorders, and finally, learning disorders.

KEYWORDS:

borderline personality disorder (BPD); borderline traits; chart review; emotional dysregulation

PMID:
27442360
DOI:
10.1515/ijamh-2016-0036

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