Ad-Dab'bagh Y, Greenfield B
Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):954-64. doi: 10.1097/00004583-200108000-00018.
To provide an overview of the history, evolution, and nosology of the diagnostic constructs for "borderline syndrome of childhood," also known as "multiple complex developmental disorder."
The authors synthesized information found via electronic searches of databases (MEDLINE, PsycINFO, Current Contents, Humanities Abstracts, and Social Sciences Abstracts) and bibliographic directed searches.
Although early publications (prior to 1980) were either highly anecdotal or lacking in scientific rigor, they were nonetheless noted for their historic value and influence on research trends. The recent publications (1990s) were characterized by more rigorous methodology and greater generalizability. Current classifications, proposals for diagnostic criteria, epidemiological data, and nosological suggestions were summarized.
The literature supports the creation of a new diagnostic label to describe a population of children whose symptoms are currently subsumed under the labels "borderline" or "multiple complex developmental disorder." A full characterization of the syndrome, including its evolution, would require prospective studies and may differ from the known evolution for personality disorders and/or pervasive developmental disorders. The authors propose a process by which a new nomenclature is derived.
概述“儿童边缘性综合征”（亦称为“多重复杂发育障碍”）诊断概念的历史、演变及疾病分类学。
作者通过对数据库（医学索引数据库、心理学文摘数据库、现刊目次数据库、人文学科文摘数据库和社会科学文摘数据库）进行电子检索以及文献定向检索，综合所获信息。
尽管早期出版物（1980年之前）要么多为轶事性描述，要么缺乏科学严谨性，但它们因其历史价值及对研究趋势的影响而受到关注。近期出版物（20世纪90年代）的特点是方法更为严谨，普遍性更强。总结了当前的分类、诊断标准提议、流行病学数据及疾病分类学建议。
文献支持创建一个新的诊断标签，用于描述一群目前症状被归入“边缘性”或“多重复杂发育障碍”标签下的儿童。对该综合征的全面描述，包括其演变，需要进行前瞻性研究，且可能与已知的人格障碍和/或广泛性发育障碍的演变有所不同。作者提出了一个推导新命名法的过程。
