Zelkowitz Phyllis, Paris Joel, Guzder Jaswant, Feldman Ronald, Roy Carmella, Rosval Lindsay
Institute of Community and Family Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital, Quebec, Canada H3T IE4.
J Pers Disord. 2007 Dec;21(6):664-74. doi: 10.1521/pedi.2007.21.6.664.
Borderline pathology of childhood (BPC) may be a precursor of personality disorders. There is a lack of data concerning outcome in adolescence. A group of 59 adolescents, who had been treated as children in a Child Psychiatry Day Hospital five to seven years earlier, was evaluated. Using the child version of the Retrospective Diagnostic Interview for Borderlines, 28 participants had been diagnosed with BPC while the remaining 31 participants who did not have a history of BPC served as the comparison group. The youth and their parents were given a battery of measures assessing current psychopathology and functional status. The group with a history of BPC was more likely than the comparison group to exhibit a combination of internalizing and externalizing behavior problems. Adolescents with a history of BPC were more impaired than the comparison group on a global measure of functional status. Compared to children with no history of BPC, children diagnosed with BPC are more likely to display poorer functioning as adolescents and continue to be at risk for psychopathology during adolescence. Future directions for research are discussed.
儿童边缘性病理学（BPC）可能是人格障碍的先兆。目前缺乏关于青少年期预后的数据。对一组59名青少年进行了评估，他们在五到七年前曾在一家儿童精神病日间医院接受儿童治疗。使用儿童版的边缘性回顾性诊断访谈，28名参与者被诊断为BPC，其余31名没有BPC病史的参与者作为对照组。对青少年及其父母进行了一系列评估当前精神病理学和功能状态的测量。有BPC病史的组比对照组更有可能表现出内化和外化行为问题的组合。有BPC病史的青少年在功能状态的整体测量上比对照组受损更严重。与没有BPC病史的儿童相比，被诊断为BPC的儿童在青少年期更有可能表现出较差的功能，并且在青少年期仍然有精神病理学风险。文中讨论了未来的研究方向。
