Meijer M, Treffers P D
State University of Leyden, The Netherlands.
Br J Psychiatry. 1991 Feb;158:205-12. doi: 10.1192/bjp.158.2.205.
Until recently, research on borderline disorder in children has sought the common denominator of the symptoms. In recent years there have been attempts to circumscribe the definition with the help of DSM-III criteria and the DIB. This approach appears fruitful. The scanty data on schizotypal children suggest that the validity of this diagnosis in childhood should be investigated. In adolescence it is possible to discern those with borderline and schizotypal disorders whose symptoms meet both DIB and DSM-III-R criteria respectively. No data exist, however, concerning the predictive validity of such disorders in adolescents. Classification on an empirical basis is advocated in order to refine the diagnosis of these and related disorders in children and adolescents.
直到最近,对儿童边缘性障碍的研究一直在探寻症状的共同特征。近年来,人们尝试借助《精神疾病诊断与统计手册》第三版(DSM-III)的标准和诊断访谈表(DIB)来界定这一定义。这种方法似乎卓有成效。关于分裂型人格障碍儿童的资料匮乏,这表明该诊断在儿童期的有效性有待研究。在青少年期,可以辨别出那些边缘性障碍和分裂型人格障碍患者,他们的症状分别符合DIB和DSM-III-R标准。然而,尚无关于此类障碍在青少年中的预测效度的数据。为了完善对儿童和青少年中这些及相关障碍的诊断,提倡基于实证的分类。