Hutsebaut Joost, Aleva Anouk
Viersprong Institute for Studies on Personality Disorders, Postbus 7, 4660 AA, Halsteren, The Netherlands; Centre of Expertise on Personality Disorders, Utrecht, The Netherlands.
HYPE Centre of Expertise on Early Intervention for Borderline Personality Disorder, GGz Centraal, Amersfoort, The Netherlands; Department of Developmental Psychology, Utrecht University, Utrecht, The Netherlands.
Curr Opin Psychol. 2021 Feb;37:13-20. doi: 10.1016/j.copsyc.2020.06.004. Epub 2020 Jun 20.
The shift towards early intervention in borderline personality disorder (BPD) has introduced a clinical staging approach in the treatment for young persons with BPD. Complementary to staging is profiling: the identification of psychological, social and biological risk variables that may predict prognosis. The aim of this paper is to provide a risk profile for BPD by systematically reviewing literature on potential risk markers for poor prognosis for BPD. An extensive literature search revealed evidence for seven categories of risk factors: adverse childhood experiences, BPD symptom profile, associated mental disorders, personality impairments and traits, current interpersonal context, biological disposition and socio-demographics. Including these markers within the current staging approach, to compose individual risk profiles for poor BPD prognosis, may assist in personalizing treatment for young people with BPD and in refining research protocols for treatment outcome studies.
向边缘型人格障碍（BPD）早期干预的转变引入了一种针对患有BPD的年轻人的临床分期治疗方法。与分期相辅相成的是剖析：识别可能预测预后的心理、社会和生物学风险变量。本文的目的是通过系统回顾关于BPD预后不良潜在风险标志物的文献，提供一份BPD风险剖析。广泛的文献检索揭示了七类风险因素的证据：童年不良经历、BPD症状剖析、相关精神障碍、人格损害和特质、当前人际环境、生物学倾向和社会人口统计学。将这些标志物纳入当前的分期方法，以构建BPD预后不良的个体风险剖析，可能有助于为患有BPD的年轻人制定个性化治疗方案，并完善治疗效果研究的研究方案。
