Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
McLean Hospital, Belmont, Massachusetts.
J Pers Disord. 2021 Jun;35(Suppl B):131-141. doi: 10.1521/pedi_2020_34_498. Epub 2020 Dec 14.
Adults with borderline personality disorder (BPD) report greater affective lability, impulsivity, and aggression compared to same-age peers, but no studies have examined whether these findings are replicable among adolescents with BPD and their peers, or whether adolescents and adults with BPD report symptoms of comparable severity. One hundred and one adolescent (age 13-17) BPD inpatients and 60 age-matched, psychiatrically healthy adolescents completed self-report measures for affective lability, impulsivity, and aggression. Comparison samples included 29 and 41 adult outpatients with BPD and 127 community adults with BPD. Adolescents with BPD reported greater severity of all symptoms except nonplanning impulsiveness compared to peers. They reported similar symptom severity to adults but reported less severe verbal aggression and anger. Adolescents with BPD are distinguishable from typically developing adolescents on self-reported, dimensional affective and behavioral symptom measures, and may experience these symptoms at comparable severity to adult counterparts.
患有边缘型人格障碍（BPD）的成年人比同年龄段的同龄人表现出更大的情感不稳定、冲动和攻击性，但尚无研究检查这些发现是否在青少年 BPD 患者及其同龄人中具有可重复性，或者青少年和成人 BPD 患者是否报告具有类似严重程度的症状。101 名青少年（13-17 岁）BPD 住院患者和 60 名年龄匹配、精神健康的青少年完成了情感不稳定、冲动和攻击性的自我报告测量。比较样本包括 29 名和 41 名 BPD 成年门诊患者和 127 名社区 BPD 成年患者。与同龄人相比，患有 BPD 的青少年报告了所有症状（除非计划性冲动外）的严重程度更高。他们报告的症状严重程度与成年人相似，但报告的言语攻击和愤怒程度较轻。在自我报告的维度情感和行为症状测量方面，患有 BPD 的青少年与典型的青少年不同，并且可能与成年患者具有类似严重程度的这些症状。
