Skabeikyte Gabriele, Barkauskiene Rasa
Department of Clinical Psychology, Institute of Psychology, Faculty of Philosophy, Vilnius University, Universiteto st. 9, LT-01513, Vilnius, Lithuania.
Borderline Personal Disord Emot Dysregul. 2021 Apr 19;8(1):12. doi: 10.1186/s40479-021-00151-z.
Research on personality pathology in adolescence has accelerated during the last decade. Among all of the personality disorders, there is strong support for the validity of borderline personality disorder (BPD) diagnosis in adolescence with comparable stability as seen in adulthood. Researchers have put much effort in the analysis of the developmental pathways and etiology of the disorder and currently are relocating their attention to the identification of the possible risk factors associated with the course of BPD symptoms during adolescence. The risk profile provided in previous systematic reviews did not address the possible development and course of BPD features across time. Having this in mind, the purpose of this systematic review is to identify the factors that are associated with the course of BPD symptoms during adolescence.
Electronic databases were systematically searched for prospective longitudinal studies with at least two assessments of BPD as an outcome of the examined risk factors. A total number of 14 articles from the period of almost 40 years were identified as fitting the eligibility criteria.
Factors associated with the course of BPD symptoms include childhood temperament, comorbid psychopathology, and current interpersonal experiences. The current review adds up to the knowledge base about factors that are associated with the persistence or worsening of BPD symptoms in adolescence, describing the factors congruent to different developmental periods.
在过去十年中，青少年人格病理学的研究加速发展。在所有人格障碍中，青少年边缘型人格障碍（BPD）诊断的有效性得到了有力支持，其稳定性与成年期相当。研究人员在分析该障碍的发展途径和病因方面投入了大量精力，目前正将注意力重新转向识别与青少年期BPD症状病程相关的可能风险因素。先前系统评价中提供的风险概况未涉及BPD特征随时间的可能发展和病程。考虑到这一点，本系统评价的目的是确定与青少年期BPD症状病程相关的因素。
系统检索电子数据库，查找将BPD作为所研究风险因素的结果进行至少两次评估的前瞻性纵向研究。共确定了近40年间的14篇文章符合纳入标准。
与BPD症状病程相关的因素包括儿童气质、共病精神病理学和当前的人际经历。本综述补充了有关与青少年期BPD症状持续或恶化相关因素的知识库，描述了与不同发育阶段相符的因素。
