Child and Adolescent Mental Health Service, NHS Grampian, Grampian, UK.
Child and Adolescent Mental Health Service, NHS Greater Glasgow and Clyde, Glasgow, UK.
J Nerv Ment Dis. 2023 Sep 1;211(9):664-669. doi: 10.1097/NMD.0000000000001684. Epub 2023 Jun 22.
Child and Adolescent Mental Health Service (CAMHS) clinicians have been reported to hold negative views toward the diagnosis of borderline personality disorder (BPD) in adolescence. We aimed to reevaluate with the expectation that recent advances have nurtured more positive attitudes. One hundred ninety clinicians working across CAMHS in Scotland completed a 16-item electronic survey of attitudes to BPD, derived from the Attitudes and Skills Questionnaire. Eighty-three percent of psychiatrists, 72% of nurses, and 37% of psychologists surveyed agreed that BPD is a valid diagnosis in adolescence, and 92%, 74%, and 44%, respectively, were willing to make this diagnosis. CAMHS clinicians were more optimistic compared with clinicians working in adult mental health services. CAMHS clinicians' responses may indicate increased acceptance of BPD in the adolescent population. There is a thirst for workforce education and training. Consideration should be taken to actively move the focus of identification and diagnosis of BPD into CAMHS rather than the current culture of late diagnosis.
儿童和青少年心理健康服务 (CAMHS) 临床医生被报道对青少年边缘型人格障碍 (BPD) 的诊断持有负面看法。我们旨在重新评估，期望最近的进展培养了更积极的态度。190 名在苏格兰的 CAMHS 工作的临床医生完成了一项关于 BPD 态度的 16 项电子调查，该调查源自态度和技能问卷。接受调查的精神科医生中有 83%、护士中有 72%和心理学家中有 37%认为 BPD 在青少年时期是一个有效的诊断，分别有 92%、74%和 44%愿意做出这一诊断。与在成人心理健康服务机构工作的临床医生相比，CAMHS 临床医生的反应可能表明他们对青少年人群中 BPD 的接受程度有所提高。人们渴望接受劳动力教育和培训。应该考虑积极地将 BPD 的识别和诊断重点转移到 CAMHS，而不是当前的晚期诊断文化。
