Oregon Health & Science University, Portland, OR, USA.
Boston Child Study Center, Los Angeles, CA, USA.
Acad Psychiatry. 2024 Aug;48(4):346-350. doi: 10.1007/s40596-024-01984-w. Epub 2024 May 23.
Despite evidence validating the diagnosis of borderline personality disorder (BPD) in youth, specifically showing persistence of BPD symptoms and morbidity similar to adults, there is reluctance to diagnose this in teens. Further, there is a belief among many trainees and academic child and adolescent psychiatrists (CAPs) that only specialty programs are effective, leading to treatment delays. This study charts the impact of a full-day workshop offered to an entire academic CAP department.
A Good Psychiatric Management for Adolescent (GPM-A) Borderline Personality Disorder in-person workshop was offered to department members. Participants were asked to complete a pre-survey, an immediate post-training survey, and a survey at 6 months post-training. Utilizing a Qualtrics questionnaire, both linear mixed-effect models and paired t-tests were used to estimate the immediate and sustained effects of the training.
Thirty-two participants completed the workshop, with 31 answering the pre-survey, 27 the post-training survey, and 23 the 6-month follow-up survey. Immediately after the training and 6 months later, participants demonstrated statistically significant (p < .05) improvements in willingness to disclose the diagnosis of BPD, a reduced negative attitude around BPD, and an enhanced sense of confidence in addressing the needs of adolescents with BPD.
GPM-A training can make a positive impact on groups of clinicians who work with youth who meet criteria for BPD, specifically reducing stigma, encouraging trainees and faculty members to make the diagnosis more readily, and helping them feel more competent in addressing the treatment needs of adolescents with BPD.
尽管有证据表明青少年存在边缘型人格障碍（BPD），且其症状持续存在且发病率与成年人相似，但人们仍不愿对此类人群做出诊断。此外，许多受训者和儿童及青少年精神病学领域的学术专家（CAP）认为，只有专门的项目才有效，这导致了治疗的延误。本研究记录了一项针对整个学术 CAP 部门的为期一天的研讨会的影响。
向部门成员提供了一场面对面的 Good Psychiatric Management for Adolescent（GPM-A）边缘型人格障碍培训课程。参与者被要求在参加培训前、培训后即刻和培训后 6 个月分别完成一份预调查、一份即时后测调查和一份 6 个月后测调查。利用 Qualtrics 问卷，我们同时使用线性混合效应模型和配对 t 检验来估计培训的即时和持续效果。
共有 32 名参与者完成了研讨会，其中 31 人回答了预调查，27 人回答了即时后测调查，23 人回答了 6 个月后测调查。在培训后即刻和 6 个月后，参与者在愿意公开 BPD 诊断、减少对 BPD 的负面态度以及增强处理 BPD 青少年需求的信心方面均表现出显著的统计学改善（p < .05）。
GPM-A 培训可以对与符合 BPD 诊断标准的青少年一起工作的临床医生群体产生积极影响，特别是减少了耻辱感，鼓励受训者和教师更愿意做出诊断，并帮助他们更有能力处理 BPD 青少年的治疗需求。
