Laurini Olivier, Strugarek Perrine, Rahioui Hassan
Service des Troubles du Neuro-Développement chez l'Adulte (STNDA), Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Paris, France.
Front Psychiatry. 2025 Jun 26;16:1587778. doi: 10.3389/fpsyt.2025.1587778. eCollection 2025.
Although borderline personality disorder is classified as a personality disorder, many studies have developed arguments in favor of a neurodevelopmental origin. In order to methodologically advance this new conceptualization of the disorder, we have identified six criteria for inclusion in the diagnostic category of neurodevelopmental disorders and propose to examine the extent to which borderline disorder may meet these criteria, illustrating them with recent studies. Our review allows us to put forward the idea that this pathology could be considered as a late-onset neurodevelopmental disorder, present in childhood but fully manifesting in adolescence, a critical and rather explosive period of the developing brain. Such a perspective could help with early detection and treatment.
尽管边缘型人格障碍被归类为一种人格障碍，但许多研究已提出支持其具有神经发育起源的观点。为了在方法上推进对该障碍的这一新概念化，我们确定了纳入神经发育障碍诊断类别的六个标准，并提议考察边缘型障碍在多大程度上可能符合这些标准，并用近期研究加以说明。我们的综述使我们能够提出这样一种观点，即这种病理状况可被视为一种迟发性神经发育障碍，在儿童期就已存在，但在青春期才完全显现出来，而青春期是发育中大脑的一个关键且相当易变的时期。这样一种观点可能有助于早期发现和治疗。
