Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the , fifth edition Section II personality disorder model in broader psychopathology (i.
View Article and Find Full Text PDFPurpose: In Canada, health data are siloed, slowing bioinnovation and evidence generation for personalized cancer care. Secured data-sharing platforms (SDSPs) can enable data analysis across silos through rapid concatenation across trial and real-world settings and timely researcher access. To motivate patient participation and trust in research, it is critical to ensure that SDSP design and oversight align with patients' values and address their concerns.
View Article and Find Full Text PDFPersonality functioning, general psychopathology, and developmental milestones achievement are critical domains in the field of young people's mental health; however, no prior research has considered these variables jointly or examined the temporal dynamics between them. To fill these gaps, the present study aimed to investigate the longitudinal associations between the above constructs in a clinical sample of Dutch youth. 525 outpatients (72.
View Article and Find Full Text PDFBackground: Self-harm in young people is a public health concern connected with severe mental health problems, such as personality pathology. Currently, there are no specific evidence-based interventions available for young people who self-harm. Therefore, we developed PRe-Intervention Monitoring of Affect and Relationships in Youth (PRIMARY), a smartphone-based intervention, co-designed by clinicians and young people with lived experience of mental ill-health.
View Article and Find Full Text PDFTijdschr Psychiatr
July 2023
Background: A complex pattern of individual and environmental factors is involved in the etiology of borderline personality disorder (BPD). Household chaos might be a factor of importance in this interaction. Studies report a relationship between household chaos and various problem areas, some of which are also related to BPD features.
View Article and Find Full Text PDFEmotion dysregulation is a key feature of borderline personality disorder (BPD). Given the heterogeneity of BPD and emotion regulation, this study sought to define subgroups among a sample of young people with BPD based on their pattern of emotion regulation abilities. Baseline data from the Monitoring Outcomes of BPD in Youth (MOBY) clinical trial were used, in which 137 young people ( = 19.
View Article and Find Full Text PDFIntroduction: Genetic testing for hereditary cancer syndromes (HCSs) can improve health outcomes through cancer risk mitigation strategies. Effective communication between tested individuals and their family members is key to reducing the hereditary cancer burden. Our objective was to develop a patient portal to improve familial communication for patients undergoing HCS genetic testing, followed by an early-phase evaluation.
View Article and Find Full Text PDFCommunicating online via social media has proven to facilitate disclosure of intimate topics and can therefore be helpful in the development of intimate relationships. However, for youth with borderline personality disorder (BPD) symptoms, it may be more difficult to know when, what, and to whom to disclose (i.e.
View Article and Find Full Text PDFBackground: Impaired interpersonal functioning has been highlighted as a core feature of borderline personality disorder (BPD). Adolescence and young adulthood form important developmental stages within both the emergence of BPD and the development of interpersonal functioning, which takes place mostly in relationships with parents and friends. This study aimed to: (i) investigate relations between BPD symptoms and both supportive and negative interactions with mothers and best friends; (ii) investigate whether the relations were moderated by age; (iii) test the robustness of our findings by comparing the results based on self-reports with results from a subsample in which supportive and negative interactions with mothers were rated by the mother.
View Article and Find Full Text PDFTijdschr Psychiatr
September 2021
Background: Parenting an adolescent with borderline personality disorder (BPD) features can be challenging due to, for example, emotional dysregulation, impulsivity and/or self-destructive behavior. Parents confronted with challenging behavior of their child, may experience less parental-self-efficacy (PSE). Subsequently this lower PSE might strengthen the relationship between low parental support and BPD features.
View Article and Find Full Text PDFTijdschr Psychiatr
June 2021
After a long period of borderline personality disorder (BPD) research focusing on adulthood solely, accumulating evidence calls for a developmental perspective on BPD.
AIM: To demonstrate translations from a developmental perspective to interventions during the earliest stages of the development of BPD.
METHOD: To describe the rationale of how a clinical staging model can serve as a guideline for the development of interventions in prevention and early intervention for BPD.
Although the manifestation of borderline personality disorder (BPD) is situated in adolescence and young adulthood, in clinical practice the diagnosis and treatment often get delayed until adulthood. Preliminary research shows good results for structured treatments in young people with BPD. Early intervention programs for BPD show promising results in improvement of the level of functioning.
View Article and Find Full Text PDFBACKGROUND For a long time there was controversy and reservations with regards to diagnosing borderline personality disorder (BPD) under the age of eighteen. Progress in scientific knowledge has shown that adolescence is a key phase in the understanding of the development of the disorder.
AIM: To contribute to the understanding of the developmental trajectory of BPD by studying associations between BPD and the interpersonal functioning in adolescence.
Borderline Personal Disord Emot Dysregul
December 2018
Background: As borderline personality disorder (BPD) is increasingly considered a lifespan developmental disorder, we need to focus on risk factors and precursors in the developmental pathways to BPD, in order to enable early detection and intervention. Within this developmental pathway, adolescence is a crucial phase in the light of the manifestation of the disorder. Relational factors such as adverse childhood experiences and current relational problems can be considered important in adolescents who are at-risk for BPD.
View Article and Find Full Text PDFTijdschr Psychiatr
February 2018
Within the accumulating evidence for a life span perspective on borderline personality disorder (BPD), the key factor is a developmental perspective.
AIM: To demonstrate that the lessons learnt from early intervention in somatic medicine and psychosis should be used to improve the diagnosis and treatment of BPD.
METHOD: We describe the rationale for early detection and intervention and present a staging model which can serve as a guideline for the development and selection of interventions for BPD.
Background: This study investigated relations between personality pathology and mentalizing capacities reflected in social information processing (SIP) of adolescents.
Sampling And Methods: 96 adolescent outpatients completed a structured interview regarding SIP. Their clinicians completed a checklist based on DSM-IV, assessing severity of personality pathology.
Borderline personality disorder (BPD) has onset in adolescence, but is typically first diagnosed in young adulthood. This paper provides a narrative review of the current evidence on diagnosis, comorbidity, phenomenology and treatment of BPD in adolescence. Instruments available for diagnosis are reviewed and their strengths and limitations discussed.
View Article and Find Full Text PDFThis study seeks to integrate two research traditions that lie at the base of the understanding of personality pathology in adolescents. The first research tradition refers to normal personality according to the Five Factor Model (FFM). The second tradition specifies the key feature of personality disorder as the capacity to mentalize, which can be reflected in Social Information Processing (SIP).
View Article and Find Full Text PDFEur Child Adolesc Psychiatry
July 2014
It has been argued that a heightened emotional sensitivity interferes with the cognitive processing of facial emotion recognition and may explain the intensified emotional reactions to external emotional stimuli of adults with personality pathology, such as borderline personality disorder (BPD). This study examines if and how deviations in facial emotion recognition also occur in adolescents with personality pathology. Forty-two adolescents with personality pathology, 111 healthy adolescents and 28 psychiatric adolescents without personality pathology completed the Emotion Recognition Task, measuring their accuracy and sensitivity in recognizing positive and negative emotion expressions presented in several, morphed, expression intensities.
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