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Psychotic symptoms in adolescents with borderline personality disorder features.
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- Author(s): Thompson, Katherine N.; Cavelti, Marialuisa; Chanen, Andrew M.
- Source:
European Child & Adolescent Psychiatry. Jul2019, Vol. 28 Issue 7, p985-992. 8p. 3 Charts. - Source:
- Additional Information
- Subject Terms: COGNITION disorders diagnosis; BORDERLINE personality disorder; HALLUCINATIONS; INTERVIEWING; RESEARCH methodology; CLASSIFICATION of mental disorders; PARANOIA; PATHOLOGICAL psychology; PSYCHOSES; PSYCHOTHERAPY patients; QUESTIONNAIRES; DISABILITIES; PSYCHOSOCIAL factors; DISEASE prevalence; SYMPTOM Checklist-90-Revised; ADOLESCENCE
- Abstract: Psychotic symptoms have been found to be relatively common among adults with borderline personality disorder (BPD), and to be a marker of BPD severity, but are not recognised in daily clinical practice in these patients. This study is the first to examine the prevalence of psychotic symptoms in 15–18-year olds with BPD features. It was hypothesised that adolescents with full-threshold BPD would have significantly more psychotic symptoms than adolescents with sub-threshold BPD features, and that both these groups would have significantly more psychotic symptoms than adolescents with no BPD features. A total of 171 psychiatric outpatients, aged 15–18 years, were assessed using a structured interview for DSM-IV personality disorder and categorised into three groups: no BPD features (n = 48), sub-threshold BPD features (n = 80), and full-threshold BPD (n = 43). The groups were compared on measures of psychopathology and functioning (e.g. Youth Self Report, Symptom Check List-90-R, SOFAS). Adolescents with full-threshold BPD reported more psychotic symptoms than the sub-threshold BPD group (p <.001), and both these groups reported more psychotic symptoms than those with no BPD features (p <.001). Adolescents with full-threshold BPD reported more confusion (p <.01), paranoia (p <.001), visual hallucinations (p <.001) and strange thoughts (p <.01), than the other two groups. Psychotic symptoms predicted group membership, determined by BPD severity, after adjusting for other psychopathology and functional impairment (p <.01). Assessment of unusual perceptual experiences, paranoia or odd thoughts is highly clinically relevant in adolescents with BPD features, as these symptoms are associated with a more severe clinical presentation of BPD. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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