A prospective follow-up study of so-called borderline children

Article Abstract:

Until the early 1980s, there were no objective criteria for diagnosing borderline personality disorders in children. Although fairly reliable criteria now exist for such diagnoses, it is unclear whether there is any predictive value to the diagnosis. Some studies have indicated that most children labeled as borderline do not have a borderline diagnosis when they are adults. To further examine this issue, 19 subjects who were diagnosed as borderline as children on the basis of objective criteria were carefully reexamined for psychiatric problems 10 to 20 years later. None of the 19 subjects were found to suffer from axis I affective disorders or schizophrenia. Axis II personality diagnoses were applicable to 16 of the subjects, but only three subjects were diagnosed as having borderline personality disorder. Overall outcome at follow-up was considered good for five subjects and poor for the other 14 subjects. Subjects who had stable families were more likely to have a good outcome and less likely to have personality disorder diagnoses at follow-up. The results indicated that although most children diagnosed as borderline continue to have personality disorders as adults, there is no direct association between a childhood diagnosis of borderline personality disorder and an adult diagnosis of the same disorder. (Consumer Summary produced by Reliance Medical Information, Inc.)

Diagnosis, Risk factors, Childhood mental disorders, Personality disorders, Child psychopathology, Borderline personality disorder in children

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Treatment for severe borderline personality disorder in 1897 and 1997

Article Abstract:

Patients suffering from borderline personality disorder requires treatment that would help eliminate their tendencies towards suicide, impulsivity, violent behavior and substance abuse. A clinical case conference discussed issues on the treatments used for these patients during 1987 and 1997. The treatments, which utilized different approaches that are compatible with a managed-care environment, involved providing care outside the hospital and combining residential, day-treatment and outpatient care.

Care and treatment, Psychiatric services, Mental health services, Borderline personality disorder

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