期刊论文详细信息
Chinese Medicine
Diagnosis of personality disorders in adolescents: a study among psychologists
Patrick Luyten2  Jan Jurgen Van Busschbach3  Dine Jerta Feenstra3  Joost Hutsebaut1  Elisabeth Martina Petronella Laurenssen3 
[1] MBT Netherlands, Halsteren, The Netherlands;Research Department of Clinical, Educational and Health Psychology, Department of Psychology, University of Leuven, Leuven, Belgium and University College London, London, United Kingdom;Department of Medical Psychology and Psychotherapy, Erasmus Medical Centre, Rotterdam, The Netherlands
关键词: Online survey;    Psychologists;    Adolescents;    Personality disorders;   
Others  :  791125
DOI  :  10.1186/1753-2000-7-3
 received in 2012-10-04, accepted in 2013-02-05,  发布年份 2013
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【 摘 要 】

Background

Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.

Methods

Five hundred sixty-six psychologists completed an online survey concerning PDs in adolescents, of whom 367 professionals reported working with adolescents. The survey contained demographical questions (age, gender, profession, work setting) and specific questions related to PD in adolescence.

Results

Although a majority of psychologists working with adolescents acknowledged the existence of PDs in adolescents (57.8%), only a small minority diagnoses PDs in adolescence (8.7%) and offers a treatment specifically aimed at targeting PD pathology (6.5%). Reasons for not diagnosing PDs in adolescence mainly concerned the belief that adolescent personality problems are transient (41.2%) and that the DSM-IV-TR does not allow diagnosing PDs in adolescence (25.9%).

Conclusions

Although practice guidelines might have influenced clinicians’ opinions about PDs in adolescence, they have had little impact so far on routine clinical practice.

【 授权许可】

   
2013 Laurenssen et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Johnson JG, Cohen P, Smailes E, Kasen S, Oldham JM, Skodol AE, et al.: Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. Am J Psychiat 2000, 157:1406-1412.
  • [2]Freeman A, Reinecke MA: Personality Disorders in Childhood and Adolescence. Hoboken: John Wiley & Sons, Inc; 2007.
  • [3]Miller AL, Muehlenkamp JJ, Jacobson CM: Fact or fiction: diagnosing borderline personality disorder in adolescents. Clin Psychol Rev 2008.
  • [4]Westen D, Shedler J, Durrett C, Glass S, Martens A: Personality diagnoses in adolescence: DSM-IV Axis II diagnoses and an empirically derived alternative. Am J Psychiat 2003, 160:952-966.
  • [5]National Institute for Health and Clinical Excellence: Young people with borderline personality disorder. In Borderline personality disorder, The NICE guidelines on treatment and management. Leicester, UK: The British Psychological Society; 2009:346-377.
  • [6]Nederland: Medewerkers @GGZ 2009: Een inventarisatie van personeel in de geestelijke gezondheidszorg. Amersfoort: GGZ Nederland; 2009.
  • [7]Feenstra DJ, Busschbach JJV, Verheul R, Hutsebaut J: Prevalence and comorbidity of Axis I and Axis II disorders among treatment refractory adolescents admitted for specialized psychotherapy. J Pers Disord 2011, 25:842-850.
  • [8]Johnson JG, First MB, Cohen P, Skodol AE, Kasen S, Brook JS: Adverse outcomes associated with personality disorder not otherwise specified in a community sample. American Journal of Psychiatry 2005, 162:1926-1932.
  • [9]Kasen S, Cohen P, Skodol AE, First MB, Johnson JG, Brooks JS, et al.: Comorbid personality disorder and treatment use in a community sample of youths: a 20-year follow-up. Acta Psychiatr Scand 2007, 115:56-65.
  • [10]Chanen AM, Jovev M, McCutcheon L, Jackson HJ, McGorry PD: Borderline personality disorder in young people and the prospects for prevention and early intervention. Curr Psychiatry Rev 2008, 4:48-57.
  • [11]GGZ Nederland: Medewerkers @GGZ 2009: Een inventarisatie van personeel in de geestelijke gezondheidszorg. Amersfoort; 2009.
  • [12]Kernberg PF, Weiner AS, Bardenstein KK: Personality disorders in children and adolescents. New York: Basic Books; 2000.
  • [13]Allertz A, van der Voorst G: Personality disorders from the perspective of child and adolescent psychiatry. In Severe personality disorders: everyday issues in clinical practice. Edited by Luyn B, Akhtar S, Livesley WJ. New York: Cambridge University Press; 2007:79-92.
  • [14]Rossouw TI, Fonagy P: Mentalization-based Treatment for selfharm in adolescents: a randomised control trial. J Am Acad Child Psyin press
  • [15]Braun-Scharm H: Suicidality and personality disorders in adolescence. Crisis 1996, 17:64-68.
  • [16]Lavan H, Johnson JG: The association between Axis I and Axis II psychiatric symptoms and high-risk sexual behavior during adolescence. J Pers Disord 2002, 16:73-94.
  • [17]Serman N, Johnson JG, Geller PA, Kanost RE, Zacharapoulou H: Personality disorders associated with substance abuse among American and Greek adolescents. Adolescence 2002, 37:841-854.
  • [18]Chen H, Cohen P, Kasen S, Johnson JG: Adolescent Axis I and personality disorders predict quality of life during young adulthood. J Adolescent Health 2006, 39:14-19.
  • [19]Daley SE, Rizzo CJ, Gunderson BH: The longitudinal relation between personality disorder symptoms and depression in adolescence: the mediationg role of interpersonal stress. J Pers Disord 2006, 20:352-368.
  • [20]Johnson JG, Chen H, Cohen P: Personality disorder traits during adolescence and relationships with family members during the transition to adulthood. J Consult Clin Psych 2004, 72:923-932.
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