TY - JOUR
T1 - Developmental trajectories of borderline personality disorder symptoms and psychosocial functioning in adolescence
AU - Wright, Aidan G.C.
AU - Zalewski, Maureen
AU - Hallquist, Michael N.
AU - Hipwell, Alison E.
AU - Stepp, Stephanie D.
N1 - Funding Information:
This research was supported by funding from the National Institutes of Health (R01 MH56630, PI: Loeber; R01 DA12273, PI: Chung), the Office of Juvenile Justice and Delinquency Prevention (2013-JF-FX-0058, PIs: Hipwell/Stepp), the FISA foundation, and the Falk Fund. Michael Hallquist’s (K01MH097091), Stephanie Stepp’s (K01 MH086713), and Aidan Wright’s (F32 MH097325) efforts were supported by grants from the National Institute of Mental Health. The opinions expressed are solely those of the authors and not necessarily those of the funding sources.
Publisher Copyright:
© 2016 The Guilford Press.
PY - 2016/6
Y1 - 2016/6
N2 - In recent years, major gains toward understanding the emergence of borderline personality disorder (BPD) pathology, which is typically first noted during adolescence, have been made. Simultaneously, a profound shift has occurred in the adult personality pathology literature, in which empirical evidence rebuts the idea that personality disorders (PDs) are intractable disorders that do not develop or otherwise change over time, and therefore cannot be treated. The present study addresses a gap in our understanding of within-person change in BPD symptoms across adolescence and contributes to the limited literature on outcomes associated with adolescent BPD. Using an at-risk community sample of girls (N = 2,450), the authors used bivariate latent growth curve models to analyze the codevelopment of BPD symptoms with eight domains of psychosocial functioning (e.g., academic achievement, social skills, sexual behavior) across ages 14-17. Findings revealed moderate to strong effect sizes for the associations between BPD symptoms and every domain of psychosocial functioning, suggesting that the development of BPD was coupled with poorer outcomes across development. Controlling for depression and conduct disorder features revealed unique associations between BPD and self-perception, social skills, and sexual behavior. These results highlight the increased need for extending advancements in the adult PD literature to research on PDs in adolescence, and for greater recognition of adolescent BPD in clinical settings.
AB - In recent years, major gains toward understanding the emergence of borderline personality disorder (BPD) pathology, which is typically first noted during adolescence, have been made. Simultaneously, a profound shift has occurred in the adult personality pathology literature, in which empirical evidence rebuts the idea that personality disorders (PDs) are intractable disorders that do not develop or otherwise change over time, and therefore cannot be treated. The present study addresses a gap in our understanding of within-person change in BPD symptoms across adolescence and contributes to the limited literature on outcomes associated with adolescent BPD. Using an at-risk community sample of girls (N = 2,450), the authors used bivariate latent growth curve models to analyze the codevelopment of BPD symptoms with eight domains of psychosocial functioning (e.g., academic achievement, social skills, sexual behavior) across ages 14-17. Findings revealed moderate to strong effect sizes for the associations between BPD symptoms and every domain of psychosocial functioning, suggesting that the development of BPD was coupled with poorer outcomes across development. Controlling for depression and conduct disorder features revealed unique associations between BPD and self-perception, social skills, and sexual behavior. These results highlight the increased need for extending advancements in the adult PD literature to research on PDs in adolescence, and for greater recognition of adolescent BPD in clinical settings.
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U2 - 10.1521/pedi_2015_29_200
DO - 10.1521/pedi_2015_29_200
M3 - Article
C2 - 26067158
AN - SCOPUS:84971575155
VL - 30
SP - 351
EP - 372
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
SN - 0885-579X
IS - 3
ER -