Abstract：
Borderline personality disorder (BPD) is a serious mental disorder, which has been linked to a number of negative outcomes in adolescents and adults. BPD is generally linked to more severe impairments in personality functioning. The (differential) association of specific BPD symptoms with severity level, however, has not been explored yet. The present study explores the relationship between all nine BPD symptoms and impairments in personality functioning in adolescents using a cross-sectional design. A total of 116 treatment-seeking adolescents were administered semistructured interviews for DSM-IV Axis I and Axis II disorders and the semistructured interview for personality functioning DSM-5 (STiP-5.1). Furthermore, the potential association of symptom disorders, and more specifically mood disorders, with level of personality functioning was assessed. Together, the nine BPD criteria were significantly related to STiP-5.1 total score, even when controlling for the presence of a mood disorder. However, when taking the effect of number of symptom disorders and the other BPD symptoms into account, only the presence of recurrent self-harm and/or suicidal behavior and intense anger, were associated with a higher level of impairment in personality functioning. These findings emphasize the diagnostic importance of repeated self-harm and suicidality and provide additional evidence for the value of using BPD criteria to easily identify teenagers at risk. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
摘要：
边缘性人格障碍(BPD)是一种严重的精神障碍,这与青少年和成年人的一些负面结果有关。BPD通常与更严重的人格功能损害有关。特定BPD症状与严重程度的（差异）关联，然而,还没有被探索。本研究使用横断面设计探讨了青少年所有9种BPD症状与人格功能受损之间的关系。总共对116名寻求治疗的青少年进行了DSM-IVAxisI和AxisII障碍的半结构化访谈，并对人格功能DSM-5（STiP-5.1）进行了半结构化访谈。此外，症状障碍的潜在关联，更具体地说是情绪障碍，评估了人格功能水平。一起,九项BPD标准与STiP-5.1总分显著相关，即使控制了情绪障碍的存在。然而,当考虑到症状障碍的数量和其他BPD症状的影响时，只有反复的自我伤害和/或自杀行为以及强烈的愤怒，与较高水平的人格功能受损有关。这些发现强调了反复自我伤害和自杀的诊断重要性，并为使用BPD标准轻松识别处于危险中的青少年的价值提供了额外的证据。（PsycInfo数据库记录（c）2024APA，保留所有权利)。
