ArticleBorderline personality disorder and emotion dysregulation2017
Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?
Article in Borderline personality disorder and emotion dysregulation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- The economic burden of Borderline Personality Disorder: direct and indirect costs, and evidence from evaluations of interventions.Frontiers in psychiatry · 2026Pooled it
- The Impact of Psychological Interventions on Functioning in the Context of Borderline Personality Disorder Features for Adolescents and Young Adults: A Systematic Review and Meta-Analysis.Early intervention in psychiatry · 2026Pooled it
- Early remission of deliberate self-harm predicts emotion regulation capacity in adulthood: 12.4 years follow-up of a randomized controlled trial of adolescents with repeated self-harm and borderline features.European child & adolescent psychiatry · 2025Trial
- A Comparison of Adolescent versus Young Adult Outpatients with First-Presentation Borderline Personality Disorder: Findings from the MOBY Randomized Controlled Trial.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Trial
- Effectiveness of a brief psychotherapeutic intervention compared with treatment as usual for adolescent nonsuicidal self-injury: a single-centre, randomised controlled trial.European child & adolescent psychiatry · 2020Trial
- Implementation and outcomes of a brief crisis intervention for adolescents with borderline personality features: a pre-post observational study.BMC psychiatry · 2026Observational
- Research Review: What we have learned about early detection and intervention of borderline personality disorder.Journal of child psychology and psychiatry, and allied disciplines · 2025Review
- Identification of Borderline Personality Disorder in Adolescents: Psychometric Properties and Diagnostic Efficiency of a Juvenile Version of the Impulsivity and Emotion Dysregulation Scale (IES-27-J).Journal of clinical psychology · 2025Article
- Comparing the new concept of impairment in personality functioning with borderline personality disorder: differential psychosocial and psychopathological correlates in a clinical adolescent sample.European child & adolescent psychiatry · 2025Article
- Clinical cut-off scores for the Borderline Personality Features Scale for Children to differentiate among adolescents with Borderline Personality Disorder, other psychopathology, and no psychopathology: a replication study.Borderline personality disorder and emotion dysregulation · 2024Article
- Prefrontal cortex activation under stress as a function of borderline personality disorder in female adolescents engaging in non-suicidal self-injury.BJPsych open · 2024Article
- Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder.European child & adolescent psychiatry · 2024Article
- Age dependent effects of early intervention in borderline personality disorder in adolescents.Psychological medicine · 2024Article
- The evaluation of a stepped care approach for early intervention of borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2024Article
- Sub-threshold or full-syndrome borderline personality disorder in adolescents with recurrent self-harm - distinctly or dimensionally different?Borderline personality disorder and emotion dysregulation · 2023Article
- Mother-child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment.Child and adolescent psychiatry and mental health · 2023Article
- Emotion Regulation Difficulties, Family Functioning, and Well-Being Involved in Non-Suicidal Self-Injury and Suicidal Risk in Adolescents and Young People with Borderline Personality Traits.Children (Basel, Switzerland) · 2023Article
- Altered psychobiological reactivity but no impairment of emotion recognition following stress in adolescents with non-suicidal self-injury.European archives of psychiatry and clinical neuroscience · 2023Article
- Contextualizing motherhood in persons with borderline personality vulnerabilities: cultural adaptation of theResearch in psychotherapy (Milano) · 2023Article
- Brief Psychotherapeutic Intervention Compared with Treatment as Usual for Adolescents with Nonsuicidal Self-Injury: Outcomes over a 2-4-Year Follow-Up.Psychotherapy and psychosomatics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiagnostic standards do not acknowledge developmental specifics and differences in the clinical presentation of adolescents with borderline personality disorder (BPD). BPD is associated with severe impairments in health related quality of life (HRQoL) and increased psychopathological distress. Previously no study addressed differences in HRQoL and psychopathology in adolescents with subthreshold and full-syndrome BPD as well as adolescents at-risk for the development but no current BPD.
methodsDrawing on data from a consecutive sample of
resultsAdolescents with subthreshold and full-syndrome BPD presented one year later at our clinic and were more likely female. Adolescents with subthreshold and full-syndrome BPD showed greater Axis-I and Axis-II comorbidity compared to adolescents with no BPD, and reported greater risk-taking behaviour, self-injury and suicidality. Compared to those without BPD, adolescents with subthreshold and full-syndrome BPD reported significantly reduced HRQoL. Adolescents with sub-threshold BPD and those with full-syndrome BPD did not differ on any HRQoL dimension, with the exception of
conclusionsFindings highlight that subthreshold BPD in adolescents is associated with impairments in HRQoL and psychopathological distress comparable to full-syndrome BPD. Findings raise awareness on the importance of early detection and question the diagnostic validity and clinical utility of existing cut-offs. Findings support a lower diagnostic cut-off for adolescent BPD, to identify those at-risk at an early stage.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.