ArticleEuropean child & adolescent psychiatry2022
Welfare consequences of early-onset Borderline Personality Disorder: a nationwide register-based case-control study.
Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The association between mental health problems in childhood and adolescence and educational and labor market outcomes in adulthood: a systematic review and meta-analysis of register data studies.Archives of public health = Archives belges de sante publique · 2026Pooled it
- The economic burden of Borderline Personality Disorder: direct and indirect costs, and evidence from evaluations of interventions.Frontiers in psychiatry · 2026Pooled it
- Pooled it
- The epidemiology of personality disorders in Norway: a nationwide patient registry study.Social psychiatry and psychiatric epidemiology · 2026Article
- A scoping review of psychosocial functioning in young people with personality pathology: current evidence and methodological issues.Borderline personality disorder and emotion dysregulation · 2026Review
- Economic evaluation of three forms of early intervention for young people with borderline personality disorder: a within-trial cost-utility analysis from the MOBY clinical trial.European child & adolescent psychiatry · 2026Article
- Beyond Self-Reports: Integrating Cortisol Measurement in Psychotherapy Process Research among Adolescents with Borderline Personality Pathology.Psychotherapy and psychosomatics · 2026Article
- Psychosocial functioning in personality disorders.Borderline personality disorder and emotion dysregulation · 2025Review
- Prediction of Non-Remission in a 5-Year Follow-Up of Borderline Personality Disorder in Adolescence.Personality and mental health · 2025Article
- Borderline personality: revisiting its classification as a neurodevelopmental disorder.Frontiers in psychiatry · 2025Review
- The Impact of a One-Day Workshop on Good Psychiatric Management for Adolescent (GPM-A) Borderline Personality Disorder.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
- Prevalence and incidence of personality disorders among children and adolescents in Danish mental health services: a nationwide register study.European child & adolescent psychiatry · 2024Article
- Article
- A new performance-based measure of personality functioning impairment: development and preliminary evaluation of reliability and validity.Discover mental health · 2024Article
- The BRIDGE project: a feasibility randomised controlled trial of brief, intensive assessment and integrated formulation for young people (age 14-24) with features of borderline personality disorder (Protocol).Frontiers in psychiatry · 2024Article
- Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions.Journal of clinical medicine · 2023Review
- Attitudes, Clinical Practices, and Perceived Advocacy Needs of Professionals With Interests in Personality Disorders.Journal of personality disorders · 2023Article
- Improvement of personality functioning among people treated within personality disorder mental health services. A longitudinal, observational study.Frontiers in psychiatry · 2023Article
- The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence.Frontiers in psychiatry · 2023Review
- Borderline Personality Disorder: Updates in a Postpandemic World.Focus (American Psychiatric Publishing) · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Information regarding welfare consequences of early onset of Borderline Personality Disorder (BPD) is limited. This nationwide study aimed to estimate the educational and employment outcome and health care costs of patients with early-onset BPD compared with matched controls. All patients (< 19 years) with first diagnosis of BPD in the Danish Patient Register (NPR) during the period 1983-2015 were included. Health care costs and socioeconomic variables were extracted from national registers. A total of 171 patients was compared with 677 controls. At the age of 20 years, BPD patients had reached a statistically significantly lower educational level (including lower primary school grades) and employment status compared with the controls. When adjusting for the parents' educational level, BPD patients were nearly 22 times more likely to be unemployed (OR = 21.7, 95% CI 11.9, 39.6), and nearly 15 times more likely to be on disability pension (OR = 14.8, 95% CI 5.0, 43.9) than controls. Furthermore, the total health care costs were more than 8 times higher in the BPD group. Early onset of BPD was associated with lower educational and vocational outcome and increased health care costs as early as at the age of 20 years. Even after controlling for parents' lower socioeconomic status, the patients have poorer outcome than the control group. This underlines that initiatives to support patients in finishing school and secondary education is highly needed. Future prevention and early intervention programs should target patients with early-onset BPD and their families.
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