Evidence map›Paper›PMID 33576244›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

A Comparison of Adolescent versus Young Adult Outpatients with First-Presentation Borderline Personality Disorder: Findings from the MOBY Randomized Controlled Trial.

Andrew M Chanen, Jennifer K Betts, Henry Jackson, Sue M Cotton, John Gleeson, Christopher G Davey, Katherine Thompson, Sharnel Perera, Victoria Rayner, Sinn Yuin Chong and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Association ofCell journal · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Early Intervention for Personality Disorder.Focus (American Psychiatric Publishing) · 2022
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Andrew M ChanenOrygen, Melbourne, Australia.ORCID 0000-0003-4468-622X
Jennifer K BettsOrygen, Melbourne, Australia.ORCID 0000-0003-4146-2343
Henry JacksonMelbourne School of Psychological Sciences, The University of Melbourne, Australia.
Sue M CottonOrygen, Melbourne, Australia.
John GleesonHealthy Brain and Mind Research Centre and School of Behavioural and Health Sciences, Australian Catholic University, Melbourne Campus, Australia.
Christopher G DaveyOrygen, Melbourne, Australia.
Katherine ThompsonOrygen, Melbourne, Australia.
Sharnel PereraOrygen, Melbourne, Australia.
Victoria RaynerOrygen, Melbourne, Australia.
Sinn Yuin ChongOrygen, Melbourne, Australia.
Louise McCutcheonOrygen, Melbourne, Australia.
The University of Melbourne · AUAustralian Catholic University · AUOrygen · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe increasing focus on adolescent personality disorder has tended to ignore evidence of the developmental continuity of the period from puberty to young adulthood. This study aims to: (1) describe the characteristics of a sample of young people with borderline personality disorder (BPD) who had no previous history of evidence-based treatment for the disorder and (2) compare their characteristics by participant age group.

methodsOne hundred and thirty-nine young people (15 to 25 years) with BPD, newly enrolled in the Monitoring Outcomes of BPD in Youth randomized controlled trial, completed semi-structured interview and self-report measures assessing demographic, clinical, and functional characteristics. Younger (aged 15 to 17 years;

resultsYoung outpatients with BPD had extensive and severe psychopathology and were functioning poorly. Adolescents and young adults with BPD showed substantial similarities on 20 key aspects of their presentation. Significant between-groups differences were observed in household makeup, treatment history, antisocial personality disorder, emotion dysregulation, substance use, age of commencement and extent of self-harm, and achievement of age-appropriate educational milestones. Adolescent BPD group membership was predicted by family composition and self-harm, whereas young adult BPD group membership was predicted by not achieving age-appropriate milestones, vocational disengagement, and emotion dysregulation. The final model explained 54% of the variance and correctly classified 80.2% of the sample by age.

conclusionsBoth adolescents and young adults with early stage BPD present with severe and often similar problems to one another, supporting developmental continuity across this age range. However, there are also meaningful differences in presentation, suggesting that pathways to care might differ by age and/or developmental stage. Detection and intervention for personality disorder should not be delayed until individuals reach 18 years of age.

Indexed as

Borderline Personality DisorderSelf-Injurious BehaviorAdolescentAdultAntisocial Personality DisorderHumansOutpatientsPersonality DisordersYoung Adultadolescentsborderline personality disorderearly interventionpsychiatryrandomized controlled trialtreatmentyoung adultsyouth

Identifiers

PMID33576244
PMCPMC8811246
OpenAlexW3126463085

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.