Borderline Personality Disorder in Adolescence: Proposal of Group Intervention in USMI-J in Alicante
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Published
2014-03-03
How to Cite
García Quintero, C., & Martín Moreno, E. (2014). Borderline Personality Disorder in Adolescence: Proposal of Group Intervention in USMI-J in Alicante. Revista De Psiquiatría Infanto-Juvenil, 31(1), 16–21. Retrieved from https://aepnya.eu/index.php/revistaaepnya/article/view/191
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Section
Orginial article
Keywords:
BPD, adolescence, group therapyAbstract
Borderline personality disorder (BPD), is the most frequent of personality disorders, and one of the most severe in global impairment. It shows huge symptomatic variability and high comorbidity rate, so that it spends a big amount of public health service resources. The beginning of this disorder takes place in late adolescence, so Child and Adolescent Mental Health Units (USMI-J) have a relevant role in early diagnosis and intervention. In this article, we describe clinics, early diagnosis difficulties and controversies about it; although in recent investigation it is gradually more accepted. We describe the most relevant psychotherapeutic interventions useful in BPD and its adaptation for adolescent population. We remark initiatives developed in our country, most of all in combination of group and individual therapy, and finally, it is proposed a specific group intervention in order to improve treatment in USMI-J in Alicante.
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References
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2. Middleton A. Differentiating adolescents with borderline personality disorder from normal adolescents and adolescents with other disorders. The University of Texas at Austin 2004.
3. American Psychiatric Association. DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales (4.ª ed. rev.). Washington, American Psychiatric Association. Barcelona: Masson, 2002.
4. Chanen AM, Jackson HJ, McGorry PD, Allot KA, Clarkson V, Yuen HP. Two-year stability of personality disorder in older adolescent outpatients. J Pers Disord. 2004;18:526-41.
5. Miller A, Muehlenkamp J y Jacobson C. Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical Psychology Review 2008; 28, 969-981.
6. Salters-Pedneault, K. Borderline personality adolescents. Health’s Disease and Condition 2008.
7. Zanarini MC, Frankenburg FR, Hennen J, Silk KR. The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. Am J Psychiatry. 2003; 160:274-83.
8. Paris J, Brown R, Nowlis D. Long-term follow-up of borderline patients in a general hospital. Compr Psychiatry 1987;28:530-5.
9. Lyons-Ruth. Borderline symptoms and suicidality/self-injury in late adolescence: Prospectively observed relationship correlates in infancy and childhood Psychiatry Research 2013; 273–281.
10. Sharp C. Theory of mind and emotion regulation difficulties in adolescents with borderline traits. J Am Acad Child Adolesc Psychiatry 2011;50:563-73.
11. Washburn. Psychotherapeutic approaches to nonsuicidal self-injury in adolescents Child and Adolescent Psychiatry and Mental Health 2012; 6:14.
12. Linehan MM. Skills training manual for treating borderline personality disorder. New York, NY (US): Guilford Press; 1993.
13. Miller A, Rathus J, Linehan M, Wetzler S, Leigh E. Dialectical behavior therapy adapted for suicidal adolescents. J Pract Psychiatry Behav Health 1997;3:78-86.
14. MacPherson H. Dialectical Behavior Therapy for Adolescents: Theory, Treatment Adaptations, and Empirical Outcomes Clin Child Fam Psychol Rev 2013; 16:59–80.
15. Woodberry KA, Gallo KP, Nock MK. An experimental pilot study of response to invalidation in young women with features of borderline personality disorder. Psychiatry Res. 2008;157:169–180.
16. James A, Winmill L, Anderson C, & Alfoadari K. A preliminary study of an extension of a community dialectic behaviour therapy (DBT) programme to adolescents in the looked after care system. Child and Adolescent Mental Health 2011; 16, 9–13.
17. Shelton D, Kesten K, Zhang W & Trestman R. Impact of dialectical behavior therapy—Corrections modified (DBT-CM) upon behaviorally challenged incarcerated male adolescents. Journal of Child and Adolescent Psychiatric Nursing 2011; 24,105–113.
18. Marieke Schuppert Effectiveness of an Emotion Regulation Group Training for Adolescents—a Randomized Controlled Pilot Study Clin. Psychol. Psychother 2009;16, 467–478.
19. Soler J, Pascual JC,Tiana T, Cebria A, Barrachina J, Campins MF, Gich I, Álvarez E y Pérez V Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 2009;47, 353-358.
20. Santiago, S. Tratando... inestabilidad emocional, Terapia Icónica. Madrid: Pirámide 2008.
21. Fórum de Salud Mental y AIAQS, coordinadores. Guía de práctica clínica sobre trastorno límite de la personalidad. Barcelona: Agència d’Informació, Avaluació i Qualitat en Salut. Servei Català de la Salut. Pla Director de Salut Mental i Addiccions. Departament de Salut. Generalitat de Catalunya; 2011.
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