Importance of early diagnosis of borderline personality disorder: A brief systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.41064

Keywords:

Early diagnosis; Borderline personality disorder; Personality disorder, Borderline.

Abstract

Introduction: Borderline Personality Disorder (BPD) presents instability in interpersonal relationships, affections and self-image, with impulsivity being a hallmark of this disorder. The diagnosis of BPD is performed according to the criteria defined by the DSM-5 and there is evidence that early diagnosis and treatment are beneficial, especially in terms of improving the psychosocial functioning of patients. Objective: It aims to analyze the importance of early diagnosis of Borderline Personality Disorder. Methodology: The following databases were used: PUBMED, LILACS and SCIELO. The selected descriptors were found in the Health Sciences Descriptors dictionary (DeCS) and Medical Subject Heading Terms (MeSH), with the formulas “Borderline personality disorder” AND “Early diagnosis”. Articles from 2018 to 2022 were used. Result: The database search resulted in 123 studies, 11 of which were analyzed and included in this review. There was a strong incidence of this disorder in female patients, in addition to its association with other disorders, such as anxiety and depression. Added to this, it was identified an increase in direct and indirect costs in patients with BPD and that there is the possibility of online screening of these patients, favoring early identification and minimization of costs and damage to quality of life. Conclusion: The present study shows that the discovery of BPD prevents not only the worsening of symptoms in the late phase, but also avoids fatal psychopathological outcomes, high public health costs and damage to the individual's socio-emotional, family and professional life.

References

Amaral, I. A., Martins, J. B., Faria, L. F., Sarto, M. F., Oliveira, M. C., Guimarães, P. R., & Grillo, C. F. C. (2021, 03 de maio). Transtorno de Personalidade Borderline: perspectiva da automutilação em adolescentes. Brazilian Journal Of Development, 7(5), 45322-45337.

Araújo, T. B., Filho, G. M. A., Sato, J. R., Araújo, C. M., Lisondo, C. M., Carrete, H. J., Ancona, A., Lin, K., Bressan, R. A., Silva, J. F., & Jackowski, A. P. (2014, janeiro-março). Cortical morphology changes in women with borderline personality disorder: a multimodal approach. Braz J Psychiatry, 36(1), 32-8.

Associação Psiquiátrica Americana. (2013). Manual Diagnóstico e Estatístico de Transtornos Mentais (5ª ed.), VA: American Psychiatric Publishing.

Barazandeh, H., Kissane, D. W., Saeedi, N., & Gordon, M. (2018). Schema modes and dissociation in borderline personality disorder/traits in adolescents or young adults. Psychiatry Research, 261(April 2017), 1–6. https://doi.org/10.1016/j.psychres.2017.12.023

Brumariu, L. E., Owen, M. T., Dyer, N., & Lyons-Ruth, K. (2020). Developmental pathways to bpd-related features in adolescence: Infancy to age 15. Journal of Personality Disorders, 34, 104–129. https://doi.org/10.1521/pedi_2020_34_480

Cavelti, M., Thompson, K., Betts, J., Fowler, C., Luebbers, S., Cottton, S. M., & Chanen, A. (2022). Young People With Borderline Personality Disorder Have an Increased Lifetime Risk of Being the Victim of Interpersonal Violence. Journal of Interpersonal Violence, 37(13–14), NP10642–NP10660. https://doi.org/10.1177/0886260520986270

Chanen, A. M., Betts, J. K., Jackson, H., Cotton, S. M., Gleeson, J., Davey, C. G., Thompson, K., Perera, S., Rayner, V., Chong, S. Y., & McCutcheon, L. (2022). 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, 67(1), 26–38. https://doi.org/10.1177/0706743721992677

Ferreira, C. V. M. A., & Coêlho, S. J. D. D. A. C. (2018). Transtorno de Personalidade Borderline: Diagnóstico e Tratamento em Adolescentes (Tese de Doutorado). Universidade Federal do Maranhão, São Luís, MA.

Fung, H. W., Chan, C., Lee, C. Y., Yau, C., Chung, H. M., & Ross, C. A. (2020). Validity of A Web-based Measure of Borderline Personality Disorder: A Preliminary Study. Journal of Evidence-Based Social Work (United States), 17(4), 443–456. https://doi.org/10.1080/26408066.2020.1760162

Guilé, J. M., Zavaglia, E., Berthiaume, C., & Bergeron, L. (2021). Prevalence and comorbidity of borderline personality traits in the Quebec general population aged 12–14 years. Social Psychiatry and Psychiatric Epidemiology, 56(11), 2053–2062. https://doi.org/10.1007/s00127-021-02067-z

Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S., & Zanarini, M. C. (2018). Borderline personality disorder. Nature Reviews Disease Primers, 4, 1–21. https://doi.org/10.1038/nrdp.2018.29

Hastrup, L. H., Jennum, P., Ibsen, R., Kjellberg, J., & Simonsen, E. (2019). Societal costs of Borderline Personality Disorders: a matched-controlled nationwide study of patients and spouses. Acta Psychiatrica Scandinavica, 140(5), 458–467. https://doi.org/10.1111/acps.13094

Kaplan, H. I., & Sadock, B. (2014). Compêndio de Psiquiatria (11a ed.).: Artmed.

Kulacaoglu, F., & Kose S. (2018, 18 de novembro). Borderline Personality Disorder (BPD): In the Midst of Vulnerability, Chaos, and Awe. Brain Sciences, 8(11), p. 201.

Mammen, O., Tew. J., Painter, T., Bettinelli, E., & Beckjord, J. (2020, novembro-dezembro). Communicating suicide risk to families of chronically suicidal borderline personality disorder patients to mitigate malpractice risk. Gen Hosp Psychiatry, 67, 51-57.

Mazer, A. K., Cleare, A. J., Young, A. H., & Juruena, M. F. (2019). Bipolar affective disorder and borderline personality disorder: Differentiation based on the history of early life stress and psychoneuroendocrine measures. Behavioural Brain Research, 357–358(2010), 48–56. https://doi.org/10.1016/j.bbr.2018.04.015

Preyde, M., Dicroce, M., Parekh, S., & Heintzman, J. (2022). Exploring screening for borderline personality disorder in pediatric inpatients with psychiatric Illness. 309. https://doi.org/10.1016/j.psychres.2022.114397

Soares, M. H. (2010). Estudos sobre transtornos de personalidade Antissocial e Borderline. Acta Paul Enferm, 23(6), 852-8.

Winsper, C., Wolke, D., Scott, J., Sharp, C., Thompson, A., & Marwaha, S. (2020). Psychopathological outcomes of adolescent borderline personality disorder symptoms. Australian and New Zealand Journal of Psychiatry, 54(3), 308–317. https://doi.org/10.1177/0004867419882494

Wlodarczyk, J., Lawn, S., Powell, K., Crawford, G. B., McMahon, J., Burke, J., Woodforde, L., Kent, M., Howell, C., & Litt, J. (2018). Exploring general practitioners’ views and experiences of providing care to people with borderline personality disorder in primary care: A qualitative study in Australia. International Journal of Environmental Research and Public Health, 15(12). https://doi.org/10.3390/ijerph15122763

Published

09/04/2023

How to Cite

SILVA, A. B. D. .; AMARAL, L. M. B. .; LOPES, L. B. C. .; ANDRADE JUNIOR, R. L. S. .; TEIXEIRA, F. T. B. .; FARIAS, D. I. da S. .; OLIVEIRA, R. de C. S. de . Importance of early diagnosis of borderline personality disorder: A brief systematic review. Research, Society and Development, [S. l.], v. 12, n. 4, p. e17712441064, 2023. DOI: 10.33448/rsd-v12i4.41064. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41064. Acesso em: 20 may. 2024.

Issue

Section

Review Article