Adolescent borderline symptoms in the community: prognosis for functioning over 20 years / Greta WINOGRAD in Journal of Child Psychology and Psychiatry, 49-9 (September 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-9 (September 2008) . - p.933-941 Titre : Adolescent borderline symptoms in the community: prognosis for functioning over 20 years Type de document : Texte imprimé et/ou numérique Auteurs : Greta WINOGRAD, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur Année de publication : 2008 Article en page(s) : p.933-941 Langues : Anglais (eng) Mots-clés : Adolescence adulthood prognosis borderline-personality-disorder functioning Index. décimale : PER Périodiques Résumé : Background: The long-term prognosis associated with adolescent symptoms of borderline personality disorder (BPD) in the general population is virtually unknown. In this study, the relationship of early borderline symptoms to subsequent psychosocial functioning and attainment was investigated based on data from the Children in the Community cohort. Method: Using multilevel linear regression, symptoms of BPD at mean age 14 were employed as predictors of work/school/homemaker role function, social function (social support, relationship quality), and life satisfaction over the subsequent 20 years. Borderline symptoms were also employed as predictors of attainment at 20-year follow-up. Results: On average, those with higher levels of early adolescent borderline symptoms scored consistently lower in role function, social function, and life satisfaction from mid-adolescence through mid-adulthood. Borderline symptoms predicted lower academic and occupational attainment, less partner involvement, and fewer attained adult developmental milestones. Adolescent borderline symptoms were also associated with adult borderline symptoms, borderline diagnosis, general impairment, and need for services at mean age 33. These effects were evident despite symptom decline with age and were independent of adolescent Axis I disorders. Conclusions: Adverse prognosis associated with youth symptoms of BPD appeared early and persisted in important and interrelated life domains. These findings lend support to the utility of DSM-IV BPD symptoms assessed by self-report in early adolescence. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01930.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558 [article] Adolescent borderline symptoms in the community: prognosis for functioning over 20 years [Texte imprimé et/ou numérique] / Greta WINOGRAD, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur . - 2008 . - p.933-941. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-9 (September 2008) . - p.933-941 Mots-clés : Adolescence adulthood prognosis borderline-personality-disorder functioning Index. décimale : PER Périodiques Résumé : Background: The long-term prognosis associated with adolescent symptoms of borderline personality disorder (BPD) in the general population is virtually unknown. In this study, the relationship of early borderline symptoms to subsequent psychosocial functioning and attainment was investigated based on data from the Children in the Community cohort. Method: Using multilevel linear regression, symptoms of BPD at mean age 14 were employed as predictors of work/school/homemaker role function, social function (social support, relationship quality), and life satisfaction over the subsequent 20 years. Borderline symptoms were also employed as predictors of attainment at 20-year follow-up. Results: On average, those with higher levels of early adolescent borderline symptoms scored consistently lower in role function, social function, and life satisfaction from mid-adolescence through mid-adulthood. Borderline symptoms predicted lower academic and occupational attainment, less partner involvement, and fewer attained adult developmental milestones. Adolescent borderline symptoms were also associated with adult borderline symptoms, borderline diagnosis, general impairment, and need for services at mean age 33. These effects were evident despite symptom decline with age and were independent of adolescent Axis I disorders. Conclusions: Adverse prognosis associated with youth symptoms of BPD appeared early and persisted in important and interrelated life domains. These findings lend support to the utility of DSM-IV BPD symptoms assessed by self-report in early adolescence. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01930.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558

Early maternal separation and the trajectory of borderline personality disorder symptoms / Thomas N. CRAWFORD in Development and Psychopathology, 21-3 (August 2009)  

Public ISBD [article]  inDevelopment and Psychopathology > 21-3 (August 2009) . - p.1013-1030 Titre : Early maternal separation and the trajectory of borderline personality disorder symptoms Type de document : Texte imprimé et/ou numérique Auteurs : Thomas N. CRAWFORD, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Deidre M. ANGLIN, Auteur ; Miriam EHRENSAFT, Auteur Année de publication : 2009 Article en page(s) : p.1013-1030 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Extended maternal separations before age 5 were evaluated as a predictor of long-term risk for offspring borderline personality disorder (BPD) symptoms in longitudinal data from a large random community sample. Early separations from mother predicted elevations in BPD symptoms assessed repeatedly from early adolescence to middle adulthood. Early separations also predicted a slower than normal rate of decline in symptoms with age. Other theoretically grounded risks were examined and shown to predict elevated BPD symptoms over the developmental trajectory. Long-term effects of early separations were largely independent of childhood temperament, child abuse, maternal problems, and parenting risks. These data provide the first prospectively collected data on the developmental course of BPD symptoms and suggest a series of environmental and other influences on these very disabling problems. En ligne : http://dx.doi.org/10.1017/s0954579409000546 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=785 [article] Early maternal separation and the trajectory of borderline personality disorder symptoms [Texte imprimé et/ou numérique] / Thomas N. CRAWFORD, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Deidre M. ANGLIN, Auteur ; Miriam EHRENSAFT, Auteur . - 2009 . - p.1013-1030. Langues : Anglais (eng) in Development and Psychopathology > 21-3 (August 2009) . - p.1013-1030 Index. décimale : PER Périodiques Résumé : Extended maternal separations before age 5 were evaluated as a predictor of long-term risk for offspring borderline personality disorder (BPD) symptoms in longitudinal data from a large random community sample. Early separations from mother predicted elevations in BPD symptoms assessed repeatedly from early adolescence to middle adulthood. Early separations also predicted a slower than normal rate of decline in symptoms with age. Other theoretically grounded risks were examined and shown to predict elevated BPD symptoms over the developmental trajectory. Long-term effects of early separations were largely independent of childhood temperament, child abuse, maternal problems, and parenting risks. These data provide the first prospectively collected data on the developmental course of BPD symptoms and suggest a series of environmental and other influences on these very disabling problems. En ligne : http://dx.doi.org/10.1017/s0954579409000546 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=785

Maternal depression and mother–child interaction patterns: association with toddler problems and continuity of effects to late childhood / Emily LECKMAN-WESTIN in Journal of Child Psychology and Psychiatry, 50-9 (September 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1176-1184 Titre : Maternal depression and mother–child interaction patterns: association with toddler problems and continuity of effects to late childhood Type de document : Texte imprimé et/ou numérique Auteurs : Emily LECKMAN-WESTIN, Auteur ; Patricia COHEN, Auteur ; Ann STUEVE, Auteur Année de publication : 2009 Article en page(s) : p.1176-1184 Langues : Anglais (eng) Mots-clés : Maternal-depression parent–child-interaction-and-behavior-problems Index. décimale : PER Périodiques Résumé : Objective: Increased behavior problems have been reported in offspring of mothers with depression. In-home observations link maternal depressive symptoms (MDS) and mother–child interaction patterns with toddler behavior problems and examine their persistence into late childhood. Method: Maternal characteristics (N = 153) and behaviors of two-year-old offspring (N = 215) were assessed in families from a randomly selected population cohort. Maternal self-reported depressive symptoms and observed maternal–toddler interaction patterns were evaluated as risks for toddler problem behaviors. Follow-up CBCL assessments about a decade later assessed persistence of effects identified in the toddler data. Results: Maternal negativity toward her toddler was related to toddler problems, regardless of maternal depressive symptoms. MDS in combination with positive mother–toddler interaction showed only marginal ill effects on toddler offspring and no long-term effects. Depressive symptoms of less responsive/emotion teaching dyads were related to offspring tantrums and to mother and observer rated fearfulness, independent of family contextual risks. Analyses of Child Behavior Checklist (CBCL) problem scales obtained on these children in late childhood showed persistent effects similar to those shown at the younger age. Conclusions: In sum, these findings suggest that for mothers with high levels of depressive symptoms, demonstrations of affection and responsiveness to toddler offspring may mitigate both current and long-term consequences on offspring behavior. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02083.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829 [article] Maternal depression and mother–child interaction patterns: association with toddler problems and continuity of effects to late childhood [Texte imprimé et/ou numérique] / Emily LECKMAN-WESTIN, Auteur ; Patricia COHEN, Auteur ; Ann STUEVE, Auteur . - 2009 . - p.1176-1184. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1176-1184 Mots-clés : Maternal-depression parent–child-interaction-and-behavior-problems Index. décimale : PER Périodiques Résumé : Objective: Increased behavior problems have been reported in offspring of mothers with depression. In-home observations link maternal depressive symptoms (MDS) and mother–child interaction patterns with toddler behavior problems and examine their persistence into late childhood. Method: Maternal characteristics (N = 153) and behaviors of two-year-old offspring (N = 215) were assessed in families from a randomly selected population cohort. Maternal self-reported depressive symptoms and observed maternal–toddler interaction patterns were evaluated as risks for toddler problem behaviors. Follow-up CBCL assessments about a decade later assessed persistence of effects identified in the toddler data. Results: Maternal negativity toward her toddler was related to toddler problems, regardless of maternal depressive symptoms. MDS in combination with positive mother–toddler interaction showed only marginal ill effects on toddler offspring and no long-term effects. Depressive symptoms of less responsive/emotion teaching dyads were related to offspring tantrums and to mother and observer rated fearfulness, independent of family contextual risks. Analyses of Child Behavior Checklist (CBCL) problem scales obtained on these children in late childhood showed persistent effects similar to those shown at the younger age. Conclusions: In sum, these findings suggest that for mothers with high levels of depressive symptoms, demonstrations of affection and responsiveness to toddler offspring may mitigate both current and long-term consequences on offspring behavior. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02083.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829

School climate and continuity of adolescent personality disorder symptoms / Stephanie KASEN in Journal of Child Psychology and Psychiatry, 50-12 (December 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-12 (December 2009) . - p.1504-1512 Titre : School climate and continuity of adolescent personality disorder symptoms Type de document : Texte imprimé et/ou numérique Auteurs : Stephanie KASEN, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Jeffrey JOHNSON, Auteur ; Thomas N. CRAWFORD, Auteur Année de publication : 2009 Article en page(s) : p.1504-1512 Langues : Anglais (eng) Mots-clés : Adolescence longitudinal-studies school personality-disorder Index. décimale : PER Périodiques Résumé : Background: Schools are key social contexts for shaping development and behavior in youths; yet, little is known of their influence on adolescent personality disturbance. Method: A community-based sample of 592 adolescents was assessed for family and school experiences, Axis I psychiatric disorders, and Axis II personality disorder (PD) symptoms, and followed into young adulthood. Multiple regression analysis was used to estimate associations between adolescent-reported school climate and young adult PD symptoms independent of age, sex, family socioeconomic status; childhood maltreatment; Axis I disorder, PD symptoms, academic grades, and parental punishment in adolescence; and four dimensions of school climate. Results: Schools characterized as high in learning focus were related to cluster B (antisocial, borderline, histrionic, and narcissistic PD) symptom declines, whereas schools characterized as high in opportunities for student autonomy were related to cluster A (paranoid, schizoid, and schizotypal PD) symptom declines. In contrast, schools characterized as conflictual or supporting interpersonal informality/familiarity among students and teachers were related to increases in cluster A symptoms and cluster C (avoidant, dependent, and obsessive-compulsive PD) symptoms. Conclusions: Schools may exert both positive and negative influences on continuity of adolescent personality disturbance. The role of the school in guiding young people toward more favorable developmental pathways and alleviating personality disturbance is discussed. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02125.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=883 [article] School climate and continuity of adolescent personality disorder symptoms [Texte imprimé et/ou numérique] / Stephanie KASEN, Auteur ; Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Jeffrey JOHNSON, Auteur ; Thomas N. CRAWFORD, Auteur . - 2009 . - p.1504-1512. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-12 (December 2009) . - p.1504-1512 Mots-clés : Adolescence longitudinal-studies school personality-disorder Index. décimale : PER Périodiques Résumé : Background: Schools are key social contexts for shaping development and behavior in youths; yet, little is known of their influence on adolescent personality disturbance. Method: A community-based sample of 592 adolescents was assessed for family and school experiences, Axis I psychiatric disorders, and Axis II personality disorder (PD) symptoms, and followed into young adulthood. Multiple regression analysis was used to estimate associations between adolescent-reported school climate and young adult PD symptoms independent of age, sex, family socioeconomic status; childhood maltreatment; Axis I disorder, PD symptoms, academic grades, and parental punishment in adolescence; and four dimensions of school climate. Results: Schools characterized as high in learning focus were related to cluster B (antisocial, borderline, histrionic, and narcissistic PD) symptom declines, whereas schools characterized as high in opportunities for student autonomy were related to cluster A (paranoid, schizoid, and schizotypal PD) symptom declines. In contrast, schools characterized as conflictual or supporting interpersonal informality/familiarity among students and teachers were related to increases in cluster A symptoms and cluster C (avoidant, dependent, and obsessive-compulsive PD) symptoms. Conclusions: Schools may exert both positive and negative influences on continuity of adolescent personality disturbance. The role of the school in guiding young people toward more favorable developmental pathways and alleviating personality disturbance is discussed. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02125.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=883

Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms / Patricia COHEN in Development and Psychopathology, 20-2 (Spring 2008)  

Public ISBD [article]  inDevelopment and Psychopathology > 20-2 (Spring 2008) . - p.633-650 Titre : Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms Type de document : Texte imprimé et/ou numérique Auteurs : Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Kathy GORDON, Auteur ; Jeffrey JOHNSON, Auteur ; Judith BROOK, Auteur ; Stephanie KASEN, Auteur Année de publication : 2008 Article en page(s) : p.633-650 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Low socioeconomic status (SES) background has been identified as a risk for several mental disorders. However evidence regarding SES and the developmental course of personality disorder (PD) has not been addressed. Nor is it clear whether an SES relationship to PD symptom course may be attributable to known associated risks. Further, specificity of such relationships to a particular PD diagnostic pattern independent of comorbidity with other PD or with depression has not been investigated. Data are from a general population studied longitudinally between ages 10 and 36 in four assessment waves. Effects of SES-associated risks on the level of symptoms of schizotypal and borderline disorders are estimated and compared to effects on depressive symptoms. Low family SES had robust modest independent effects on both PDs over the entire age span despite substantial cumulative effects of trauma history, stressful recent life events, IQ, poor parenting, and comorbid symptoms. SES effects on depressive symptoms were generally absent, but a small “protective” effect of low SES appeared when comorbidity with PD symptoms was taken into account. Cumulatively, these risks account for developmental failures of substantial magnitude and consequence, marking the importance of understanding the remaining mechanisms of SES effects and programmatic implications for minimizing associated risk. En ligne : http://dx.doi.org/10.1017/s095457940800031x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413 [article] Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms [Texte imprimé et/ou numérique] / Patricia COHEN, Auteur ; Henian CHEN, Auteur ; Kathy GORDON, Auteur ; Jeffrey JOHNSON, Auteur ; Judith BROOK, Auteur ; Stephanie KASEN, Auteur . - 2008 . - p.633-650. Langues : Anglais (eng) in Development and Psychopathology > 20-2 (Spring 2008) . - p.633-650 Index. décimale : PER Périodiques Résumé : Low socioeconomic status (SES) background has been identified as a risk for several mental disorders. However evidence regarding SES and the developmental course of personality disorder (PD) has not been addressed. Nor is it clear whether an SES relationship to PD symptom course may be attributable to known associated risks. Further, specificity of such relationships to a particular PD diagnostic pattern independent of comorbidity with other PD or with depression has not been investigated. Data are from a general population studied longitudinally between ages 10 and 36 in four assessment waves. Effects of SES-associated risks on the level of symptoms of schizotypal and borderline disorders are estimated and compared to effects on depressive symptoms. Low family SES had robust modest independent effects on both PDs over the entire age span despite substantial cumulative effects of trauma history, stressful recent life events, IQ, poor parenting, and comorbid symptoms. SES effects on depressive symptoms were generally absent, but a small “protective” effect of low SES appeared when comorbidity with PD symptoms was taken into account. Cumulatively, these risks account for developmental failures of substantial magnitude and consequence, marking the importance of understanding the remaining mechanisms of SES effects and programmatic implications for minimizing associated risk. En ligne : http://dx.doi.org/10.1017/s095457940800031x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413

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