Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms

Ghinea, Denisa and Koenig, Julian and Parzer, Peter and Brunner, Romuald and Carli, Vladimir and Hoven, Christina W. and Sarchiapone, Marco and Wasserman, Danuta and Resch, Franz and Kaess, Michael (2019) Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms. PSYCHIATRY RESEARCH, 273. pp. 127-133. ISSN 0165-1781,

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Abstract

Self-injurious behavior and risk-taking behaviors are associated with adolescent borderline personality disorder (BPD). Developmental trajectories of self-injurious and risk-taking behavior in predicting BPD have not been fully understood. The aim of the present study was to examine self-injurious and risk-taking behavior development and their prospective influence on BPD symptoms in adolescence. Data (n = 506; 62.06 % females, 14.53 years) from the German Saving and Empowering Young Lives in Europe cohort were analyzed. Self-injurious and risk-taking behaviors were assessed at baseline and one-year follow-up. BPD symptoms were assessed at two-year follow-up. In fully adjusted stepwise binominal regression analyses, recent onset, termination and maintenance of risky alcohol use and self-injurious behavior remained as significant predictors of BPD. Highest ORs were found for alcohol termination and maintenance of self-injurious behavior. Other facets of risk-taking behavior were not associated with increased ORs of BPD symptoms at two-year follow-up. These findings highlight the importance of self-injurious behavior and specific facets of risk-taking behavior in the development of adolescent BPD. Clinicians should focus on efforts in preventing adolescents from risk-taking and self-injurious behavior, since engaging in young age and therefore in potentially longer periods of these behaviors is associated with the highest risk of BPD.

Item Type: Article
Uncontrolled Keywords: DIFFICULTIES QUESTIONNAIRE SDQ; ALCOHOL-USE; SUICIDAL-BEHAVIOR; SUBSTANCE USE; HARM; STRENGTHS; PSYCHOPATHOLOGY; POPULATION; PREVALENCE; VALIDITY; Risk-taking behavior; Self-injurious behavior; Adolescents; Borderline personality disorder; Longitudinal; SEYLE study
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 16 Apr 2020 05:39
Last Modified: 16 Apr 2020 05:39
URI: https://pred.uni-regensburg.de/id/eprint/27407

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