- Borderline personality disorder
- Young people
- Mental health services
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TY - JOUR
T1 - Borderline personality disorder in young people: state of the art and future plans in Italy
T2 - Current Opinion in Psychology
AU - Rossi, R.
AU - Ridolfi, M.E.
N1 - Export Date: 11 February 2021 Funding details: Ministeriet Sundhed Forebyggelse Funding text 1: RR is supported in her research activities by the Ministry of Health, ‘ RicercaCorrente ’ funds. References: Lora, A., Bezzi, R., Erlicher, A., Estimating the prevalence of severe mental illness in mental health services in Lombardy (Italy) (2007) Community Ment Health J, 43, pp. 341-357; Senese, F., Rucci, P., Fantini, M.P., Gibertoni, D., Semrov, E., Nassisi, M., Messina, R., Travaglini, C., Measuring costs of community mental health care in Italy: a prevalence-based study (2018) Eur Psychiatry, 51, pp. 34-41. , This study; (2020), Mental Health Action Plan 2013– Italian Ministry of Health; Pedrini, L., Colasurdo, G., Costa, S., Fabiani, M., Ferraresi, L., Franzoni, E., Masina, F., Palazzi, S., The characteristics and activities of child and adolescent mental health services in Italy: a regional survey (2012) BMC Psychiatry, 12, pp. 1-11; England, E., Lester, H., Birchwood, M., Collaborating to provide early-intervention services to persons in England with first-episode psychosis (2009) Psychiatr Serv, 60, pp. 1484-1488; Chanen, A.M., McCutcheon, L.K., Germano, D., Nistico, H., Jackson, H.J., McGorry, P.D., The HYPE clinic: an early intervention service for borderline personality disorder (2009) J Psychiatr Pract, 15, pp. 163-172; Alonso, J., Angermeyer, M.C., Bernert, S., Bruffaerts, R., Brugha, T.S., Bryson, H., de Girolamo, G., Gasquet, I., Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project (2004) Acta Psychiatr Scand, 420, pp. 21-27; de Girolamo, G., Polidori, G., Morosini, P., Scarpino, V., Reda, V., Serra, G., Mazzi, F., Visonà, G., Prevalence of common mental disorders in Italy: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) (2006) Soc Psychiatry Psychiatr Epidemiol, 41, pp. 853-861; Pedrini, L., Sisti, D., Tiberti, A., Preti, A., Fabiani, M., Ferraresi, L., Palazzi, S., Rocchi, M.B., Reasons and pathways of first-time consultations at child and adolescent mental health services in Italy: an observational study (2015) Child Adolesc Psychiatry Ment Health, 9, p. 29; Ferrara, M., Terrinoni, A., Williams, R., Non-suicidal self-injury (Nssi) in adolescent inpatients: assessing personality features and attitude toward death (2012) Child Adolesc Psychiatry Ment Health, 30, p. 12; Signorini, G., Singh, S.P., Marsanic, V.B., Dieleman, G., Dodig-Ćurković, K., Franic, T., Gerritsen, S.E., McNicholas, F., The interface between child/adolescent and adult mental health services: results from a European 28-country survey (2018) Eur Child Adolesc Psychiatry, 27, pp. 501-511. , The authors reported data of the MILESTONE projects including 28 European countries, including Italy, aimed to improve transitions for young people from child/adolescent and adult mental health services. In this survey, the authors describe the transition process, services configuration and the most frequently experienced difficults by young people in the transition. They discuss future directions to improve the transition between services; Chanen, A.M., McCutcheon, L.K., Prevention and early intervention for borderline personality disorder: current status and recent evidence (2013) Br J Psychiatry Suppl, 54, pp. s24-s29; Sharp, C., Fonagy, P., Practitioner review: borderline personality disorder in adolescence—recent conceptualization, intervention, and implications for clinical practice (2015) J Child Psychol Psychiatry, 56, pp. 1266-1288; Singh, S.P., Evans, N., Sireling, L., Stuart, H., Mind the gap: the interface between child and adult mental health services (2005) Psychiatr Bull, 29, pp. 292-294; Singh, S.P., Tuomainen, H., Transition from child to adult mental health services: needs, barriers, experiences and new models of care (2015) World Psychiatry, 14, pp. 358-361; Tomasi, R., Brandi, G., Iannucci, M., Gervasi, R., Valutazione dei probelmi di salute mentale dei detenuti nella Casa Circondariale di Firenze Sollicciano e degli osservandi nell'Ospedale Psichiatrico Giudiziario di Montelupo F.no (2008) Il reo e il folle, La grande ricerca, pp. 30-31. , Polistampa Firenze; Stagi, P., Galeotti, S., Mimmi, S., Starace, F., Castagnini, A.C., Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy (2015) Eur Child Adolesc Psychiatry, 24, pp. 1535-1541; Ruggeri, M., Bonetto, C., Lasalvia, A., De Girolamo, G., Fioritti, A., Rucci, P., Santonastaso, P., Ghigi, D., A multi-element psychosocial intervention for early psychosis (GET UP PIANO TRIAL) conducted in a catchment area of 10 million inhabitants: study protocol for a pragmatic cluster randomized controlled trial (2012) Trials, 13, p. 73; Parabiaghi, A., Confalonieri, L., Magnani, N., Lora, A., Butteri, E., Prato, K., Vaggi, M., Percudani, M.E., Integrated programs for early recognition of severe mental disorders: recommendations from an Italian multicenter project (2019) Front Psychiatry, 10, p. 844; De Angelis, F., De Isabella, F., Interventi precoci (2012) Nuove sfide per la salute mentale. Biffi G and De Isabella G, pp. 66-72. , Maggioli Editore collana Sociale & Sanità; Somma, A., Sharp, C., Borroni, S., Fossati, A., Borderline personality disorder features, emotion dysregulation and non-suicidal self-injury: preliminary findings in a sample of community-dwelling Italian adolescents (2017) Personal Ment Health, 11, pp. 23-32. , The study aimed to assess the relationships among borderline personality disorder features, non-suicidal self-injury and emotion dysregulation in a group of 122 community-dwelling Italian adolescents. This study is one of the few researches conducted in Italy focused on BPD features among adolescent that can be useful to identify possible targets of preventive interventions; Cerutti, R., Manca, M., Presaghi, F., Gratz, K.L., Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents (2011) J Adolesc, 34, pp. 337-347; Fontana, A., De Panfilis, C., Casini, E., Preti, E., Richetin, J., Ammaniti, M., Rejection sensitivity and psychopathology symptoms in early adolescence: the moderating role of personality organization (2018) J Adolesc, 67, pp. 45-54. , The current study evaluated if personality organization affects the association between rejection sensitivity and adverse psychological outcomes in a group of 386 early adolescence. This study is one of the few researches conducted in Italy focused on the relationship among personality traits and psychopathology in adolescents in order to identify possible targets of preventive interventions; Mazza, J.J., Dexter-Mazza, E.T., Miller, A.L., Rathus, J.H., Murphy, H.E., Linehan, M.M., DBT Skills in Schools: Skills Training for Emotional Problem Solving for Adolescents (DBT STEPS-A) (2016), Guilford Press; Fusar-Poli, P., Integrated mental health services for the developmental period (0 to 25 years): a critical review of the evidence (2019) Front Psychiatry, 10, p. 355. , This important review reported data on the ranges of onset age for common psychiatric disorders and discuss the barriers to the access of care and reported some indications and procedure useful to rethink to the mental service for young people also in the field of personality disorder; Corrigan, P.W., Watson, A.C., Understanding the impact of stigma on people with mental illness (2002) World Psychiatry, 1, pp. 16-20; Aviram, R.B., Brodsky, B.S., Stanley, B., Borderline personality disorder, stigma, and treatment implications (2006) Harv Rev Psychiatry, 14, pp. 249-256; Lanfredi, M., Ridolfi, M.E., Occhialini, G., Pedrini, L., Ferrari, C., Lasalvia, A., Gunderson, J.G., Rossi, R., The Italian BPD attitudes study group. Attitudes of mental health staff toward patients with borderline personality disorder: an Italian cross-sectional multisite study (2019) J Pers Disord, 20, pp. 1-16; Ilagan, G.S., Choi-Kain, L.W., General psychiatric management for adolescents (GPM-A) with borderline personality disorder (2020) Curr Opin Psychol, 37, pp. 1-6. , This paper introduces General Psychiatric Management for BPD adolescents that can represent a milestone in the development of child/adolescent mental health services. This intervention is a valid, feasible and effectiveness option to address the significant public health needs of the adolescent BPD population; Bo, S., Sharp, C., Beck, E., Pedersen, J., Gondan, M., Simonsen, E., First empirical evaluation of outcomes for mentalization-based group therapy for adolescents with BPD (2017) Personal Disord Theory Res Treat, 8, p. 396; Laurenssen, E.M., Hutsebaut, J., Feenstra, D.J., Bales, D.L., Noom, M.J., Busschbach, J.J., Verheul, R., Luyten, P., Feasibility of mentalization-based treatment for adolescents with borderline symptoms: a pilot study (2014) Psychotherapy, 51, p. 159; Rossouw, T.I., Fonagy, P., Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial (2012) J Am Acad Child Adolesc Psychiatry, 51, pp. 1304-1313; Fleischhaker, C., Böhme, R., Sixt, B., Brück, C., Schneider, C., Schulz, E., Dialectical behavioral therapy for adolescents (DBT-A): a clinical trial for patients with suicidal and self-injurious behavior and borderline symptoms with a one-year follow-up (2011) Child Adolesc Psychiatry Ment Health, 5, p. 3; James, A.C., Taylor, A., Winmill, L., Alfoadari, K., A preliminary community study of dialectical behaviour therapy (DBT) with adolescent females demonstrating persistent, deliberate self-harm (DSH) (2008) Child Adolesc Ment Health, 13, pp. 148-152; McCauley, E., Berk, M.S., Asarnow, J.R., Adrian, M., Cohen, J., Korslund, K., Avina, C., Gallop, R., Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: a randomized clinical trial (2008) JAMA Psychiatry, 75, pp. 777-785; Mehlum, L., Tørmoen, A.J., Ramberg, M., Haga, E., Diep, L.M., Laberg, S., Larsson, B.S., Sound, A.M., Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial (2014) J Am Acad Child Adolesc Psychiatry, 53, pp. 1082-1091; Signorini, G., Singh, S.P., Boricevic-Marsanic, V., Dieleman, G., Dodig-Ćurković, K., Franic, T., Gerritsen, S.E., McNicholas, F., Architecture and functioning of child and adolescent mental health services: a 28-country survey in Europe (2017) Lancet Psychiatry, 4, pp. 715-724; McMain, S.F., Links, P.S., Gnam, W.H., Guimond, T., Cardish, R.J., Korman, L., Streiner, D.L., A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder (2009) Am J Psychiatry, 166, pp. 1365-1374; Gunderson, J., Masland, S., Choi-Kain, L., Good psychiatric management: a review (2018) Curr Opin Psychol, 21, pp. 127-131; Hoffman, P.D., Fruzzetti, A.E., Advances in interventions for families with a relative with a personality disorder diagnosis (2007) Curr Psychiatry Rep, 9, pp. 68-73; Rajalin, M., Wickholm-Pethrus, L., Hursti, T., Jokinen, J., Dialectical behavior therapy-based skills training for family members of suicide attempters (2009) Arch Suicide Res, 13, pp. 257-263; Flynn, D., Kells, M., Joyce, M., Corcoran, P., Herkey, S., Suarez, C., Cotter, P., Groeger, J., Family connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study (2017) Borderline Personal Disord Emot Dysregul, 4, p. 18; Cozzi, G., Minute, M., Ventura, G., Barbi, E., Mental health problems in children and adolescents in the emergency department: “The times they are A-Changin” (2017) Pediatr Emerg Care, 33, p. e8
PY - 2020/8/20
Y1 - 2020/8/20
N2 - Treatment of Borderline Personality Disorder (BPD) in Italy has a relatively recent history. In the last few years, based on the increasing number of BPD patients admitted in Italian Mental Health Services (MHS), several regions have introduced treatment for BPD among their clinical priorities. A general ‘call for action’ has been launched within the psychiatric community. The aim of the current review is to describe the state of the art of research and clinical programs for personality disorders in young people. The Italian clinical context will be described with a focus on the transition discontinuity of care between adult and child/adolescent services. Prevention and early intervention programs available in Italy will be reviewed and a new agenda will be discussed. © 2020 Elsevier Ltd
AB - Treatment of Borderline Personality Disorder (BPD) in Italy has a relatively recent history. In the last few years, based on the increasing number of BPD patients admitted in Italian Mental Health Services (MHS), several regions have introduced treatment for BPD among their clinical priorities. A general ‘call for action’ has been launched within the psychiatric community. The aim of the current review is to describe the state of the art of research and clinical programs for personality disorders in young people. The Italian clinical context will be described with a focus on the transition discontinuity of care between adult and child/adolescent services. Prevention and early intervention programs available in Italy will be reviewed and a new agenda will be discussed. © 2020 Elsevier Ltd
KW - Borderline personality disorder
KW - Young people
KW - Mental health services
KW - Italy
U2 - 10.1016/j.copsyc.2020.08.010
DO - 10.1016/j.copsyc.2020.08.010
M3 - Article
VL - 37
JO - Curr. Opin. Psychol.
JF - Curr. Opin. Psychol.
SN - 2352-250X