Bibliographic Details
| Title: |
Harmonizing early intervention strategies: scoping review of clinical high risk for psychosis and borderline personality disorder |
| Authors: |
Gabriele Lo Buglio, Tommaso Boldrini, Andrea Polari, Flavia Fiorentino, Barnaby Nelson, Marco Solmi, Vittorio Lingiardi, Annalisa Tanzilli |
| Source: |
Frontiers in Psychology, Vol 15 (2024) |
| Publisher Information: |
Frontiers Media S.A., 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Psychology |
| Subject Terms: |
clinical high risk for psychosis, borderline personality disorder, comorbidity, psychosis, early intervention, transdiagnostic approach, Psychology, BF1-990 |
| More Details: |
AimsTo map studies assessing both clinical high risk for psychosis (CHR-P) and borderline personality disorder (BPD) in clinical samples, focusing on clinical/research/preventive paradigms and proposing informed research recommendations.MethodsWe conducted a PRISMA-ScR/JBI-compliant scoping review (protocol: https://osf.io/8mz7a) of primary research studies (cross-sectional/longitudinal designs) using valid measures/criteria to assess CHR-P and BPD (threshold/subthreshold) in clinical samples, reporting on CHR-P/psychotic symptoms and personality disorder(s) in the title/abstract/keywords, identified in Web of Science/PubMed/(EBSCO)PsycINFO until 23/08/2023.Results33 studies were included and categorized into four themes reflecting their respective clinical/research/preventive paradigm: (i) BPD as a comorbidity in CHR-P youth (k = 20), emphasizing early detection and intervention in psychosis; (ii) attenuated psychosis syndrome (APS) as a comorbidity among BPD inpatients (k = 2), with a focus on hospitalized adolescents/young adults admitted for non-psychotic mental disorders; (iii) mixed samples (k = 7), including descriptions of early intervention services and referral pathways; (iv) transdiagnostic approaches (k = 4) highlighting “clinical high at risk mental state” (CHARMS) criteria to identify a pluripotent risk state for severe mental disorders.ConclusionThe scoping review reveals diverse approaches to clinical care for CHR-P and BPD, with no unified treatment strategies. Recommendations for future research should focus on: (i) exploring referral pathways across early intervention clinics to promote timely intervention; (ii) enhancing early detection strategies in innovative settings such as emergency departments; (iii) improving mental health literacy to facilitate help-seeking behaviors; (iv) analysing comorbid disorders as complex systems to better understand and target early psychopathology; (v) investigating prospective risk for BPD; (vi) developing transdiagnostic interventions; (vii) engaging youth with lived experience of comorbidity to gain insight on their subjective experience; (viii) understanding caregiver burden to craft family-focused interventions; (ix) expanding research in underrepresented regions such as Africa and Asia, and; (x) evaluating the cost-effectiveness of early interventions to determine scalability across different countries.Systematic Review Registrationhttps://osf.io/8mz7a. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1664-1078 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1381864/full; https://doaj.org/toc/1664-1078 |
| DOI: |
10.3389/fpsyg.2024.1381864 |
| Access URL: |
https://doaj.org/article/5ceece36349049059ef22adbbb04e665 |
| Accession Number: |
edsdoj.5ceece36349049059ef22adbbb04e665 |
| Database: |
Directory of Open Access Journals |
