Diatheses and stressors in borderline pathology of childhood: The role of neuropsychological risk and trauma

Citation
P. Zelkowitz et al., Diatheses and stressors in borderline pathology of childhood: The role of neuropsychological risk and trauma, J AM A CHIL, 40(1), 2001, pp. 100-105
Citations number
36
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psychiatry
Journal title
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
ISSN journal
0890-8567 → ACNP
Volume
40
Issue
1
Year of publication
2001
Pages
100 - 105
Database
ISI
SICI code
0890-8567(200101)40:1<100:DASIBP>2.0.ZU;2-4
Abstract
Objective: To determine the relative contributions of neuropsychological de ficits and psychosocial stressors to the presence of borderline pathology i n children. Method: The subjects were 86 school-age children (75 males, 11 females) referred for psychiatric day treatment. Thirty-five of the childre n met criteria for borderline pathology. Data on psychosocial risk factors were obtained for each child from a questionnaire completed by members of t he child's clinical team and were based on interviews with parents and chil dren, as well as reports from schools and social agencies. Neuropsychologic al measures included computerized versions of the Wisconsin Card Sorting Te st and the Continuous Performance Test. Results: Both deficits in executive function and psychological trauma made significant and independent contrib utions to the variance in borderline pathology. Inclusion of both sets of r isk factors produced a model that explained 48% of the variance in borderli ne diagnosis. Conclusions: Both environmental risks and neurobiological vul nerability should be taken into account to understand the etiology of borde rline pathology in children.