PSYCHOPATHOLOGY IN THE FAMILIES OF CHILDREN AND ADOLESCENTS WITH BORDERLINE PERSONALITY-DISORDER

Objective: The purpose of this study was to determine whether rates of psychopathology differed between the families of a group of children and adolescents with borderline personality disorder and the families of a psychiatric comparison group.- Method: The rates of psychiatric d isorders in the families of 44 child and adolescent outpatients with b orderline personality disorder were compared with the rates in the fam ilies of a psychiatric comparison group of 100 children and adolescent s, none of whom had a diagnosis of borderline personality disorder. Ps ychopathology in family members was ascertained by the family history method with the use of information from semistructured interviews with the subjects in the two study groups and with their parents or guardi ans. The adults were systematically interviewed regarding specific DSM -III-R disorders in their families. Results: The families of the patie nts with borderline personality disorder had significantly greater rat es of psychopathology, particularly in the areas of depressive, substa nce abuse, and antisocial disorders. Conclusions: The finding of highe r rates of psychopathology among the family members of the group with borderline personality disorder supports the hypothesis that a history of significant family psychopathology is associated with the disorder .