东亚青少年边缘型人格障碍：评估、病因与治疗的综合综述

"Borderline Personality Disorder in East Asian Adolescents: A Comprehensive Review of Research on Assessment, Etiology, and Treatment

Zhang H, Lyu Y, Qi A, Wen J and Wang L* (2026) Borderline personality disorder in East Asian adolescents: a comprehensive review of research on assessment, etiology, and treatment. Front. Psychiatry 17:1805312. doi: 10.3389/fpsyt.2026.1805312

《东亚青少年边缘型人格障碍：评估、病因与治疗的综合综述》发表于《Frontiers in Psychiatry》，系统梳理了东亚地区青少年边缘型人格障碍(BPD)的研究进展。研究发现，东亚青少年BPD患病率在2%至14%之间，差异主要源于评估工具和样本来源不同。童年创伤，尤其是情感虐待，是核心风险因素;不良家庭环境、同伴侵害及城乡差异也有影响。情绪失调、自我伤害和共病问题突出，DBT和MBT等心理治疗逐步应用，但高质量干预研究仍有限。论文强调应结合东亚文化背景，发展早期识别与家庭、学校整合干预策略。

The paper"Borderline Personality Disorder in East Asian Adolescents: A Comprehensive Review of Research on Assessment, Etiology, and Treatment" was published in Frontiers in Psychiatry, systematically reviewing research progress on borderline personality disorder (BPD) among adolescents in East Asia. The study found that the prevalence of BPD among East Asian adolescents ranges from 2% to 14%, with the variation mainly stemming from differences in assessment tools and sample sources. Childhood trauma, especially emotional abuse, is a core risk factor; adverse family environments, peer victimization, and urban-rural differences also have an impact. Emotion dysregulation, self-harm, and comorbid problems are prominent. Psychotherapies such as DBT and MBT are gradually being applied, but high-quality intervention studies remain limited. The paper emphasizes the need to integrate the East Asian cultural context and develop early identification and intervention strategies that integrate family and school.