Borderline personality disorder in East Asian adolescents: a comprehensive review of research on assessment, etiology, and treatment - Summary - MDSpire

Borderline personality disorder in East Asian adolescents: a comprehensive review of research on assessment, etiology, and treatment

  • By

  • Huijuan Zhang

  • Yifan Lyu

  • Ansi Qi

  • Jing Wen

  • Lanlan Wang

  • May 8, 2026

  • 0 min

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Objective:

To summarize findings on adolescent BPD in East Asia, focusing on prevalence, diagnostic assessment, clinical features, risk factors, treatment approaches, and the influence of cultural context.

Key Findings:
  • Prevalence of BPD among East Asian adolescents ranges from 2% to 14%, with significant variability in self-injury and suicidal behaviors observed.
Interpretation:

The findings highlight the need for culturally informed approaches to diagnosing and treating BPD in East Asian adolescents, considering unique societal factors such as collectivism and stigma.

Limitations:
  • Most studies are based on Western samples, raising questions about applicability to East Asia, and highlighting the need for more diverse research.
Conclusion:

Future research should focus on culturally relevant identification and intervention strategies, integrating family and school systems, exploring individualized treatment pathways, and addressing the gaps in current literature.

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