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Multiple complex developmental disorder: the "multiple and complex" evolution of the "childhood borderline syndrome"
1Department of Psychiatry, McGill University, Montreal, Quebec, Canada. yaddab@po-box.mcgill.ca
Summary
The study reviews "borderline syndrome of childhood" (multiple complex developmental disorder), finding a need for a new diagnostic label. Research evolution shows increasing rigor, supporting a distinct syndrome classification.
Area of Science:
- Child Psychiatry
- Developmental Psychology
- Psychopathology
Background:
- The diagnostic constructs for "borderline syndrome of childhood" and "multiple complex developmental disorder" have evolved over time.
- Early literature, while historically significant, often lacked scientific rigor.
Purpose of the Study:
- To provide a comprehensive overview of the history, evolution, and nosology of these diagnostic constructs.
- To synthesize current research and propose a path forward for classification.
Main Methods:
- A systematic review of literature was conducted using multiple electronic databases.
- Bibliographic directed searches were also employed to gather relevant information.
Main Results:
- Publications prior to 1980 were noted for historical value but were anecdotal.
- Recent publications (1990s) demonstrated improved methodology and generalizability.
- Current classifications, diagnostic criteria proposals, and epidemiological data were summarized.
Conclusions:
- Evidence supports the creation of a new diagnostic label for children currently diagnosed under "borderline" or "multiple complex developmental disorder."
- Further prospective studies are needed to fully characterize the syndrome's evolution.
- A process for deriving a new nomenclature is proposed.