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Related Experiment Videos

Multiple complex developmental disorder: the "multiple and complex" evolution of the "childhood borderline syndrome"

Y Ad-Dab'bagh1, B Greenfield

  • 1Department of Psychiatry, McGill University, Montreal, Quebec, Canada. yaddab@po-box.mcgill.ca

Journal of the American Academy of Child and Adolescent Psychiatry
|August 15, 2001
PubMed
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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:

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  • 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.