TY - JOUR
T1 - Characteristics and Predictors of Educational and Occupational Disengagement Among Outpatient Youth With Borderline Personality Disorder
AU - Juurlink, Trees T.
AU - Betts, Jennifer K.
AU - Nicol, Katie
AU - Lamers, Femke
AU - Beekman, Aartjan T. F.
AU - Cotton, Sue M.
AU - Chanen, Andrew M.
N1 - Publisher Copyright: © 2022 The Guilford Press.
PY - 2022/2/1
Y1 - 2022/2/1
N2 - This study aimed to investigate predictors of vocational disengagement (referred to as Not in Employment, Education, or Training [NEET]) in young people with borderline personality disorder (BPD). The sample comprised 112 outpatients with a BPD diagnosis, aged 15-25 years, who participated in a randomized controlled trial (ANZCTR12610000100099). The proportion of participants who were NEET (39.3%) at study entry did not improve after 18 months and NEET status frequently changed. Therefore, multinomial regression analyses were used to study three groups: Non-NEET, NEET, and Unstable NEET status. NEET status was predicted by not achieving expected age-appropriate educational milestones, greater instability in identity, and emptiness. Greater instability in interpersonal relationships and identity predicted Unstable NEET status. The findings suggest that specific vocational interventions, that also incorporate a focus on interpersonal functioning, emptiness, and identity disturbance, are needed to improve functioning in youth with BPD, especially when educational milestones are not achieved.
AB - This study aimed to investigate predictors of vocational disengagement (referred to as Not in Employment, Education, or Training [NEET]) in young people with borderline personality disorder (BPD). The sample comprised 112 outpatients with a BPD diagnosis, aged 15-25 years, who participated in a randomized controlled trial (ANZCTR12610000100099). The proportion of participants who were NEET (39.3%) at study entry did not improve after 18 months and NEET status frequently changed. Therefore, multinomial regression analyses were used to study three groups: Non-NEET, NEET, and Unstable NEET status. NEET status was predicted by not achieving expected age-appropriate educational milestones, greater instability in identity, and emptiness. Greater instability in interpersonal relationships and identity predicted Unstable NEET status. The findings suggest that specific vocational interventions, that also incorporate a focus on interpersonal functioning, emptiness, and identity disturbance, are needed to improve functioning in youth with BPD, especially when educational milestones are not achieved.
KW - Borderline personality disorder
KW - Education
KW - Employment
KW - NEET
KW - Psychiatry
KW - Vocational disengagement
KW - Vocational functioning
KW - Young person
KW - Youth
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85123968756&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/34427492
U2 - https://doi.org/10.1521/pedi_2021_35_534
DO - https://doi.org/10.1521/pedi_2021_35_534
M3 - Article
C2 - 34427492
SN - 0885-579X
VL - 36
SP - 116
EP - 128
JO - Journal of personality disorders
JF - Journal of personality disorders
IS - 1
ER -