{
  "abstract": "Background: Despite evidence that personality pathology often emerges during the transition from adolescence to adulthood and leads to lasting psychosocial impairment, research on how these impairments manifest and develop in young people remains limited.\n\nObjectives: This review aims to map existing literature on psychosocial functioning in individuals aged 12–25 with clinical or subclinical personality pathology, examining definitions and measures of functioning, its relationship with personality pathology, and the impact of early interventions, while identifying gaps for future research.\n\nFindings: A total of 37 studies were included: 14 cross-sectional, 7 longitudinal, and 16 on early interventions. In clinical samples, overall functioning was most assessed, whereas community studies focused on specific domains. Across studies, adolescents with personality pathology showed greater psychosocial impairment than both healthy controls and other psychopathology groups, both cross-sectionally and prospectively. Improvement in global psychosocial functioning has been documented across varying interventions but there was the lack of differences between treatment approaches.\n\nConclusion: While emerging evidence highlights psychosocial dysfunction in young people with personality pathology, methodological limitations hinder comparisons across studies. Developmentally appropriate, culturally sensitive, and domain-specific assessments are needed to track psychosocial impairment alongside symptom progression in young people.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s40479-026-00362-2.",
  "abstract_shown": true,
  "affiliations": [
    "Institute of Psychology, Faculty of Philosophy, Vilnius University, Universiteto g. 9/1 LT-01513, Vilnius, Lithuania",
    "Institute for Psychosocial Prevention, Heidelberg University Hospital, Heidelberg, Germany",
    "Institute of Psychology, Heidelberg University, Heidelberg, Germany",
    "Lived Experience Group on the ESSPD Board, Ulm, Germany",
    "Department of Psychology, Julius-Maximilians-University Wuerzburg, Wuerzburg, Germany",
    "Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, Italy",
    "Center of Research on Psychological disorders and Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands",
    "Medical Care Units, Mental Health and Substance Abuse Services, Wellbeing Services County of Kanta-Häme, Hämeenlinna, Finland",
    "Mental Health Services West, Region Zealand, Denmark",
    "Department of Psychiatry, University Institute of Psychotherapy, University of Lausanne, Lausanne, Switzerland",
    "Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, Antwerp, Belgium",
    "Department of Psychology, University of Milano-Bicocca, Milan, Italy",
    "Faculty of Health, Heath and Medical University, Erfurt, Germany",
    "Department of Clinical Psychology and Psychotherapy, Freie Universität Berlin, Berlin, Germany",
    "Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany",
    "North Wales Clinical Psychology Programme Bangor University, Bangor, UK"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 16,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rasa Barkauskienė",
      "orcid": "0000-0002-4464-2481"
    },
    {
      "affs": [
        0
      ],
      "name": "Gabrielė Skabeikytė-Norkienė"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Sophia Peter"
    },
    {
      "affs": [
        3
      ],
      "name": "Saskia Bamberger"
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    {
      "affs": [
        4
      ],
      "name": "Katja Bertsch"
    },
    {
      "affs": [
        5
      ],
      "name": "Chiara De Panfilis"
    },
    {
      "affs": [
        6
      ],
      "name": "Joost Hutsebaut"
    },
    {
      "affs": [
        7
      ],
      "name": "Andres Kaera"
    },
    {
      "affs": [
        8
      ],
      "name": "Mickey T. Kongerslev"
    },
    {
      "affs": [
        9
      ],
      "name": "Ueli Kramer"
    },
    {
      "affs": [
        10
      ],
      "name": "Mariana Mendoza-Alvarez"
    },
    {
      "affs": [
        11
      ],
      "name": "Emanuele Preti"
    },
    {
      "affs": [
        12,
        13
      ],
      "name": "Charlotte Rosenbach"
    },
    {
      "affs": [
        14
      ],
      "name": "Christian Schmahl"
    },
    {
      "affs": [
        15
      ],
      "name": "Michaela Swales"
    },
    {
      "affs": [
        1
      ],
      "name": "Svenja Taubner"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cpqe0e3rfdjw9.bib",
  "cited_by": 1,
  "doi": "10.1186/s40479-026-00362-2",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13711762/",
  "id": "cpqe0e3rfdjw9",
  "issns": [
    "2051-6673"
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  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
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  "native_subjects": [
    [
      "heading",
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  "pmcid": "PMC13711762",
  "pmid": "42934833",
  "published": "2026-07-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/cpqe0e3rfdjw9.ris",
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    {
      "field": "medicine",
      "origin": "openalex:3203|Personality Disorders and Psychopathology",
      "subfield": "psychiatry"
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  "title": "A scoping review of psychosocial functioning in young people with personality pathology: current evidence and methodological issues",
  "title_text": "A scoping review of psychosocial functioning in young people with personality pathology: current evidence and methodological issues",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T14:20:43Z",
  "url": "https://research.draconitic.com/paper/cpqe0e3rfdjw9",
  "venue": "Borderline Personality Disorder and Emotion Dysregulation",
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