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Background <p>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.</p> Objectives <p>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.</p> Findings <p>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.</p> Conclusion <p>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.</p>

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A scoping review of psychosocial functioning in young people with personality pathology: current evidence and methodological issues

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月30日

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  • Rasa Barkauskienė,
  • Gabrielė Skabeikytė-Norkienė,
  • Sophia Peter,
  • Saskia Bamberger,
  • Katja Bertsch,
  • Chiara De Panfilis,
  • Joost Hutsebaut,
  • Andres Kaera,
  • Mickey T. Kongerslev,
  • Ueli Kramer,
  • Mariana Mendoza-Alvarez,
  • Emanuele Preti,
  • Charlotte Rosenbach,
  • Christian Schmahl,
  • Michaela Swales,
  • Svenja Taubner

摘要

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.

Objectives

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.

Findings

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.

Conclusion

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.