This systematic review aimed to explore social and occupational functioning levels in individuals with BPD and whether this varies according to symptomatic status, age, or gender. A multi-database search was conducted for articles, and of the 1164 records identified, 19 were included in this review. Of the 15 studies reporting on social functioning, 13 indicated significant levels of impairment, and of the 14 studies reporting on global functioning, all indicated significant impairment across both clinical and in-remission populations. Occupational functioning was primarily assessed as either a part of global functioning or by subscales within social functioning, highlighting a lack of use of dedicated measures for its assessment. This systematic review found that individuals with BPD experience a range of significant impairments in functioning persisting across the lifespan. Further studies are warranted to explore levels of functional impairment across all functional domains and factors associated with continual functional impairment in this population.

中文翻译：

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边缘性人格障碍患者的社会和职业功能：系统评价。

本系统综述旨在探讨边缘性人格障碍患者的社会和职业功能水平，以及其是否因症状状态、年龄或性别而异。对文章进行了多数据库搜索，在确定的 1164 条记录中，有 19 条纳入本次审查。在报告社会功能的 15 项研究中，有 13 项表明存在显着水平的损伤，在报告整体功能的 14 项研究中，所有研究均表明临床和缓解期人群均存在显着损伤。职业功能主要作为全球功能的一部分或社会功能内的子量表进行评估，这凸显出缺乏专门的评估措施。这项系统评价发现，边缘性人格障碍患者在一生中都会经历一系列持续的严重功能障碍。需要进一步的研究来探索所有功能领域的功能损伤水平以及与该人群中持续功能损伤相关的因素。