Source:http://linkedlifedata.com/resource/pubmed/id/15899718
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2005-5-18
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| pubmed:abstractText |
The purpose of this study was to determine the course of the psychosocial functioning of patients with borderline personality disorder (BPD) over 6 years of prospective follow-up. The psychosocial functioning of 290 patients meeting both DIB-R and DSM-III-R criteria for BPD and 72 patients meeting DSM-III-R criteria for another Axis II disorder (and neither criteria set for BPD) was assessed at baseline using a semistructured interview of demonstrated reliability. Over 94% of surviving patients were reinterviewed about their psychosocial functioning blind to all previously collected information at three distinct follow-up waves: 2-, 4-, and 6-year follow-up. The psychosocial functioning of borderline patients improved substantially over time, with the percentage meeting criteria for good overall psychosocial functioning increasing from 26% at baseline to 56% during the third wave of follow-up. Despite this improvement, borderline patients functioned significantly more poorly than Axis II comparison subjects, particularly in the area of vocational achievement. However, a more detailed examination revealed that borderline patients who had experienced a symptomatic remission during the course of the study functioned significantly better both socially and vocationally than never-remitted borderline patients. More specifically, they were significantly more likely to have a good relationship with a spouse/partner and at least one parent, good work/school performance, a sustained work/school history, a GAF score of 61 or higher (43% vs. 0% 6 years after their index admission), and to have good overall psychosocial functioning (66% vs. 27% at 6 year follow-up). Taken together, the results of this study suggest that psychosocial improvement is both common among borderline patients and strongly related to their symptomatic status.
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| pubmed:grant | |
| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Feb
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| pubmed:issn |
0885-579X
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
19
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
19-29
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| pubmed:dateRevised |
2009-1-28
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| pubmed:meshHeading |
pubmed-meshheading:15899718-Adolescent,
pubmed-meshheading:15899718-Adult,
pubmed-meshheading:15899718-Borderline Personality Disorder,
pubmed-meshheading:15899718-Cause of Death,
pubmed-meshheading:15899718-Comorbidity,
pubmed-meshheading:15899718-Diagnostic and Statistical Manual of Mental Disorders,
pubmed-meshheading:15899718-Female,
pubmed-meshheading:15899718-Follow-Up Studies,
pubmed-meshheading:15899718-Humans,
pubmed-meshheading:15899718-Male,
pubmed-meshheading:15899718-Massachusetts,
pubmed-meshheading:15899718-Personality Assessment,
pubmed-meshheading:15899718-Personality Disorders,
pubmed-meshheading:15899718-Prognosis,
pubmed-meshheading:15899718-Prospective Studies,
pubmed-meshheading:15899718-Rehabilitation, Vocational,
pubmed-meshheading:15899718-Social Adjustment,
pubmed-meshheading:15899718-Social Behavior,
pubmed-meshheading:15899718-Socialization,
pubmed-meshheading:15899718-Suicide
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| pubmed:year |
2005
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| pubmed:articleTitle |
Psychosocial functioning of borderline patients and axis II comparison subjects followed prospectively for six years.
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| pubmed:affiliation |
Laboratory for the Study for Adult Development, McLean Hospital, Belmont, MA 02478, USA. zanarini@mclean.harvard.edu
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| pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Research Support, N.I.H., Extramural
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