Social function scores showed severe impairment with only modest albeit statistically significant improvement patients with BPD remained persistently more dysfunctional than the other 2 groups ( P < .001). All BPD criteria declined at similar rates.
Twelve percent of patients with BPD relapsed, a rate less frequent and slower than for patients with MDD ( P < .001) and other personality disorders ( P = .008). Remission of BPD was slower than for MDD ( P < .001) and minimally slower than for other personality disorders ( P < .03). Results Eighty-five percent of patients with BPD remitted. The Structured Clinical Interview for DSM-IV Axis I Disorders and the Longitudinal Interval Follow-up Evaluation were used to diagnose MDD and assess changes in MDD and in social function. Main Outcome Measures The Diagnostic Interview for DSM-IV Personality Disorders and its follow-along version (the Diagnostic Interview for DSM-IV Personality Disorders–Follow-Along Version) were used to diagnose personality disorders and assess changes in them. Participants Three study groups, including 175 patients with BPD, 312 with cluster C personality disorders, and 95 with MDD but no personality disorder. Setting Nineteen clinical settings (hospital and outpatient) in 4 northeastern US cities. Objective To compare the course of BPD's psychopathology and social function with that of other personality disorders and with major depressive disorder (MDD) over 10 years.ĭesign A collaborative study of treatment-seeking, 18- to 45-year-old patients followed up with standardized, reliable, and repeated measures of diagnostic remission and relapse and of both global social functioning and subtypes of social functioning. Shared Decision Making and CommunicationĬontext Borderline personality disorder (BPD) is traditionally considered chronic and intractable.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Continued abuse of our services will cause your IP address to be blocked indefinitely. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue.
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