Better than expected: improvements in borderline personality disorder in a 3-year prospective outcome study.

Better than expected: improvements in borderline personality disorder in a 3-year prospective outcome study.
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好于预期:一项为期 3 年的前瞻性结果研究显示边缘型人格障碍有所改善。

DOI:
10.1016/s0010-440x(95)90075-6
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发表时间:
1995
影响因子:
7.3
通讯作者:
Gunderson,JG
Gunderson,JG
中科院分区:
医学2区
文献类型:
--
作者:
Najavits,LM;Gunderson,JG

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We report on the symptomatic outcome, predictors of outcome, and different courses of change in a 3-year prospective, naturalistic study of 37 female patients with borderline personality disorder (BPD). Results show significant improvements in several areas and no significant deterioration. Most patients showed a course of erratic improvement, and only a few showed decline over time. The main baseline predictors of good 3-year outcome were low obsessiveness and phobia symptoms. Results from the Global Assessment Scale (GAS) in this study, like five prior studies, demonstrate that by 3 years BPD patients can be expected to move from a poor to a fair level of functioning. It is suggested that over a 3-year period, improvements may be expected from BPD patients. Prior reports of poor short-term outcome may have been the result of different diagnostic criteria and outcome measurement. Limitations of this study and the need for tentative interpretation of its results are also discussed.
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