Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up
Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up
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DOI：
10.1176/appi.ajp.158.1.36
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发表时间：
2001-01-01
影响因子：
17.7
通讯作者：
Fonagy, P
中科院分区：
文献类型：
--
作者：
Bateman, A;Fonagy, P
目的：本研究的目的是，以确定是否完成了精神分析导向的部分住院治疗计划的边缘型人格障碍患者的实质性收益，与标准的精神病护理治疗的患者相比，保持在18个月的随访period.Method：44例患者谁参加了原始的研究进行了评估，每3个月完成后的治疗阶段。结果测量包括自杀企图和自我伤害行为的频率、住院次数和住院时间、服务利用率以及抑郁、焦虑、一般症状困扰、人际功能和社会适应的自我报告测量。完成部分住院治疗计划的患者不仅保持了实质性的改善，而且在大多数指标上显示出统计学显著的持续改善，对比与标准的精神病护理，谁表现出只有有限的变化，在同一时期的病人，Conclusions：优越性的精神分析导向的部分住院治疗标准的精神病治疗中发现，在以前的随机对照试验保持了18个月的随访期。社会和人际功能的持续改善表明，长期的变化受到了刺激。
Objective: The aim of this study was to determine whether the substantial gains made by patients with borderline personality disorder following completion of a psychoanalytically oriented partial hospitalization program, in comparison to patients treated with standard psychiatric care, were maintained over an 18-month follow-up period.Method: Forty-four patients who participated in the original study were assessed every 3 months after completion of the treatment phase. Outcome measures included frequency of suicide attempts and acts of self-harm, number and duration of inpatient admissions, service utilization, and self-reported measures of depression, anxiety, general symptom distress, interpersonal functioning, and social adjustment.Results: Patients who completed the partial hospitalization program not only maintained their substantial gains but also showed a statistically significant continued improvement on most measures in contrast to the patients treated with standard psychiatric care, who showed only limited change during the same period.Conclusions: The superiority of psychoanalytically oriented partial hospitalization over standard psychiatric treatment found in a previous randomized, controlled trial was maintained over an 18-month follow-up period. Continued improvement in social and interpersonal functioning suggests that longer-term changes were stimulated.