Bridging the Gap Between Remission and Recovery in BPD: Qualitative Versus Quantitative Perspectives.
Bridging the Gap Between Remission and Recovery in BPD: Qualitative Versus Quantitative Perspectives.
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DOI：
10.1521/pedi_2019_33_419
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发表时间：
2021-03
影响因子：
2.3
通讯作者：
Soloff, Paul H.
中科院分区：
文献类型：
--
作者：
Soloff, Paul H.
边缘型人格障碍（BPD）患者的10年结果是85%至93%的诊断缓解;然而，不到一半的人实现了良好的社会和职业功能，很少有人实现完全的心理社会康复。为了评估诊断缓解和心理社会恢复之间的差距，将150例BPD受试者的心理社会功能的叙述性报告与结果的定量测量进行了比较，前瞻性随访2 - 31年（平均9.94年）。最好和最差结果的受试者在症状随时间的变化以及改善心理社会功能的努力方面进行了比较。在入院时，预后不良的受试者比预后良好的受试者受损更严重，有更多的边缘性精神病理学、住院和贫困。在随访中，53.8%的结果良好的受试者抱怨持续的抑郁问题，33.3%的愤怒和冲动控制，25.6%的关系不稳定。尽管有客观的改善措施，叙述性报告记录了残留的BPD症状，合并症和失业干扰心理社会恢复。
The 10-year outcome for patients with borderline personality disorder (BPD) is diagnostic remission in 85% to 93%; however, less than half achieve good social and vocational functioning, and few attain full psychosocial recovery. To assess the gap between diagnostic remission and psychosocial recovery, quantitative measures of outcome were compared with narrative reports of psychosocial functioning in 150 BPD subjects followed prospectively from 2 to 31 years (mean 9.94 years). Subjects with the best and the worst outcomes were compared on symptom changes over time, and on efforts to improve psychosocial functioning. At intake, poor outcome subjects were more impaired than those with good outcomes, with more borderline psychopathology, hospitalizations, and poverty. At follow-up, 53.8% of good outcome subjects complained of continuing problems with depression, 33.3% with anger and impulse control, and 25.6% with unstable relationships. Despite objective measures of improvement, narrative reports documented residual BPD symptoms, comorbidity, and unemployment interfering with psychosocial recovery.
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DOI：
10.1111/j.1749-6632.1986.tb27897.x
发表时间：
1986-01-01
影响因子：
5.2
作者：
Brown, G L;Goodwin, F K
通讯作者：
Goodwin, F K
影响因子：
3.7
作者：
Herbenick D;Bowling J;Fu TJ;Dodge B;Guerra-Reyes L;Sanders S
通讯作者：
Sanders S
DOI：
10.1037/h0046900
发表时间：
1957-01-01
期刊：
JOURNAL OF CONSULTING PSYCHOLOGY
影响因子：
--
作者：
BUSS, AH;DURKEE, A
通讯作者：
DURKEE, A
影响因子：
2.3
作者：
Gunderson, JG;Shea, MT;Keller, MB
通讯作者：
Keller, MB
影响因子：
4.6
作者：
Shea, MT;Stout, RL;Zanarini, MC
通讯作者：
Zanarini, MC