Description and prediction of time-to-attainment of excellent recovery for borderline patients followed prospectively for 20 years
| Autor: | Christina M. Temes, Mary C. Zanarini, Frances R. Frankenburg, Garrett M. Fitzmaurice, D. Bradford Reich |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Employment Male Agreeableness Pediatrics medicine.medical_specialty Time Factors Adolescent media_common.quotation_subject Intelligence Personality Disorders Article Young Adult 03 medical and health sciences Remission induction 0302 clinical medicine Borderline Personality Disorder medicine Humans Personality Mental Competency Longitudinal Studies Prospective Studies Young adult Prospective cohort study Borderline personality disorder Biological Psychiatry media_common Neuroticism business.industry Remission Induction medicine.disease 030227 psychiatry Hospitalization Psychiatry and Mental health Treatment Outcome Female Work history business 030217 neurology & neurosurgery |
| Zdroj: | Psychiatry Research. 262:40-45 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2018.01.034 |
| Popis: | One purpose of this study was to determine the cumulative rates of excellent recovery for borderline patients and axis II comparison subjects followed prospectively for 20 years. Another purpose was to find the best set of baseline predictors of excellent recovery for borderline patients. A total of 290 inpatients meeting rigorous criteria for borderline personality disorder and 72 axis II comparison subjects completed semistructured interviews and self-report measures during their index admission. Subjects were reassessed prospectively over 10 contiguous two-year waves of follow-up. Thirty-nine percent of borderline patients and 73% of personality-disordered comparison subjects met our operationalized definition of excellent recovery (concurrent remission of borderline or another primary personality disorder, good social and full-time vocational functioning, and absence of an axis I disorder associated decreased social and/or vocational functioning). Five variables formed our multivariate predictive model of excellent recovery for borderline patients: higher IQ, good childhood work history, good adult vocational record, lower trait neuroticism, and higher trait agreeableness. The results of this study suggest that complete recovery is difficult for borderline patients to achieve even over long periods of time. They also suggest that competence displayed in both childhood and adulthood is the best predictor of this important outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect