Guest guest Posted December 22, 2003 Report Share Posted December 22, 2003 Following is the abstract of a research study published in the Feb 2003 issue of the AJP. It indicates recovery time of BPDs in treatment, with declining rates in 24 symptom patterns: 34.5% at 2 years 49.4% at 4 years 68.6% at 6 years And, in a comparison of four traits, control over impulsivity occurred the quickest; improvement in cognitive (ie, thinking/understanding) and interpersonal traits were intermediate; and changes in affect (mood) took the longest. - Edith List Manager / Welcome Family of NonBP Email Support Groups << MEDLINE, Abstract " The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. " Zanarini MC, enburg FR, Hennen J, Silk KR Am J Psychiatry 2003 Feb 160:274-83 Volume 160 • Issue 2 OBJECTIVE: The syndromal and subsyndromal phenomenology of borderline personality disorder was tracked over 6 years of prospective follow-up. METHOD: The psychopathology of 362 inpatients with personality disorders was assessed with the Revised Diagnostic Interview for Borderlines (DIB-R) and borderline personality disorder module of the Revised Diagnostic Interview for DSM-III-R Personality Disorders. Of these patients, 290 met DIB-R and DSM-III-R criteria for borderline personality disorder and 72 met DSM-III-R criteria for other axis II disorders (and neither criteria set for borderline personality disorder). Most of the borderline patients received multiple treatments before the index admission and during the study. Over 94% of the total surviving subjects were reassessed at 2, 4, and 6 years by interviewers blind to previously collected information. RESULTS: Of the subjects with borderline personality disorder, 34.5% met the criteria for remission at 2 years, 49.4% at 4 years, 68.6% at 6 years, and 73.5% over the entire follow-up. Only 5.9% of those with remissions experienced recurrences. None of the comparison subjects with other axis II disorders developed borderline personality disorder during follow-up. The patients with borderline personality disorder had declining rates of 24 symptom patterns but remained symptomatically distinct from the comparison subjects. Impulsive symptoms resolved the most quickly, affective symptoms were the most chronic, and cognitive and interpersonal symptoms were intermediate. CONCLUSIONS: These results suggest that symptomatic improvement is both common and stable, even among the most disturbed borderline patients, and that the symptomatic prognosis for most, but not all, severely ill borderline patients is better than previously recognized. Author Address Laboratory for the Study for Adult Development, McLean Hospital, MA, USA. zanarini@... >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2003 Report Share Posted December 22, 2003 Interesting/encouraging stats. Guess the $64k question is how do you get a psycho into 'recovery'? And do they burn up on re-entry? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2003 Report Share Posted December 23, 2003 > Guess the $64k question is how do you get a psycho into 'recovery'? > And do they burn up on re-entry? A study like that is not representative of BP's because most of them will not consider treatment. I don't think anyone can get them into 'recovery', they have to make that decision themselves. I wonder if there are any similar studies for KO's? It would help me decide if there is any point in continuing therapy. - Dan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2003 Report Share Posted December 23, 2003 >>A study like that is not representative of BP's because most of them will not consider treatment. excellent point, Dan. >>I don't think anyone can get them into 'recovery', they have to make that decision themselves. Far as I can tell they are incapable of making *any* reality based decisions. I'd like to know how *any* of them get to any sort of meaningful treatment never mind " recovery " ? > > I wonder if there are any similar studies for KO's? It would help me > decide if there is any point in continuing therapy. > > - Dan I just asked my shrink about that -- she said " 10 years on the couch... " HA! 9_Years_To_Go Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.