Abstract | OBJECTIVE: METHOD: Thirty-eight patients with borderline personality disorder, diagnosed according to standardized criteria, were allocated either to a partially hospitalized group or to a standard psychiatric care (control) group in a randomized controlled design. Treatment, which included individual and group psychoanalytic psychotherapy, was for a maximum of 18 months. Outcome measures included the frequency of suicide attempts and acts of self-harm, the number and duration of inpatient admissions, the use of psychotropic medication, and self-report measures of depression, anxiety, general symptom distress, interpersonal function, and social adjustment. Data analysis used repeated measures analysis of covariance and nonparametric tests of trend. RESULTS: Patients who were partially hospitalized showed a statistically significant decrease on all measures in contrast to the control group, which showed limited change or deterioration over the same period. An improvement in depressive symptoms, a decrease in suicidal and self-mutilatory acts, reduced inpatient days, and better social and interpersonal function began at 6 months and continued until the end of treatment at 18 months. CONCLUSIONS:
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Authors | A Bateman, P Fonagy |
Journal | The American journal of psychiatry
(Am J Psychiatry)
Vol. 156
Issue 10
Pg. 1563-9
(Oct 1999)
ISSN: 0002-953X [Print] United States |
PMID | 10518167
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
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Topics |
- Adult
- Anxiety Disorders
(diagnosis)
- Borderline Personality Disorder
(psychology, therapy)
- Day Care, Medical
- Depressive Disorder
(diagnosis)
- Female
- Health Status
- Hospitalization
- Humans
- Interpersonal Relations
- Length of Stay
- London
(epidemiology)
- Male
- Personality Inventory
(statistics & numerical data)
- Psychiatric Status Rating Scales
(statistics & numerical data)
- Psychoanalytic Therapy
- Psychotherapy, Group
- Psychotropic Drugs
(administration & dosage)
- Self Mutilation
(epidemiology, psychology)
- Social Adjustment
- Suicide, Attempted
(psychology, statistics & numerical data)
- Treatment Outcome
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