Abstract | OBJECTIVE: This study describes naturalistic 3-month follow-up after discharge from a 5-day partial hospitalization dialectical behavior therapy (DBT) program for women diagnosed with borderline personality disorder (BPD). We also examined individual BPD criteria as predictors of treatment response. METHODS: Fifty women diagnosed with BPD were consecutively recruited from a partial hospital DBT program, 47 of whom (94%) completed all assessments including baseline (prior to discharge) and 3-months post-discharge assessments. Most continued with some combination of individual psychotherapy and pharmacotherapy, and all had the option of continuing with weekly DBT skills classes. Baseline scores were compared to 3-month scores using paired two-tailed non-parametric (sign) tests. Regression analyses were conducted to identify predictors of outcome. RESULTS: Depression, hopelessness, anger expression, dissociation, and general psychopathology scores significantly decreased over the 3-month follow-up interval, although scores on several measures remained in the clinical range. Those who endorsed emptiness, impulsivity, and relationship disturbance demonstrated improvement on a number of outcomes, while those who endorsed identity disturbance and fear of abandonment had less improvement on some outcomes. CONCLUSION: These findings illustrate (1) that improvement occurred over a 3-month interval on a number of measures in patients receiving treatment as usual following discharge from a partial hospitalization program, and (2) that BPD is a complex, heterogeneous disorder for which there is no single pathognomonic criterion, so that each criterion should be considered individually in determining its potential effect on treatment outcomes.
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Authors | Shirley Yen, Jennifer Johnson, Ellen Costello, Elizabeth B Simpson |
Journal | Journal of psychiatric practice
(J Psychiatr Pract)
Vol. 15
Issue 3
Pg. 173-82
(May 2009)
ISSN: 1538-1145 [Electronic] United States |
PMID | 19461390
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aftercare
- Behavior Therapy
(methods)
- Borderline Personality Disorder
(diagnosis, psychology, therapy)
- Combined Modality Therapy
- Day Care, Medical
(methods)
- Female
- Follow-Up Studies
- Humans
- Meditation
- Personality Inventory
(statistics & numerical data)
- Psychometrics
- Psychotherapy, Group
(methods)
- Psychotropic Drugs
(therapeutic use)
- Young Adult
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