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Published Online: 31 October 2014

Treatment Rates for Patients With Borderline Personality Disorder and Other Personality Disorders: A 16-Year Study

Abstract

Objective:

The goal of this study was to document the use of 16 treatment modalities reported by 290 patients with borderline personality disorder and 72 patients with other axis II disorders over 16 years of prospective follow-up.

Methods:

This study built upon previous findings of the McLean Study of Adult Development. Treatment use was assessed at baseline and at eight two-year follow-up periods with a semistructured interview of proven reliability and validity.

Results:

Patients with borderline personality disorder reported significantly higher rates of use of 12 of the 16 treatment modalities studied. Only four of the 16 treatment modalities were used by roughly the same percentage of patients with borderline personality disorder and those with other axis II disorders: individual therapy, intensive individual therapy, couples or family therapy, and electroconvulsive therapy. In addition, rates of participation in 13 treatment modalities declined significantly over the first eight years of follow-up for those in both study groups. However, the rates of participation in 15 of 16 treatment modalities did not decline significantly over the second eight years of follow-up for those in either study group.

Conclusions:

The results of this study suggest that rates of treatment use by patients with borderline personality disorder decline significantly over the short and medium term. They also suggest that these rates remain stable or fail to decline further over the longer term.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: In the Loge, by Mary Cassatt, circa 1879. Pastel and metallic paint on canvas prepared with a pastel ground. Gift of Mrs. Sargent McKean, 1950 (1950-52-1), the Philadelphia Museum of Art. Photo credit: the Philadelphia Museum of Art/Art Resources, New York.

Psychiatric Services
Pages: 15 - 20
PubMed: 25270039

History

Published ahead of print: 31 October 2014
Published in print: January 01, 2015
Published online: 2 January 2015

Authors

Details

Mary C. Zanarini, Ed.D.
The authors are with the Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts (e-mail: [email protected]). Dr. Zanarini, Dr. Reich, and Dr. Fitzmaurice are also with the Department of Psychiatry, Harvard Medical School, Boston. Dr. Frankenburg is also with the Department of Psychiatry, Boston University School of Medicine, Boston.
Frances R. Frankenburg, M.D.
The authors are with the Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts (e-mail: [email protected]). Dr. Zanarini, Dr. Reich, and Dr. Fitzmaurice are also with the Department of Psychiatry, Harvard Medical School, Boston. Dr. Frankenburg is also with the Department of Psychiatry, Boston University School of Medicine, Boston.
D. Bradford Reich, M.D.
The authors are with the Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts (e-mail: [email protected]). Dr. Zanarini, Dr. Reich, and Dr. Fitzmaurice are also with the Department of Psychiatry, Harvard Medical School, Boston. Dr. Frankenburg is also with the Department of Psychiatry, Boston University School of Medicine, Boston.
Lindsey C. Conkey, M.A.
The authors are with the Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts (e-mail: [email protected]). Dr. Zanarini, Dr. Reich, and Dr. Fitzmaurice are also with the Department of Psychiatry, Harvard Medical School, Boston. Dr. Frankenburg is also with the Department of Psychiatry, Boston University School of Medicine, Boston.
Garrett M. Fitzmaurice, Sc.D.
The authors are with the Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts (e-mail: [email protected]). Dr. Zanarini, Dr. Reich, and Dr. Fitzmaurice are also with the Department of Psychiatry, Harvard Medical School, Boston. Dr. Frankenburg is also with the Department of Psychiatry, Boston University School of Medicine, Boston.

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