Document Detail

Change in borderline symptoms one year after therapeutic community treatment for severe personality disorder.
MedLine Citation:
PMID:  9337984     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The view that severe personality disorder (SPD) is untreatable derives from poor-quality studies of treatment outcome which use indirect measures of SPD pathology. This study evaluates the impact of psychotherapeutic in-patient treatment on core personality disorder symptoms. METHOD: 137 SPD patients completed the Borderline Syndrome Index (BSI) on referral and one year post-treatment ('admitted', n = 70) or one year post-referral ('non-admitted', n = 67); 22 of the non-admitted group were refused extra-contractual referral funding for their treatment. RESULTS: There was a significantly greater reduction in BSI scores in the treated than in the non-admitted group. Changes in BSI scores were significantly positively correlated with length of treatment. Assessment of the reliability and clinical significance of changes in individual subjects showed that the magnitude of this change was reliable and clinically significant in 42.9% of the admitted sample, compared with only 17.9% of the non-admitted sample (18.2% of the unfunded group). CONCLUSIONS: Specialist in-patient treatment is effective in reducing core SPD psychopathology.
B Dolan; F Warren; K Norton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  171     ISSN:  0007-1250     ISO Abbreviation:  Br J Psychiatry     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-30     Completed Date:  1997-10-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  274-9     Citation Subset:  IM    
Henderson Hospital, Surrey.
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MeSH Terms
Borderline Personality Disorder / psychology
Community Mental Health Services*
Follow-Up Studies
Length of Stay
Personality Assessment
Personality Disorders / therapy*
Prospective Studies
Psychotherapy / methods*
Referral and Consultation
Treatment Outcome
Comment In:
Br J Psychiatry. 1998 May;172:448   [PMID:  9747410 ]

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