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Am J Psychiatry. 2001 Jan;158(1):36-42.

Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: an 18-month follow-up.

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  • 1Halliwick Day Unit, St. Ann's Hospital, University College London, London, UK. anthony@mullins.demon.co.uk

Abstract

OBJECTIVE:

The aim of this study was to determine whether the substantial gains made by patients with borderline personality disorder following completion of a psychoanalytically oriented partial hospitalization program, in comparison to patients treated with standard psychiatric care, were maintained over an 18-month follow-up period.

METHOD:

Forty-four patients who participated in the original study were assessed every 3 months after completion of the treatment phase. Outcome measures included frequency of suicide attempts and acts of self-harm, number and duration of inpatient admissions, service utilization, and self-reported measures of depression, anxiety, general symptom distress, interpersonal functioning, and social adjustment.

RESULTS:

Patients who completed the partial hospitalization program not only maintained their substantial gains but also showed a statistically significant continued improvement on most measures in contrast to the patients treated with standard psychiatric care, who showed only limited change during the same period.

CONCLUSIONS:

The superiority of psychoanalytically oriented partial hospitalization over standard psychiatric treatment found in a previous randomized, controlled trial was maintained over an 18-month follow-up period. Continued improvement in social and interpersonal functioning suggests that longer-term changes were stimulated.

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PMID:
11136631
[PubMed - indexed for MEDLINE]
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