Format

Send to

Choose Destination
Personal Ment Health. 2016 Aug;10(3):181-90. doi: 10.1002/pmh.1337. Epub 2016 Apr 29.

The clinical trajectory of patients with borderline personality disorder.

Author information

1
Department of Organic Psychiatric Disorders and Emergency Ward, Aarhus University Hospital, Aarhus, Denmark.
2
Department of Psychiatry, McGill University, Montreal, Quebec, Canada.

Abstract

OBJECTIVE:

The epidemiological data on the diagnostic course of patients with borderline personality disorder (BPD) is limited. We used a nationwide register to investigate the diagnostic stability and changes over time.

METHOD:

The Danish nationwide registers were used to follow all patients with a diagnosis of BPD and investigate their first-ever psychiatric diagnosis and their latest diagnosis in the time period of 1995-2012. From this, we found the diagnostic stability and described the diagnostic changes.

RESULTS:

A total of 10 786 patients diagnosed with BPD were identified. The prospective diagnostic stabilities were 37% for females and 25% for males, and retrospective stabilities were 20% for females and 22% for males. More than 60% of patients received other diagnoses than BPD as their first-ever diagnosis. Stress-related (17%) and depressive disorders (14%) were most frequent as first-ever diagnosis. The latest diagnosis remained BPD in nearly half of females and one third of males, followed by schizophrenia, notably for those with longer follow-up and males.

CONCLUSION:

This study gives a detailed display of complicated clinical trajectories. The low diagnostic stabilities demonstrate a heterogenous patient group diagnosed with many other psychiatric diagnoses over time. Copyright © 2016 John Wiley & Sons, Ltd.

KEYWORDS:

Borderline personality disorder; Schizophrenia; clinical trajectory; diagnostic stability; epidemiology

PMID:
27126217
DOI:
10.1002/pmh.1337
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center