Hulbert Carol, Thomas Rosemary
The University of Melbourne, Parkville, Vic., Australia.
Australas Psychiatry. 2007 Jun;15(3):226-31. doi: 10.1080/10398560701317101.
The results of an evaluation of an innovative pubic sector treatment program for patients with borderline personality disorder (BPD) with a history of unsuccessful treatment attempts and severe self-harm are presented.
DSM-IV axis I and axis II diagnoses, psychiatric symptoms, patterns of self-harm, suicidality, coping styles, and quality of life were assessed for 27 women who completed a 6-month residential program. Pre- and post-treatment assessments and a 12-month follow-up were undertaken.
At 12-month follow-up, significantly fewer participants met criteria for BPD. Significant post-treatment gains, including reduced levels of depression, anxiety and hopelessness, and improvements in some coping style and quality of life domains, were maintained at follow-up. The results in relation to self-harm indicated considerable within-sample variability.
Findings indicating clinically significant improvements in psychiatric symptoms and coping, along with mixed results in relation to self-harm and quality of life, are encouraging for the continued development of treatment services for this challenging patient group.
呈现一项针对有治疗失败史和严重自我伤害行为的边缘型人格障碍（BPD）患者的创新性公共部门治疗项目的评估结果。
对27名完成了为期6个月住院项目的女性进行了DSM-IV轴I和轴II诊断、精神症状、自我伤害模式、自杀倾向、应对方式及生活质量评估。进行了治疗前和治疗后的评估以及为期12个月的随访。
在12个月的随访中，符合BPD标准的参与者显著减少。治疗后取得的显著成效，包括抑郁、焦虑和绝望水平降低，以及一些应对方式和生活质量领域的改善，在随访中得以维持。与自我伤害相关的结果表明样本内部存在相当大的变异性。
研究结果表明在精神症状和应对方面有临床显著改善，同时在自我伤害和生活质量方面结果不一，这对为这一具有挑战性的患者群体持续开发治疗服务而言是令人鼓舞的。
