McLean Hospital, Belmont, MA 02478, USA.
Acta Psychiatr Scand. 2010 Aug;122(2):103-9. doi: 10.1111/j.1600-0447.2010.01543.x. Epub 2010 Feb 25.
The purpose of this study was to determine the 10-year course of the psychosocial functioning of patients with borderline personality disorder (BPD).
The social and vocational functioning of 290 inpatients meeting both the Revised Diagnostic Interview for Borderlines (DIB-R) and DSM-III-R criteria for BPD and 72 axis II comparison subjects were carefully assessed during their index admission. Psychosocial functioning was reassessed using similar methods at five contiguous 2-year time periods.
Borderline patients without good psychosocial functioning at baseline reported difficulty attaining it for the first time. Those who had such functioning at baseline reported difficulty retaining and then regaining it. In addition, over 90% of their poor psychosocial functioning was due to poor vocational but not social performance.
Good psychosocial functioning that involves both social and vocational competence is difficult for borderline patients to achieve and maintain over time. In addition, their vocational functioning is substantially more compromised than their social functioning.
本研究旨在确定边缘型人格障碍（BPD）患者的心理社会功能 10 年病程。
对 290 名符合修订版边缘型诊断访谈（DIB-R）和 DSM-III-R 边缘型人格障碍标准的住院患者以及 72 名轴 II 比较受试者进行了仔细评估，这些患者在入院时的社会和职业功能均较差。使用类似的方法，在五个连续的 2 年时间间隔内对心理社会功能进行了重新评估。
基线时心理社会功能不佳且无良好功能的边缘型患者首次报告出现困难。那些基线时具有良好功能的患者则报告称，保持和重新获得功能具有困难。此外，他们较差的心理社会功能中，超过 90%是由于较差的职业功能，而不是较差的社会功能。
对于边缘型患者而言，良好的心理社会功能涉及社会和职业能力，他们很难在一段时间内实现并维持。此外，他们的职业功能比社会功能受到更大的影响。
