Cailhol Lionel, Francois Margot, Thalamas Claire, Garrido Cécile, Birmes Philippe, Pourcel Laure, Lapeyre-Mestre Maryse, Paris Joel
Psychiatrie, Saint Jérôme, Saint-Jérôme, Quebec, Canada.
Centre Hospitalier Général, Montauban, France.
Personal Ment Health. 2016 Nov;10(4):328-336. doi: 10.1002/pmh.1350. Epub 2016 Oct 13.
Patients with borderline personality disorder (BPD) have been shown to have increased rates of the use of medical services. The objective of this multicentre study was to compare the utilization of physical health services by patients with severe BPD (n = 36) with that of two control groups: one with other personality disorders (PDs) (n = 38) and one with matched subjects randomly selected from the general population (n = 165). Information was drawn from an insurance database collected over a 5-year period. The results showed that the BPD group had a higher mean number of medication prescriptions (377.3 vs. 97.4, p < 0.001), general medical consultations (34.4 vs. 13.2, p < 0.05) and days of medical or surgical hospitalization (10.2 vs. 1.9, p = 0.03). However, there were no significant differences between the groups with BPD and other PDs. The annual health-care cost for each BPD patient is estimated to be 12 761 euros, of which 17.6% is due to somatic care. In the BPD group, co-morbidity for narcissistic PD (NPD) contributed to the overall use of medications and hospitalization use. Combined with other data, this exploratory study shows that BPD is a medical burden and not just a psychiatric one. Copyright © 2016 John Wiley & Sons, Ltd.
边缘型人格障碍（BPD）患者使用医疗服务的比率已被证明有所增加。这项多中心研究的目的是比较重度BPD患者（n = 36）与两个对照组在身体健康服务利用方面的情况：一个对照组是患有其他人格障碍（PDs）的患者（n = 38），另一个对照组是从普通人群中随机选取的匹配对象（n = 165）。信息来自于一个在5年期间收集的保险数据库。结果显示，BPD组的平均药物处方数量更多（377.3对97.4，p < 0.001），普通医疗咨询次数更多（34.4对13.2，p < 0.05），以及医疗或外科住院天数更多（10.2对1.9，p = 0.03）。然而，BPD组与其他PDs组之间没有显著差异。估计每位BPD患者的年度医疗保健费用为12761欧元，其中17.6%用于躯体护理。在BPD组中，自恋型人格障碍（NPD）的共病导致了药物的总体使用和住院使用。结合其他数据，这项探索性研究表明BPD是一种医疗负担，而不仅仅是一种精神负担。版权所有© 2016约翰·威利父子有限公司。
