Psychiatry, McGill University Health Centre, Montreal, Quebec, Canada.
Institute of Community and Family Psychiatry, McGill University, Montreal, Canada.
Personal Ment Health. 2018 Aug;12(3):252-264. doi: 10.1002/pmh.1421. Epub 2018 Apr 30.
This study examines the clinical outcomes of two clinics for borderline personality disorder (BPD) in a naturalistic setting, offering a stepped care model with both short-term (ST) treatment lasting 12 weeks and extended care (EC) up to 24 months.
A total of 479 patients attending the ST clinic and 145 attending the EC clinic were assessed on depression, impulsivity, self-esteem, emotion dysregulation, substance abuse, self-harm and suicidality.
There were significant reductions in all symptoms in both clinics with the exception that substance abuse was only reduced in the EC clinic. On all symptoms, no significant differences in magnitude of changes were observed between patients who stayed in EC clinic for 6-12 months in comparison to those who stayed for 18-24 months.
These results support the concept that for the majority of patients with BPD, brief treatment can be effective. While some patients still need longer treatment, the results are encouraging for brief treatment as a first step for the majority of patients with BPD. While this study adds to the weight of evidence to support ST interventions for patients with BPD, further research using a control group is needed. Copyright © 2018 John Wiley & Sons, Ltd.
本研究考察了在自然环境下，两家边缘型人格障碍（BPD）诊所的临床治疗效果，提供了一个包括短期治疗（ST）和长期扩展治疗（EC）的阶梯式护理模式，ST 治疗持续 12 周，EC 治疗可持续长达 24 个月。
共有 479 名参加 ST 诊所治疗的患者和 145 名参加 EC 诊所治疗的患者接受了抑郁、冲动、自尊、情绪失调、物质滥用、自残和自杀意念的评估。
两个诊所的所有症状都有显著改善，但 EC 诊所的物质滥用症状除外。在所有症状方面，在 EC 诊所停留 6-12 个月的患者与停留 18-24 个月的患者相比，其治疗效果没有明显差异。
这些结果支持了对于大多数 BPD 患者，简短的治疗可以是有效的这一概念。虽然有些患者仍需要更长时间的治疗，但对于大多数 BPD 患者来说，简短治疗作为第一步的结果是令人鼓舞的。虽然这项研究增加了支持 BPD 患者 ST 干预的证据权重，但仍需要使用对照组的进一步研究。版权所有 © 2018 约翰威立父子公司。
