Institute for Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Mannheim, Heidelberg University, Heidelberg, Germany.
Department of Health, Antwerp University, Antwerp, Belgium.
J Pers Disord. 2020 Jun;34(3):289-307. doi: 10.1521/pedi_2018_32_394. Epub 2018 Sep 4.
Longitudinal studies provide substantial evidence for a high rate of symptomatic remission in borderline personality disorder (BPD), while social and vocational functioning seems to remain consistently impaired. Less data is available on recovery and the associated objective and personal indicators. We examined 58 patients 12-18 years after their diagnosis of BPD and compared two different recovery criteria: observer-based global assessment of functioning and self-rated satisfaction with life (SWL). Symptomatic remission was observed in 81% of the participants (according to ), but only 44% of them achieved a GAF level > 60, and only 49% reported SWL within the range of one standard deviation of the normal population. In line with previous research, our data show that symptom remission alone is an insufficient indicator for recovery from BPD. Replacing the GAF with patient-reported satisfaction with life considers empowerment in BPD and offers an efficient alternative criterion for recovery.
纵向研究为边缘型人格障碍（BPD）的高症状缓解率提供了充分证据，而社会和职业功能似乎仍然持续受损。关于康复以及相关的客观和个人指标的数据较少。我们对 BPD 诊断后 12-18 年的 58 名患者进行了检查，并比较了两种不同的康复标准：基于观察者的功能全面评估和自我报告的生活满意度（SWL）。81%的参与者（根据）观察到症状缓解，但只有 44%的参与者达到 GAF 水平>60，只有 49%的参与者报告 SWL 在正常人群的一个标准差范围内。与先前的研究一致，我们的数据表明，仅症状缓解是 BPD 康复的一个不充分指标。用患者报告的生活满意度代替 GAF 考虑到了 BPD 中的赋权，并为康复提供了一种有效的替代标准。
