McGlashan T H
Arch Gen Psychiatry. 1986 Jan;43(1):20-30. doi: 10.1001/archpsyc.1986.01800010022003.
This report elaborates the long-term course and outcome for systematically rediagnosed patients with borderline personality disorder (n = 81) from the Chestnut Lodge follow-up study. They were assessed and are described from multiple outcome perspectives. Schizophrenic (n = 163) and unipolar affective disorder (n = 44) cohorts serve for comparison. Borderline patients were comparable with unipolar patients and scored significantly better than schizophrenic patients on most indexes of outcome. Outcome also varied over time, with borderline patients functioning best in the second decade after discharge.
本报告阐述了来自栗树屋随访研究中经系统重新诊断的边缘性人格障碍患者（n = 81）的长期病程及转归。从多个转归角度对他们进行了评估并加以描述。选取了精神分裂症患者（n = 163）和单相情感障碍患者（n = 44）队列作为对照。边缘性人格障碍患者与单相情感障碍患者情况相当，且在大多数转归指标上的得分显著高于精神分裂症患者。转归情况也随时间变化，边缘性人格障碍患者在出院后的第二个十年中功能状况最佳。
