Skodol A E, Buckley P, Charles E
J Nerv Ment Dis. 1983 Jul;171(7):405-10. doi: 10.1097/00005053-198307000-00003.
The prior psychiatric histories, dispositions, and treatment plans for a group of patients with borderline personality, evaluated in an outpatient clinic, were compared to those of evaluated patients diagnosed as having neurotic and/or other personality disorders or schizophrenia. Variables that were found to discriminate patients diagnosed as borderline from the other two groups included a history of past hospitalizations and their duration, frequency of prior outpatient treatment, previous use of psychotropic medications, rates of dropout and referral-out of the clinic, and number of treatment sessions received during a 2-year follow-up period. Patients with borderline personality who had the most previous treatment and the most severe symptoms received the least treatment. The histories of extensive previous treatment are consistent with the frequently brief and unsatisfactory nature of the index clinic contacts.
在门诊诊所对一组边缘性人格障碍患者的既往精神病史、诊断处置及治疗方案进行了评估，并与被诊断为患有神经症和/或其他人格障碍或精神分裂症的已评估患者进行了比较。发现能够将被诊断为边缘性人格障碍的患者与其他两组患者区分开来的变量包括既往住院史及其时长、既往门诊治疗频率、先前使用精神药物的情况、诊所内的退出率和转诊率，以及在2年随访期内接受的治疗疗程数。既往接受治疗最多且症状最严重的边缘性人格障碍患者接受的治疗最少。既往广泛治疗的病史与索引诊所接触常常短暂且不尽人意的性质相符。
