Links P S, Mitton M J, Steiner M
Department of Psychiatry, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1993 May;38(4):255-9. doi: 10.1177/070674379303800406.
This study examines the course of illness and stability of borderline personality disorder (BPD) in a group of inpatients seen at a two-year follow-up. The diagnosis of borderline personality disorder, as established by the use of the Diagnostic Interview for Borderlines, did not change in 39 of the 65 subjects (60%) studied. Subjects who continued to show evidence of borderline psychopathology experienced more acute episodes of illness during the follow-up period and tended to be more involved in substance abuse. Impulsiveness and young age when first psychiatric care was received significantly predicted the presence of BPD features at follow-up.
本研究考察了一组住院患者在两年随访期间边缘型人格障碍(BPD)的病程及稳定性。通过使用边缘型人格障碍诊断访谈确定的边缘型人格障碍诊断,在65名研究对象中的39名(60%)未发生变化。在随访期间,持续表现出边缘型精神病理学证据的对象经历了更多急性发病期,且往往更多地涉及药物滥用。首次接受精神科护理时的冲动性和年轻显著预测了随访时边缘型人格障碍特征的存在。