Personality disorders 2–5 years after treatment: a prospective follow‐up study

Mehlum, Lars; Friis, Svein; Irion, Torill; Johns, Siri; Karterud, Sigmund; Vaglum, Per; Vaglum, Sonja

doi:10.1111/j.1600-0447.1991.tb01423.x

Cited by 76 publications

(42 citation statements)

References 21 publications

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“…While it is apparent that there is an additional public health burden associated with certain personality disorders, we do not yet have evidence that these patients are receiving adequate or appropriate treatment. Although patients with borderline personality disorder and schizotypal personality disorder have the most extensive treatment histories and a relatively high incidence of psychiatric hospitalizations, these same individuals continue to function at lower levels than patients with other personality disorders and those with no personality disorder (27). These trends continue in spite of increasing evidence (15,38,39) that the mental health system often fails to recognize the cost-effectiveness of appropriate psychotherapy for sicker patients, relying too heavily on more resource-intensive inpatient treatments.…”

Section: Discussionmentioning

confidence: 99%

Treatment Utilization by Patients With Personality Disorders

Bender¹,

Dolan²,

Skodol³

et al. 2001

AJP

681

422

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Section: Discussionmentioning

confidence: 99%

Treatment Utilization by Patients With Personality Disorders

Bender¹,

Dolan²,

Skodol³

et al. 2001

AJP

681

422

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“…They are not appropriate reflections of the natural history. A much shorter follow-up, of a prospective kind, coming from Mehlum et al (1991) also concerned a treated group who had day hospital treatment for an average 5 . 5 months.…”

Section: Discussionmentioning

confidence: 99%

Five-year outcome of outpatient psychotherapy with borderline patients

2005

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Background. Borderline personality disorder (BPD) is a serious mental illness. Due to scepticism about the effectiveness of its treatment, the care of these patients is neglected. In this study we evaluated the effect of treatment 5 years after its ending, of patients with BPD.Method. Thirty subjects were treated twice weekly for 1 year by psychotherapy based on the 'Conversational Model ' of Hobson. Outcome measures included time in hospital, number of episodes of violence and self-harm, number of medical appointments, drug use and work history. A 'morbidity budget ' made up of these items was collated for the year before treatment, the year following treatment, and for the year preceding the 5-year follow-up. Additional measures included DSM-III criteria and a self-report of symptoms. These outcomes were compared to a hypothetical natural history of BPD constructed from the DSM scores of 150 borderline patients aged between 18 and 52 years.Results. Except for one measure, the improvements evident 1 year following treatment were maintained 4 years later. This improvement was not predicted by the hypothetical natural history. Conclusion.A particular form of treatment of BPD has relatively long-lasting, beneficial effects.

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“…Results were kept at follow up with a tendency to further improvement. Follow-up studies from day clinics treating severe personality disorders (mostly based on psychoanalytic/psychodynamic concepts) showed a maintenance of results (25,40) or a slight decrease in improvement (41).…”

Section: Discussionmentioning

confidence: 99%