Citation

Wilberg T, Friis S, Karterud S, Mehlum L, Urnes, Vaglum P. Nord. J. Psychiatry 1998; 52(3): 213-221.

Copyright

(Copyright © 1998, Informa - Taylor and Francis Group)

DOI

10.1080/08039489850139139

PMID

unavailable

Abstract

Our objective was to investigate, in a naturalistic, prospective study, the follow-up status of patients with borderline personality disorder (BPD) treated with a combination of day treatment and subsequent outpatient group psychotherapy (G-group, n = 12) and compare their status with that of patients with BPD treated in the same day hospital but without subsequent outpatient group therapy (Non-G-group, n = 31). At follow-up an average of 34 months after discharge from the day hospital, the G-group patients had a moderate impairment in global health (HSRS), a low level of symptoms (GSI), a low rate of rehospitalization and suicide attempts, and a high rate of remission from substance use disorders. Compared with the Non-G-group, the G-group patients had a significantly higher HSRS and a significantly lower GSI at follow-up. In multivariate analyses controlling for background and treatment variables, number of months in work last year before admission and outpatient group therapy predicted a better HSRS at follow-up. Outpatient group therapy contributed significantly to a lower GSI, and percentage time on medication during the follow-up period contributed significantly to a higher GSI at follow-up. The results support the clinical experience that a treatment model combining day treatment and outpatient group psychotherapy may be favorable for selected patients with BPD.

Language: en

Keywords

adult; article; Borderline personality disorder; borderline state; clinical trial; controlled clinical trial; controlled study; day hospital; Day treatment; female; follow up; Follow-up study; Group psycotherapy; group therapy; hospital discharge; hospitalization; human; major clinical study; male; multivariate analysis; outpatient care; psychotherapy; remission; substance abuse; suicide attempt; symptom; treatment outcome