Long-Term Course of Borderline Personality Disorder: A Prospective 10-Year Follow-Up Study

The aim of this prospective study was to expand previously reported evidence on the 10-year clinical and functional course of borderline personality disorder (BPD) in a Spanish sample. Participants diagnosed with BPD were assessed at baseline and at 10-year follow-up to evaluate BPD symptomatology a...

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Bibliographic Details
Published in:Journal of personality disorders 2017-10, Vol.31 (5), p.590-605
Main Authors: Alvarez-Tomás, Irene, Soler, Joaquim, Bados, Arturo, Martín-Blanco, Ana, Elices, Matilde, Carmona, Cristina, Bauzà, Joana, Pascual, Juan Carlos
Format: Article
Language:English
Subjects:
Adolescent
Adult
Borderline personality disorder
Borderline Personality Disorder - psychology
Comorbidity
Diagnostic and Statistical Manual of Mental Disorders
Female
Follow-Up Studies
Humans
Longitudinal Studies
Male
Middle Aged
Personality disorders
Prospective Studies
Quantitative psychology
Social psychology
Suicides & suicide attempts
Time Factors
Young Adult
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Summary:The aim of this prospective study was to expand previously reported evidence on the 10-year clinical and functional course of borderline personality disorder (BPD) in a Spanish sample. Participants diagnosed with BPD were assessed at baseline and at 10-year follow-up to evaluate BPD symptomatology and other relevant clinical measures, suicidal behavior, dimensional personality traits, Axis I and II comorbidity, use of mental health resources, and psychosocial functioning. At the 10-year follow up, significant improvements were observed on BPD domains, suicidal behavior, and other clinical measures. Neuroticism, impulsiveness, and aggression-hostility features trended toward normalization, whereas activity and sociability were impaired over time. Comorbidity with Axis I and personality disorders remained high. Social functioning and occupational functioning were largely unchanged. These findings confirm the tendency toward a symptomatic remission of BPD over the long term with regard to symptom criteria and characteristic dimensional traits. However, psychosocial functioning remains impaired.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi_2016_30_269