Literature DB >> 18759803

The course of dissociation for patients with borderline personality disorder and axis II comparison subjects: a 10-year follow-up study.

M C Zanarini1, F R Frankenburg, S Jager-Hyman, D B Reich, G Fitzmaurice.   

Abstract

OBJECTIVE: The purpose of this study was to assess the severity of dissociation reported by borderline patients and axis II comparison subjects over 10 years of prospective follow-up.
METHOD: The Dissociative Experiences Scale (DES) - a 28-item self-report measure - was administered to 290 borderline in-patients and 72 axis II comparison subjects during their index admission. It was also re-administered at five contiguous 2-year follow-up periods.
RESULTS: The overall severity of dissociative experiences of those in both study groups decreased significantly over time but was discernibly greater in borderline patients (61% vs. 43%). The same pattern emerged for the subtypes of dissociation that were studied: absorption, depersonalization and amnesia.
CONCLUSION: The severity of dissociation declines significantly over time for even severely ill borderline patients. However, it remains as a recurring problem for over a third of those with DES scores that initially were in the range associated with trauma-spectrum disorders.

Entities:  

Mesh:

Year:  2008        PMID: 18759803      PMCID: PMC3876894          DOI: 10.1111/j.1600-0447.2008.01247.x

Source DB:  PubMed          Journal:  Acta Psychiatr Scand        ISSN: 0001-690X            Impact factor:   6.392


  24 in total

1.  The dissociative experiences of borderline patients.

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4.  Clinical features of the borderline personality disorder.

Authors:  J C Perry; G L Klerman
Journal:  Am J Psychiatry       Date:  1980-02       Impact factor: 18.112

5.  A comparison of borderline with depressed and schizophrenic patients on a new diagnostic interview.

Authors:  P H Soloff
Journal:  Compr Psychiatry       Date:  1981 May-Jun       Impact factor: 3.735

6.  A self-report Borderline Scale. Discriminative validity and preliminary norms.

Authors:  H R Conte; R Plutchik; T B Karasu; I Jerrett
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7.  Borderline and schizophrenic patients: A comparative study.

Authors:  J G Gunderson; W T Carpenter; J S Strauss
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8.  A comparative study of borderline patients in a psychiatric outpatient clinic.

Authors:  M Sheehy; L Goldsmith; E Charles
Journal:  Am J Psychiatry       Date:  1980-11       Impact factor: 18.112

9.  Mental health service utilization by borderline personality disorder patients and Axis II comparison subjects followed prospectively for 6 years.

Authors:  Mary C Zanarini; Frances R Frankenburg; John Hennen; Kenneth R Silk
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10.  The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder.

Authors:  Mary C Zanarini; Frances R Frankenburg; John Hennen; Kenneth R Silk
Journal:  Am J Psychiatry       Date:  2003-02       Impact factor: 18.112

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  11 in total

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Review 6.  Dissociation and borderline personality disorder: an update for clinicians.

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7.  Levels of Depersonalization and Derealization Reported by Recovered and Non-recovered Borderline Patients Over 20 Years of Prospective Follow-up.

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Review 9.  Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder.

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10.  Hallucinations in borderline personality disorder: Prevalence, characteristics and associations with comorbid symptoms and disorders.

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