Comprehensive Psychiatry
Volume 42, Issue 6 , Pages 482-487, November 2001

A 27-year follow-up of patients with borderline personality disorder

From the Department of Psychiatry, McGill University; SMBD-Jewish General Hospital; and the Department of Psychology, Concordia University, Montreal, Canada.

Abstract 

Sixty-four patients with borderline personality disorder (BPD) were followed up for a mean of 27 years. Outcome was assessed using the Diagnostic Interview for Borderlines, Revised (DIB-R); the Schedule for DSM-III-R Diagnosis (SCID); Global Assessment of Functioning (GAF); the Symptom Check List-90 (SCL-90); and the Social Adjustment Scale (SAS-SR). Most patients showed significant improvement as compared to a previous 15-year follow-up, with only five currently meeting criteria for BPD. Mean GAF score was 63.3, mean SCL-90 raw score was 0.7, and mean SAS-SR score was 2.0. Fourteen subjects met SCID criteria for dysthymia, and this subgroup had a significantly poorer outcome on all measures. The total percentage of suicides from the original cohort has reached 10.3%, with 18.2% of all patients now deceased.

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PII: S0010-440X(01)17903-4

doi:10.1053/comp.2001.26271

Comprehensive Psychiatry
Volume 42, Issue 6 , Pages 482-487, November 2001

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