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http://hdl.handle.net/2445/175985
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DC Field | Value | Language |
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dc.contributor.author | Álvarez Tomás, Irene | - |
dc.contributor.author | Ruiz Rodríguez, José | - |
dc.contributor.author | Guilera Ferré, Georgina | - |
dc.contributor.author | Bados López, Arturo | - |
dc.date.accessioned | 2021-04-06T10:58:02Z | - |
dc.date.available | 2021-04-06T10:58:02Z | - |
dc.date.issued | 2019-02 | - |
dc.identifier.issn | 0924-9338 | - |
dc.identifier.uri | http://hdl.handle.net/2445/175985 | - |
dc.description.abstract | Background: This meta-analytic review is the first to synthesize findings from prospective research on the long-term course of borderline personality disorder in adult clinical populations. Methods: Systematic searches were conducted in Medline, PsycINFO, PsycArticles, PubMed, and Scopus within the period 1990-2017. Inclusion criteria were: (1) adult BPD sample diagnosed by a validated, semi-structured interview; (2) at least two prospective assessments of outcomes; and (3) follow-up period ≥ 5 years. Quality of evidence was rated with the Systematic Assessment of Quality in Observational Research (SAQOR). Four outcomes were meta-analysed using mixed-effect methods: remission from BPD diagnosis, completed suicide, depressive symptoms, and functioning. Potential moderators regarding the natural course and the initial treatment received were studied. Results: Eleven studies met the inclusion criteria, with 837 participants from nine countries being followed. Between 50% and 70% of the BPD patients achieved remission in the long-term. Significant reductions in depression and functional impairment were also found. Mean suicide rate ranged from 2% to 5%. Younger age was associated with a higher likelihood of remission. Being female was correlated with lower functional improvement. Despite some positive trends, there were no significant associations between treatment moderators and the long-term outcome. Conclusions: Findings suggest that the course of BPD is characterized by symptomatic amelioration and a slight functional improvement in the long-term. Age and gender modulate the long-term prognosis and should be considered to adapt treatment resources. Further research is required to draw robust conclusions on the long-term effects of psychotherapeutic interventions. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Cambridge University Press | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.eurpsy.2018.10.010 | - |
dc.relation.ispartof | European Psychiatry, 2019, vol. 56, num. 1, p. 75-83 | - |
dc.relation.uri | https://doi.org/10.1016/j.eurpsy.2018.10.010 | - |
dc.rights | (c) Elsevier Masson SAS, 2019 | - |
dc.source | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) | - |
dc.subject.classification | Trastorns límits de la personalitat | - |
dc.subject.classification | Metaanàlisi | - |
dc.subject.other | Borderline personality disorder | - |
dc.subject.other | Meta-analysis | - |
dc.title | Long-term clinical and functional course of Borderline Personality Disorder: A meta-analysis of prospective studies | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 682602 | - |
dc.date.updated | 2021-04-06T10:58:02Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Psicologia Social i Psicologia Quantitativa) Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
Files in This Item:
File | Description | Size | Format | |
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682602.pdf | 610.57 kB | Adobe PDF | View/Open |
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