Longitudinal Course of Physical and Psychosocial Impairment in Patients With Borderline Personality Disorder and Personality-Disordered Comparison Subjects: Description and Prediction.

This study describes the 8-year course of physical and psychosocial impairment in middle-aged patients with borderline personality disorder (BPD) and other personality disorders (OPD). This study also compares BPD subgroups (recovered vs. nonrecovered) and explores predictors of physical impairment....

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Publicado en:Journal of Personality Disorders Vol. 38; no. 6; pp. 503 - 520
Autores principales: Glass, Isabel V., Frankenburg, Frances R., Fitzmaurice, Garrett M., Zanarini, Mary C.
Formato: research tables/charts Journal Article
Publicado: Guilford Publications Inc. Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 38
      iid: 6
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      pub: Guilford Publications Inc.
      place: New York, New York
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        10.1521/pedi.2024.38.6.503
        181811042
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        atl: Longitudinal Course of Physical and Psychosocial Impairment in Patients With Borderline Personality Disorder and Personality-Disordered Comparison Subjects: Description and Prediction.
      aug:
        au:
          Glass, Isabel V.
          Frankenburg, Frances R.
          Fitzmaurice, Garrett M.
          Zanarini, Mary C.
        affil: From Laboratory for the Study of Adult Development, McLean Hospital
      sug:
        subj:
          Borderline Personality Disorder Complications
          Cognition Disorders In Middle Age
          Psychosocial Functioning
          Functional Status
          Human
          Female
          Male
          Middle Age
          Prospective Studies
          Interviews
          DSM
          Short Form-36 Health Survey (SF-36)
          Questionnaires
          Disease Remission
          Recovery
          T-Tests
          Post Hoc Analysis
          Statistical Significance
          Comparative Studies
          Prediction Models
          Bivariate Statistics
          Multivariate Analysis
          Correlation Coefficient
          Confidence Intervals
          Descriptive Statistics
          Funding Source
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study describes the 8-year course of physical and psychosocial impairment in middle-aged patients with borderline personality disorder (BPD) and other personality disorders (OPD). This study also compares BPD subgroups (recovered vs. nonrecovered) and explores predictors of physical impairment. Patients (N = 282) were assessed as part of the McLean Study of Adult Development. Physical and psychosocial impairments were assessed using the 36-Item Short-Form Health Survey. Patients with BPD reported significantly more impairment than OPD patients across all domains. Nonrecovered BPD patients reported significantly more impairment than their recovered counterparts. Three medical conditions (osteoarthritis, chronic fatigue syndrome, and obesity) and two symptomatic disorders (mood disorder and posttraumatic stress disorder) were significant multivariate predictors of physical impairment in BPD patients. These results suggest that BPD patients experience serious functioning impairment that persists over time and that physical functioning impairments reported by these patients are strongly related to certain physical and psychiatric health conditions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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