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Two-year follow-up of borderline personality disorder patients in Italy: A preliminary report on prognosis and prediction of outcome

Author

Listed:
  • Chiara De Panfilis

    (Section of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy, chiara.depanfilis@unipr.it)

  • Virginia Politi

    (School of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

  • Renata Fortunati

    (School of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

  • Roberto Cazzolla

    (School of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

  • Mariafrancesca Scaramuzzino

    (School of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

  • Carlo Marchesi

    (Section of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

  • Carlo Maggini

    (Section of Psychiatry, Department of Neuroscience, Parma University, Parma, Italy)

Abstract

Background and Aims: Few naturalistic studies have examined the course of borderline personality disorder (BPD) outside North American countries. The aim of this prospective study was to investigate remission rate, changes in the level of BPD psychopathology and outcome prediction in a sample ( n = 46) of Italian BPD outpatients over a two-year follow-up. Method: Two years after baseline, remission rate from BPD and changes in the severity of BPD psychopathology were investigated. Initial measures of borderline, comorbid Axis I and II psychopathology and clinical severity, as well as historical and socio-demographic variables, were used to predict the number of BPD criteria met at follow-up. Results: At the two-year interview, the mean number of BPD criteria endorsed decreased ( p = 0.04) and 12 participants (26.1%) fell below the diagnostic threshold for BPD. Borderline psychopathology at follow-up was predicted by the presence, at baseline, of substance use disorders and self-defeating personality traits, and by the absence of dependent traits ( R 2 = 0.409; p

Suggested Citation

  • Chiara De Panfilis & Virginia Politi & Renata Fortunati & Roberto Cazzolla & Mariafrancesca Scaramuzzino & Carlo Marchesi & Carlo Maggini, 2011. "Two-year follow-up of borderline personality disorder patients in Italy: A preliminary report on prognosis and prediction of outcome," International Journal of Social Psychiatry, , vol. 57(5), pages 528-537, September.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:5:p:528-537
    DOI: 10.1177/0020764010368619
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