Measuring changes in symptoms relevant to borderline personality disorder following short-term treatment across partial hospital and intensive outpatient levels of care

J Psychiatr Pract. 2006 May;12(3):153-9. doi: 10.1097/00131746-200605000-00004.

Abstract

Objective: This study examined whether measurable changes in symptoms relevant to borderline personality disorder (BPD) occur following short-term treatment across partial hospital and intensive outpatient levels of care. Preliminary data on symptom changes among patients with BPD during the first 3 months of treatment in a step-down treatment program are presented.

Methods: Of the 42 patients who entered the BPD-specific treatment program during the 18-month study period, 36 consented to participate in the study. Patients began treatment in the partial hospitalization program (where the average length of stay is 8 weeks) and then transitioned into the intensive outpatient program. Patients completed questionnaire packets upon admission, and again at 1 month and 3 months into treatment. The questionnaires assessed BPD-relevant behaviors and symptoms, including: mood and emotion dysregulation, parasuicidality, symptom severity, and quality of life.

Results: Results indicate significant and progressive improvements in mood and emotion dysregulation, parasuicidality, and symptom severity following 1 and 3 months of treatment. However, neither global functioning nor quality of life dramatically improved.

Conclusions: The findings from this study highlight the amenability of BPD-relevant symptoms to short-term treatments and demonstrate the possibility of measuring change in these symptoms within the very early phases of treatment.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Affect
  • Aftercare*
  • Analysis of Variance
  • Borderline Personality Disorder / psychology
  • Borderline Personality Disorder / therapy*
  • Day Care, Medical*
  • Emotions
  • Female
  • Humans
  • Male
  • Middle Aged
  • Progressive Patient Care*
  • Quality of Life
  • Self-Injurious Behavior
  • Time Factors
  • Treatment Outcome