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

Chiara De Panfilis, Virginia Politi, Renata Fortunati, Roberto Cazzolla, Mariafrancesca Scaramuzzino, Carlo Marchesi and Carlo Maggini
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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

International Journal of Social Psychiatry, 2011, vol. 57, issue 5, 528-537

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

Keywords: Borderline personality disorder; outcome; outcome predictors; socio-cultural factors; comorbidity; personality traits (search for similar items in EconPapers)
Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:57:y:2011:i:5:p:528-537

DOI: 10.1177/0020764010368619

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