The Chestnut Lodge Follow-up Study: III. Long-term Outcome of Borderline Personalities
Abstract
This report elaborates the long-term course and outcome for systematically rediagnosed patients with borderline personality disorder (n = 81) from the Chestnut Lodge follow-up study. They were assessed and are described from multiple outcome perspectives. Schizophrenic (n = 163) and unipolar affective disorder (n = 44) cohorts serve for comparison. Borderline patients were comparable with unipolar patients and scored significantly better than schizophrenic patients on most indexes of outcome. Outcome also varied over time, with borderline patients functioning best in the second decade after discharge.
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Four large follow-back studies reported mean scores of 63-67 for borderline patients on scales preceding the GAF.
“However, all four studies assessed overall outcome and found that the borderline patients received a mean score of 63–67 on scales that were precursors to the Global Assessment of Functioning (1–4).”
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- Authors
- McGlashan, T. H.
- Corresponding author
- McGlashan, Thomas H.
- ORCID
- McGlashan, Thomas H.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1986-01-01
- Volume
- 43
- Issue
- 1
- Pages
- 20
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W1968118336
- Cited by
- 304
- References
- 20
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 1 · 2014: 7 · 2013: 9 · 2012: 10
- FWCI
- 11.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 35174-02)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- borderline personality disorder, long-term outcomes, rediagnosis, schizophrenia, unipolar affective disorder, psychiatric hospitalization, follow-up study, recovery over time
- MeSH terms
- Adult, Borderline Personality Disorder, Depressive Disorder, Employment, Female, Follow-Up Studies, Hospitalization, Humans, Male, Personality Disorders, Schizophrenic Psychology, Social Adjustment
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