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Cited by 277Personality Disorders and PsychopathologyBipolar Disorder and TreatmentMental Health Research Topics

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Time to Attainment of Recovery From Borderline Personality Disorder and Stability of Recovery: A 10-year Prospective Follow-Up Study

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Zanarini, Mary C., Frankenburg, Frances R., Reich, D. Bradford, Fitzmaurice, Garrett·2010·American Journal of Psychiatry
DOI 10.1176/appi.ajp.2009.09081130PMC PMC3203735
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Abstract

OBJECTIVE: The purposes of this study were to determine time to attainment of recovery from borderline personality disorder and to assess the stability of recovery. METHOD: A total of 290 inpatients who met both DSM-III-R and Revised Diagnostic Interview for Borderlines criteria for borderline personality disorder were assessed during their index admission using a series of semistructured interviews and self-report measures. The same instruments were readministered every 2 years for 10 years. RESULTS: Over the study period, 50% of participants achieved recovery from borderline personality disorder, which was defined as remission of symptoms and having good social and vocational functioning during the previous 2 years. Overall, 93% of participants attained a remission of symptoms lasting at least 2 years, and 86% attained a sustained remission lasting at least 4 years. Of those who achieved recovery, 34% lost their recovery. Of those who achieved a 2-year remission of symptoms, 30% had a symptomatic recurrence, and of those who achieved a sustained remission, only 15% experienced a recurrence. CONCLUSIONS: Taken together, the results of this study suggest that recovery from borderline personality disorder, with both symptomatic remission and good psychosocial functioning, seems difficult for many patients to attain. The results also suggest that once attained, such a recovery is relatively stable over time.

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  1. Zanarini MC, 1992, Background Information Schedule
  2. Anthony WA, 2002, Psychiatric Rehabilitation, 2nd ed

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Metadata

Authors
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G.
Affiliations
  • Harvard University (US)
  • McLean Hospital (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2010-06-01
Volume
167
Issue
6
Pages
663-667
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.2009.09081130
PMC
PMC3203735
OpenAlex
W2115471179
Cited by
276
References
21
Citations by year
2026: 12 · 2025: 9 · 2024: 13 · 2023: 11 · 2022: 10 · 2021: 40 · 2020: 14 · 2019: 17 · 2018: 25 · 2017: 10 · 2016: 17 · 2015: 15 · 2014: 18 · 2013: 20 · 2012: 24
FWCI
22.43
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (MH-62169, R29MH047588, R01MH062169, MH-47588)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
borderline personality disorder, recovery, remission, relapse, time to recovery, psychosocial functioning, vocational functioning, hospitalized patients, long-term follow-up
MeSH terms
Adolescent, Adult, Borderline Personality Disorder, Female, Follow-Up Studies, Hospitalization, Humans, Male, Prospective Studies, Psychiatric Department, Hospital, Remission Induction, Retention, Psychology, Time Factors, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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