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
Open accessAbstract
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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“While 50% of borderline patients attained a two-year recovery after 10 years of prospective follow-up (5), only 60% attained this outcome after an additional six years of prospective follow-up.”
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“In the McLean Study of Adult Development, it was found that 93% of the borderline patients achieved a remission that lasted at least two years but only 50% attained a two-year recovery, which was defined as concurrent symptomatic remission and good social and vocational functioning.”
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“These results are consistent with and extend our findings pertaining to the first 10 years of prospective follow-up in this study where we found that 30% of borderline patients had a recurrence of borderline personality disorder after a two-year long remission (5).”
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Cites
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“At follow-up, the patients in these studies received a mean score of 63–67 on either the Health-Sickness Rating Scale (5) or the Global Assessment Scale (6)—precursors to the Global Assessment of Functioning Scale (GAF).”
The Structured Clinical Interview for DSM-III-R (SCID): I: History, Rationale, and Description
Spitzer, R. L. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820080032005 · Cited by 4,336
Recurrence after recovery from major depressive disorder during 15 years of observational follow-up
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The Revised Diagnostic Interview for Borderlines: Discriminating BPD from other Axis II Disorders
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Self-citationClinicians' Judgments of Mental Health
Luborsky, L. B. (1962) · Archives of General Psychiatry · doi:10.1001/archpsyc.1962.01720060019002 · Cited by 463
The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and Implications
Skodol, A. E., Gunderson, J. G., Shea, M. T., McGlashan, T. H., Morey, L. C., Sanislow, C. A., Bender, D. S., Grilo, C. M., Zanarini, M. C., Yen, S., et al. (2005) · Journal of Personality Disorders · doi:10.1521/pedi.2005.19.5.487 · Cited by 450
Self-citationThe Chestnut Lodge Follow-up Study
McGlashan, T. H. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790170047006 · Cited by 447
Zanarini, M. C., & Frankenburg, F. R. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.24556 · Cited by 384
Self-citationZanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005) · Journal of Personality Disorders · doi:10.1521/pedi.2005.19.5.505 · Cited by 322
Self-citationSKODOL, A. E., PAGANO, M. E., BENDER, D. S., TRACIE SHEA, M., GUNDERSON, J. G., YEN, S., STOUT, R. L., MOREY, L. C., SANISLOW, C. A., GRILO, C. M., et al. (2005) · Psychological Medicine · doi:10.1017/s003329170400354x · Cited by 316
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Research works printed but not linked: 2
- Zanarini MC, 1992, Background Information Schedule
- Anthony WA, 2002, Psychiatric Rehabilitation, 2nd ed
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Sorted by citations
Gunderson, J. G. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.37 · Cited by 770
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11101550 · Cited by 484
Self-citationBorderline personality disorder
Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S. O., & Zanarini, M. C. (2018) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2018.29 · Cited by 511
Self-citationLeichsenring, F., Fonagy, P., Heim, N., Kernberg, O. F., Leweke, F., Luyten, P., Salzer, S., Spitzer, C., & Steinert, C. (2024) · World Psychiatry · doi:10.1002/wps.21156 · Cited by 399
Neuronal correlates of altered empathy and social cognition in borderline personality disorder
Dziobek, I., Preißler, S., Grozdanovic, Z., Heuser, I., Heekeren, H. R., & Roepke, S. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.05.005 · Cited by 300
Metadata
- Authors
- Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G.
- Affiliations
- Harvard University (US)
- McLean Hospital (US)
- Venue
- American Journal of Psychiatry
- Published
- 2010-06-01
- Volume
- 167
- Issue
- 6
- Pages
- 663-667
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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