Brief Reports: Prospective Assessment of Treatment Use by Patients With Personality Disorders
Open accessAbstract
OBJECTIVE: This study examined the utilization of mental health treatments over a three-year period among patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorders compared with patients with major depressive disorder and no personality disorder. METHODS: A prospective, longitudinal study design was used to measure treatment use for 633 individuals aged 18 to 45 years during a three-year period. RESULTS: Patients with borderline personality disorder were significantly more likely than those with major depressive disorder to use most types of treatment. Furthermore, all patients continued using high-intensity, low-duration treatments throughout the study period, whereas individual psychotherapy attendance declined significantly after one year. CONCLUSIONS: Although our data showed that patients with borderline personality disorder used more mental health services than those with major depressive disorder, many questions remain about the adequacy of the treatment received by all patients with personality disorders.
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Previous studies found that patients with OPD were more likely to use specific types of treatment than patients with major depression.
“previous studies, which found that patients with OPD were more likely to use specific types of treatment than patients with major depression [18].”
These findings match the results of previous investigations of treatment utilization by patients with BPD.
“These findings match the results of previous investigations of treatment utilization by patients with BPD [9,18].”
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- Authors
- Bender, D. S., Skodol, A. E., Pagano, M. E., Dyck, I. R., Grilo, C. M., Shea, M. T., Sanislow, C. A., Zanarini, M. C., Yen, S., McGlashan, T. H., & Gunderson, J. G.
- Affiliations
- New York State Psychiatric Institute (US)
- Columbia University (US)
- Brown University (US)
- Yale University (US)
- Harvard University (US)
- ORCID
- Venue
- Psychiatric Services
- Published
- 2006-02
- Volume
- 57
- Issue
- 2
- Pages
- 254-257
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC2705621
- OpenAlex
- W2139952485
- Cited by
- 143
- References
- 8
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 11 · 2018: 11 · 2017: 5 · 2016: 10 · 2015: 4 · 2014: 8 · 2013: 7 · 2012: 11
- FWCI
- 9.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion, public-domain)
- WESLEYAN
- Funders
- National Institute on Aging
- National Institute of Mental Health (MH50850, MH 50840, MH-50837, MH 50839, MH 50838, K23MH073708, R10MH050850, R10MH050837, R01MH050838, R01MH050837, R01MH050840, R01MH050839, R01MH050850, R10MH050840, K23MH069904, R10MH050838, R10MH050839)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- personality disorders, mental health treatment utilization, borderline personality disorder, schizotypal personality disorder, avoidant personality disorder, obsessive-compulsive personality disorder, major depressive disorder, individual psychotherapy, treatment continuity
- MeSH terms
- Adolescent, Adult, Female, Follow-Up Studies, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Personality Assessment, Personality Disorders, Prospective Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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