PMID- 17427099 OWN - NLM STAT- MEDLINE DCOM- 20070620 LR - 20070411 IS - 0937-2032 (Print) IS - 0937-2032 (Linking) VI - 57 IP - 3-4 DP - 2007 Mar-Apr TI - [Effectiveness of dialectical behavior therapy for patients with borderline personality disorder in the long-term course--a 30-month-follow-up after inpatient treatment]. PG - 161-9 AB - BACKGROUND: The beneficial effects of Dialectical Behavior Therapy (DBT) for patients with borderline personality disorder (BPD) are well established. However, it is not well known whether this type of treatment relieves symptoms and signs of BPD in the long-term course thereafter and whether the results of DBT are transferable for patients with high comorbidity. METHODS: We conducted a follow-up examination of 50 consecutive inpatients with BPD as defined by DSM-IV. The patients were examined at admission, at discharge and 15 and 30 months after discharge. For the clinical diagnosis and to survey psychopathology we used the Structured Clinical Interview for DSM-IV (SCID), the Global Assessment of Functioning (GAF) and several self-rating-instruments. RESULTS: Compared to admission 30 months after discharge we observed the following results: A significant number of patients did not meet the DSM-IV criteria for BPD anymore, comorbidity (particularly mood disorders, drug or alcohol abuse/dependence and eating disorders) was reduced, psychosocial functioning was improved and general and BPD-typical symptoms were relieved. CONCLUSION: Our findings support the efficacy of DBT in an inpatient setting and show that the achieved success of therapy is stable for a prolonged period of time. Patients with high comorbidity seem to profit from DBT as well. FAU - Fassbinder, Eva AU - Fassbinder E AD - Klinik fur Psychiatrie und Psychotherapie, Universitatsklinikum Schleswig-Holstein, Campus Lubeck, Ratzeburger Allee 160, 23538 Lubeck. eva.fassbinder@psychiatrie.uk-sh.de FAU - Rudolf, Sebastian AU - Rudolf S FAU - Bussiek, Anke AU - Bussiek A FAU - Kroger, Christoph AU - Kroger C FAU - Arnold, Rudiger AU - Arnold R FAU - Greggersen, Wiebke AU - Greggersen W FAU - Huppe, Michael AU - Huppe M FAU - Sipos, Valerija AU - Sipos V FAU - Schweiger, Ulrich AU - Schweiger U LA - ger PT - English Abstract PT - Journal Article TT - Effektivitat der dialektischen Verhaltenstherapie bei Patienten mit Borderline-Personlichkeitsstorung im Langzeitverlauf--Eine 30-Monats-Katamnese nach stationarer Behandlung. PL - Germany TA - Psychother Psychosom Med Psychol JT - Psychotherapie, Psychosomatik, medizinische Psychologie JID - 8002823 SB - IM MH - Adult MH - *Behavior Therapy MH - Borderline Personality Disorder/epidemiology/*psychology/*therapy MH - Comorbidity MH - Female MH - Follow-Up Studies MH - Humans MH - Inpatients MH - Long-Term Care MH - Male MH - Psychiatric Status Rating Scales MH - Self Concept MH - Social Behavior EDAT- 2007/04/12 09:00 MHDA- 2007/06/21 09:00 CRDT- 2007/04/12 09:00 PHST- 2007/04/12 09:00 [pubmed] PHST- 2007/06/21 09:00 [medline] PHST- 2007/04/12 09:00 [entrez] AID - 10.1055/s-2006-952015 [doi] PST - ppublish SO - Psychother Psychosom Med Psychol. 2007 Mar-Apr;57(3-4):161-9. doi: 10.1055/s-2006-952015.