PMID- 29709109
OWN - NLM
STAT- MEDLINE
DCOM- 20190101
LR  - 20190101
IS  - 1932-863X (Electronic)
IS  - 1932-8621 (Linking)
VI  - 12
IP  - 3
DP  - 2018 Aug
TI  - Clinical outcomes of a stepped care program for borderline personality disorder.
PG  - 252-264
LID - 10.1002/pmh.1421 [doi]
AB  - OBJECTIVE: This study examines the clinical outcomes of two clinics for 
      borderline personality disorder (BPD) in a naturalistic setting, offering a 
      stepped care model with both short-term (ST) treatment lasting 12 weeks and 
      extended care (EC) up to 24 months. METHODS: A total of 479 patients attending 
      the ST clinic and 145 attending the EC clinic were assessed on depression, 
      impulsivity, self-esteem, emotion dysregulation, substance abuse, self-harm and 
      suicidality. RESULTS: There were significant reductions in all symptoms in both 
      clinics with the exception that substance abuse was only reduced in the EC 
      clinic. On all symptoms, no significant differences in magnitude of changes were 
      observed between patients who stayed in EC clinic for 6-12 months in comparison 
      to those who stayed for 18-24 months. CONCLUSIONS: These results support the 
      concept that for the majority of patients with BPD, brief treatment can be 
      effective. While some patients still need longer treatment, the results are 
      encouraging for brief treatment as a first step for the majority of patients with 
      BPD. While this study adds to the weight of evidence to support ST interventions 
      for patients with BPD, further research using a control group is needed. 
      Copyright (c) 2018 John Wiley & Sons, Ltd.
CI  - Copyright (c) 2018 John Wiley & Sons, Ltd.
FAU - Laporte, Lise
AU  - Laporte L
AD  - Psychiatry, McGill University Health Centre, Montreal, Quebec, Canada.
FAU - Paris, Joel
AU  - Paris J
AD  - Institute of Community and Family Psychiatry, McGill University, Montreal, 
      Canada.
FAU - Bergevin, Tanya
AU  - Bergevin T
AD  - Psychology, McGill University Health Centre, Montreal, Quebec, Canada.
FAU - Fraser, Ronald
AU  - Fraser R
AD  - Psychiatry, McGill University, Montreal, Quebec, Canada.
FAU - Cardin, Jean-Francois
AU  - Cardin JF
AD  - Centre integre universitaire de sante et de services sociaux du 
      Centre-Sud-de-l'Ile-de-Montreal, Institut universitaire Jeunes en difficulte, 
      Montreal, Quebec, Canada.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180430
PL  - England
TA  - Personal Ment Health
JT  - Personality and mental health
JID - 101473502
SB  - IM
MH  - Adult
MH  - Borderline Personality Disorder/psychology/*therapy
MH  - Emotions/physiology
MH  - Female
MH  - Humans
MH  - Male
MH  - *Psychotherapy, Group
MH  - *Self Concept
MH  - Self-Injurious Behavior/psychology/*therapy
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2018/05/01 06:00
MHDA- 2019/01/02 06:00
CRDT- 2018/05/01 06:00
PHST- 2017/10/12 00:00 [received]
PHST- 2018/02/23 00:00 [revised]
PHST- 2018/03/07 00:00 [accepted]
PHST- 2018/05/01 06:00 [pubmed]
PHST- 2019/01/02 06:00 [medline]
PHST- 2018/05/01 06:00 [entrez]
AID - 10.1002/pmh.1421 [doi]
PST - ppublish
SO  - Personal Ment Health. 2018 Aug;12(3):252-264. doi: 10.1002/pmh.1421. Epub 2018 
      Apr 30.