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Axis I disorders are common in people with severe borderline personality disorder, but decrease with time

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Q What is the prevalence of axis I comorbidities in people with severe borderline personality disorders and how do they affect prognosis?


Embedded ImageDesign:

Prospective cohort study.

Embedded ImageSetting:

McLean Hospital, MA, USA; enrolment 1992–1995.

Embedded ImagePopulation:

362 adult inpatients (female 77%; Caucasian 87%; age 18–35 years (mean 27 years)) with DSM-III-R and Revised Diagnostic Interview for Borderlines (DIB-R) diagnosis of borderline personality disorder (BPD) (n = 290) or other axis II disorder (n = 72). Exclusions: non-English speaking; IQ <70; current or prior schizophrenia, schizoaffective disorder, bipolar I disorder, or an organic condition causing psychiatric symptoms.

Embedded ImageAssessment:

Three semistructured interviews at baseline and 2 year intervals to assess participants for borderline personality, axis I, and axis II disorders (Structured Clinical Interview for DSM-III-R Axis I disorders; DIB-R; Diagnostic Interview for DSM-III-R Personality …

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