Characterizing the Treatment of Inpatients with Emotionally Unstable Personality Disorder Borderline Type: A case-control study Naoki HAYASHI 1 , Atsushi IMAI 2 1Department of Psychiatry, Teikyo University School of Medicine, Tokyo, Japan 2Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital Keyword: Borderline personality disorder , Emotionally unstable personality disorder borderline type , Inpatient treatment , Case-control study pp.927-934
Published Date 2015/11/15
DOI https://doi.org/10.11477/mf.1405205057
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 Borderline personality disorder (BPD) defined in Diagnostic Statistical Manual of Mental disorders 3rd, 4th, and 5th versions, and its counterpart in International Classification of Diseases 10th revision, i.e., emotionally unstable personality disorder borderline type (EUPDBT), are frequently a cause of impulsive and destructive behaviors, which may lead to psychiatric hospitalization. This chart-review study was conducted for the purpose of clarifying the characteristics of treatment for inpatients with BPD. In this study, 57 patients with EUPDBT or BPD, and 57 age-and gender-matched non-personality disorder (PD) control patients who were hospitalized in a psychiatric center in Tokyo during a 3-year (2009-2011) period were evaluated. The clinical characteristics on admission, during inpatient treatment, and 1 year after-discharge were compared between patients with EUPDBT or BPD and controls. The analyses, including conditional logistic regression analysis, revealed that patients with EUPDBT or BPD more commonly exhibited suicidal and impulsive behaviors prior to admission, needed a shorter hospitalization period and less family assistance during hospitalization, and showed more frequent impulsive behaviors during the 1-year period after discharge than did the controls. However, no significant differences in the outpatient treatment programs prepared at discharge, the improvement in problematic behavior during 1-year period after discharge and the treatment conditions at 1-year after discharge were observed between the patients with EUPDBT or BPD and the controls. These findings imply that the main goals of inpatient treatment for BPD patients are to reconsider the relationship of the patients with their parents and to remedy the recurrent problematic behaviors after discharge. The characteristics of BPD inpatient treatment identified in this study should be considered when further developing treatments for patients with this type of PD.

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