title: Long-term follow-up study of borderline patients in Japan: a preliminary study.
abstract: To date, only few reports are available regarding the long-term outcome of borderline personality disorder (BPD) in Japan. We conducted a retrospective follow-up study on the long-term outcome and predictive factors of BPD in Japan. Of 72 patients who received treatment at Fukuoka University Hospital between 1973 and 1989 and met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for BPD retrospectively, 19 patients (26.4%) were followed up. We evaluated global outcome at follow-up using the Global Assessment of Functioning Scale scored from a completed self-reported questionnaire. The mean Global Assessment of Functioning score was 60.7, which meant fair to good functioning. The suicide rate was 6.9% (5/72). Using a logistic regression model, overinvolvement in family relationships and the number of medical facilities where patient was previously treated predicted poor outcome. These results are similar to those reported in the United States and Canada, except for the result that Japanese patients with BPD are more likely to live with their original family at follow-up than American patients.
authors.affiliation: Department of Psychiatry, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. ezz04613@nifty.ne.jp
authors.forename: Kosuke
authors.initials: K
authors.lastname: Yoshida
authors.forename: Eita
authors.initials: E
authors.lastname: Tonai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nagai
authors.forename: Kei
authors.initials: K
authors.lastname: Matsushima
authors.forename: Michihiko
authors.initials: M
authors.lastname: Matsushita
authors.forename: Junya
authors.initials: J
authors.lastname: Tsukada
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Kiyohara
authors.forename: Ryoji
authors.initials: R
authors.lastname: Nishimura
mesh_terms: D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000628:therapy*; D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013405:Suicide / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016896:Treatment Outcome