title: Treatment utilization by gender in patients with borderline personality disorder.
abstract: Minimal data exist on treatment utilization by gender in borderline personality disorder (BPD). This study used an online questionnaire to investigate initial and lifetime patterns of utilization of multiple treatment modalities by patients with BPD, and parental satisfaction with treatment. Respondents were parents of probands diagnosed with BPD who completed a 100-question anonymous Internet survey. Of the 495 surveys that were analyzed, 409 pertained to female subjects with BPD and 86 to male subjects with BPD. Results for probands with BPD across gender were notable for similar high lifetime levels of use of care, including hospitalization, day programs, and halfway houses, but not similar levels of use of drug/alcohol rehabilitation services, which was greater among the male subjects with BPD. The male subjects with BPD received significantly less lifetime psychotherapy and pharmacotherapy than the female subjects with BPD, although the duration of medication and psychotherapy treatment did not differ by gender. These results highlight the need for more research to better understand what might account for these gender differences in treatment and improve strategies to provide appropriate care for male patients with BPD.
authors.affiliation: Mount Sinai School of Medicine and James J. Peters Veterans Affairs Medical Center, New York, USA. Marianne.goodman@va.gov
authors.forename: Marianne
authors.initials: M
authors.lastname: Goodman
authors.forename: Uday
authors.initials: U
authors.lastname: Patil
authors.forename: Lauren
authors.initials: L
authors.lastname: Steffel
authors.forename: Jennifer
authors.initials: J
authors.lastname: Avedon
authors.forename: Scott
authors.initials: S
authors.lastname: Sasso
authors.forename: Joseph
authors.initials: J
authors.lastname: Triebwasser
authors.forename: Barbara
authors.initials: B
authors.lastname: Stanley
mesh_terms: D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000453:epidemiology*; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D003258:Consumer Behavior / Q000706:statistics & numerical data; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006302:Health Services Research / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D020407:Internet; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010290:Parents / Q000523:psychology; D011613:Psychotherapy / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012737:Sex Factors; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs