title: The course of adult experiences of abuse in patients with borderline personality disorder and Axis II comparison subjects: a 10-year follow-up study.
abstract: The first objective of this study was to assess the rates of adult experiences of verbal, emotional, physical, and sexual abuse reported by borderline patients and Axis II comparison subjects over 10 years of prospective follow-up. The second objective was to determine time-to-cessation, recurrence, and new onset of each type of abuse. The Abuse History Interview (AHI) was administered to 290 borderline patients and 72 Axis II comparison subjects at baseline. The AHI Follow-up Version (AHI-FUV) was administered at five contiguous follow-up waves. Over 10 years of follow-up, the rates of all four types of abuse declined significantly for borderline patients. For borderline patients, rates of cessation were high for all types of abuse (>90%). However, recurrences and new onsets of verbal and emotional abuse were relatively common (>60%). Contrastingly, they were relatively uncommon for physical and sexual abuse (<30%), suggesting that verbal and emotional abuse represent more stable forms of abuse.
authors.affiliation: McLean Hospital, 115 Mill St., Belmont, MA 02478, USA.
authors.forename: Amelia
authors.initials: A
authors.lastname: McGowan
authors.forename: Hannah
authors.initials: H
authors.lastname: King
authors.forename: Frances R
authors.initials: FR
authors.lastname: Frankenburg
authors.forename: Garrett
authors.initials: G
authors.lastname: Fitzmaurice
authors.forename: Mary C
authors.initials: MC
authors.lastname: Zanarini
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology; D001883:Borderline Personality Disorder / Q000453:epidemiology* / Q000523:psychology; D015897:Comorbidity; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012074:Remission Induction; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult