title: Differential treatment response of subtypes of patients with borderline personality organization, as assessed with theory-driven profiles of the Dutch short form of the MMPI: a naturalistic follow-up study.
abstract: We investigated the validity of different subtypes of borderline personality organization (BPO) as assessed by theory-driven profiles of the Minnesota Multiphasic Personality Disorder (MMPI; Hathaway & McKinley,  1943 ) Dutch Short Form (DSFM; Eurelings-Bontekoe, Onnink, Williams, & Snellen,  2008 ) in a naturalistic follow-up study among 2,062 psychiatric outpatients who received 6 months of ambulatory treatment. Patients were assessed at intake (T1) and 6 months later (T2). At T2, both patients and therapists rated the level of improvement, using the Global Assessment of Improvement. Patients with the high-level BPO profile showed the largest increase in well-being and the largest decrease in severity of symptomatology, whereas severity of symptomatology and well-being of patients with psychotic BPO profiles did not change over time. Agreement between patients and therapists about improvement was good for the internalizing immature BPO and high-level BPO patients, but poor for the externalizing low-level BPO and narcissistic patients.
authors.affiliation: Institute for Psychological Research, Clinical Psychology Unit, University of Leiden, Wassenaarseweg 52, Leiden, The Netherlands. eureling@fsw.leidenuniv.nl
authors.forename: Elisabeth H M
authors.initials: EH
authors.lastname: Eurelings-Bontekoe
authors.forename: Jaap
authors.initials: J
authors.lastname: Peen
authors.forename: Annemieke
authors.initials: A
authors.lastname: Noteboom
authors.forename: Marieke
authors.initials: M
authors.lastname: Alkema
authors.forename: Jack
authors.initials: J
authors.lastname: Dekker
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D001883:Borderline Personality Disorder / Q000145:classification* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008950:MMPI / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011582:Psychological Theory; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult