title: Long-Term Course of Borderline Personality Disorder: A Prospective 10-Year Follow-Up Study.
abstract: The aim of this prospective study was to expand previously reported evidence on the 10-year clinical and functional course of borderline personality disorder (BPD) in a Spanish sample. Participants diagnosed with BPD were assessed at baseline and at 10-year follow-up to evaluate BPD symptomatology and other relevant clinical measures, suicidal behavior, dimensional personality traits, Axis I and II comorbidity, use of mental health resources, and psychosocial functioning. At the 10-year follow up, significant improvements were observed on BPD domains, suicidal behavior, and other clinical measures. Neuroticism, impulsiveness, and aggression-hostility features trended toward normalization, whereas activity and sociability were impaired over time. Comorbidity with Axis I and personality disorders remained high. Social functioning and occupational functioning were largely unchanged. These findings confirm the tendency toward a symptomatic remission of BPD over the long term with regard to symptom criteria and characteristic dimensional traits. However, psychosocial functioning remains impaired.
authors.affiliation: Department of Clinical Psychology and Psychobiology, section of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, Universitat de Barcelona (UB), Spain.
authors.forename: Irene
authors.initials: I
authors.lastname: Alvarez-Tomás
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Soler
authors.affiliation: Department of Clinical Psychology and Psychobiology, section of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, Universitat de Barcelona (UB), Spain.
authors.forename: Arturo
authors.initials: A
authors.lastname: Bados
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Martín-Blanco
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Matilde
authors.initials: M
authors.lastname: Elices
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Carmona
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Joana
authors.initials: J
authors.lastname: Bauzà
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Centro de Investigación Biomédica en Red de Salud Mental (CIBER-SAM), Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), and Psychiatry and Legal Medicine and Clinical Psychology and Health Departments, Universitat Autònoma de Barcelona, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Pascual
mesh_terms: D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D055815:Young Adult