{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:17:56Z","timestamp":1784290676398,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,11]],"date-time":"2016-02-11T00:00:00Z","timestamp":1455148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH47588"],"award-info":[{"award-number":["MH47588"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH62169"],"award-info":[{"award-number":["MH62169"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp; Mental Health"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Although borderline patients experience a wide range of sexual problems, including promiscuity, there is less evidence documenting their sexual relationship difficulties. This study had two aims. The first was to examine the prevalence of these difficulties (i.e. avoidance of sex and being symptomatic after sex) over 16\u2009years of prospective follow\u2010up among recovered and non\u2010recovered patients with borderline personality disorder (BPD). The second was to determine time\u2010to\u2010remission, recurrence and new onset of these sexual relationship difficulties. The sexual relationship difficulties of 290 patients meeting both DIB\u2010R and DSM\u2010III\u2010R criteria for BPD were assessed at baseline using the Abuse History Interview and reassessed every two years over eight waves of prospective follow\u2010up. The prevalence of sexual relationship difficulties declined significantly over time for both groups of patients, while remaining significantly more common among non\u2010recovered patients. By 16\u2010year follow\u2010up, over 95% of each group achieved remission for both types of difficulties. Recurrences of avoidance of sex were significantly more common in non\u2010recovered patients. Non\u2010recovered patients had higher rates of new onsets compared to recovered patients for each type of sexual relationship difficulty. Taken together, the results suggest that sexual relationship difficulties are not chronic for those with BPD regardless of recovery status. Copyright \u00a9 2016 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pmh.1327","type":"journal-article","created":{"date-parts":[[2016,2,11]],"date-time":"2016-02-11T23:49:16Z","timestamp":1455234556000},"page":"232-243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence and course of sexual relationship difficulties in recovered and non\u2010recovered patients with borderline personality disorder over 16\u2009years of prospective follow\u2010up"],"prefix":"10.1002","volume":"10","author":[{"given":"Esen","family":"Karan","sequence":"first","affiliation":[{"name":"McLean Hospital  Belmont MA USA"},{"name":"Department of Psychology at City University of New York  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella J. M.","family":"Niesten","sequence":"additional","affiliation":[{"name":"McLean Hospital  Belmont MA USA"},{"name":"Faculty of Clinical and Cognitive Neuroscience Maastricht University  Maastricht Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances R.","family":"Frankenburg","sequence":"additional","affiliation":[{"name":"McLean Hospital  Belmont MA USA"},{"name":"Boston University School of Medicine  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett M.","family":"Fitzmaurice","sequence":"additional","affiliation":[{"name":"McLean Hospital  Belmont MA USA"},{"name":"Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary C.","family":"Zanarini","sequence":"additional","affiliation":[{"name":"McLean Hospital  Belmont MA USA"},{"name":"Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220490447218"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.156.10.1563"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926230802712301"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.6.922"},{"key":"e_1_2_6_7_1","first-page":"183","volume-title":"The handbook of sexuality in close relationship","author":"Feeney J. A.","year":"2004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.6.649"},{"key":"e_1_2_6_9_1","volume-title":"Borderline Personality Disorder: A Clinical Guide","author":"Gunderson J. G.","year":"2001"},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1176\/ps.2010.61.6.612","article-title":"Ten\u2010year use of mental health services by patients with borderline personality disorder and with other axis II disorders","volume":"61","author":"H\u00f6rz S.","year":"2010","journal-title":"Psychiatric Services"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926239208403409"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810360024003"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.2.192"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09010039"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2010.06.004"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.71.3.575"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(93)90067-E"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2190\/PM.38.1.e"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/13651501.2010.507871"},{"key":"e_1_2_6_20_1","first-page":"14","article-title":"Sexual behaviour in borderline personality: a review","volume":"8","author":"Sansone R. A.","year":"2011","journal-title":"Innovative Clinical Neuroscience"},{"key":"e_1_2_6_21_1","first-page":"36","article-title":"Borderline personality symptomatology, causal relationships, and promiscuity","volume":"6","author":"Sansone R. A.","year":"2009","journal-title":"Psychiatry (Edgmont)"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01422.x"},{"key":"e_1_2_6_23_1","volume-title":"Stata Statistical Software: Release 11.2","author":"StataCorp","year":"2009"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.5.804"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820080032005"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2001.24556"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400055"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(87)90012-5"},{"key":"e_1_2_6_29_1","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1176\/ajp.2006.163.5.827","article-title":"Prediction of 10\u2010year course of borderline personality disorder","volume":"163","author":"Zanarini M. C.","year":"2006","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.2.274"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0105"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000165295.65844.52"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199902000-00001"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.16.3.270.22538"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1989.3.1.10"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NMD.0000081628.93982.1D"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-200206000-00006"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1159\/000126626"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpmh.1327","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.1327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T02:32:33Z","timestamp":1696473153000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.1327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,11]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1002\/pmh.1327"],"URL":"https:\/\/doi.org\/10.1002\/pmh.1327","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,11]]},"assertion":[{"value":"2015-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}