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This term refers to individuals who present some degree of clinical improvement, but low mood, feelings of emptiness, and poor psychosocial adjustment typically persist. The aim of this study was to compare the sociodemographic, clinical, and therapeutic variables in individuals with BPD with and without LLS. A total of 620 participants with BPD were included and subdivided into two groups: non\u2010LLS group (<jats:italic>n<\/jats:italic>\u2009=\u2009549, mean age\u2009=\u200928.02 [6.1] and range, 18\u201340\u2009years) and LLS group (<jats:italic>n<\/jats:italic>\u2009=\u200971, mean age\u2009=\u200944.69 [3.6] and range, 41\u201356\u2009years). The groups were compared in sociodemographic, clinical, and drug treatment characteristics. We also evaluated the impact of dialectical behavioral therapy\u2010skills training (DBT\u2010ST) on polypharmacy. The prevalence of individuals with long\u2010lasting BPD symptoms increased significantly over a 20\u2010year period (from &lt;1% to 16%). The LLS group was characterized by less clinical severity, higher comorbidity with affective disorders but lower comorbidity with eating disorders, more disability, and more medication taking. Patients with LLS who received DBT\u2010ST experienced a significant decrease in the use of benzodiazepines and the number of medications prescribed compared with those who did not receive DBT\u2010ST. Clinicians should be aware of the specific features of older patients with BPD in order to better identify and address their specific therapeutic needs.<\/jats:p>","DOI":"10.1002\/pmh.1614","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T06:15:02Z","timestamp":1714112102000},"page":"248-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long\u2010lasting symptoms in borderline personality disorder: Defining an emergent population with differential clinical and therapeutic features"],"prefix":"10.1002","volume":"18","author":[{"given":"Elisabet","family":"Casellas\u2010Pujol","sequence":"first","affiliation":[{"name":"Department of Psychiatry Hospital de la Santa Creu i Sant Pau  Barcelona Spain"},{"name":"Departament de Psiquiatria i Medicina Legal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Institut d'Investigaci\u00f3 Biom\u00e8dica\u2010Sant Pau (IIB\u2010SANT PAU)  Barcelona Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental Instituto de Salud Carlos III  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquim","family":"Soler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hospital de la Santa Creu i Sant Pau  Barcelona Spain"},{"name":"Departament de Psiquiatria i Medicina Legal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Institut d'Investigaci\u00f3 Biom\u00e8dica\u2010Sant Pau (IIB\u2010SANT PAU)  Barcelona Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental Instituto de Salud Carlos III  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Soriano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hospital de la Santa Creu i Sant Pau  Barcelona Spain"},{"name":"Departament de Psiquiatria i Medicina Legal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan C.","family":"Pascual","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hospital de la Santa Creu i Sant Pau  Barcelona Spain"},{"name":"Departament de Psiquiatria i Medicina Legal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Institut d'Investigaci\u00f3 Biom\u00e8dica\u2010Sant Pau (IIB\u2010SANT PAU)  Barcelona Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental Instituto de Salud Carlos III  Seville 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