{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:01:03Z","timestamp":1761894063909,"version":"3.41.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2004,12,21]],"date-time":"2004-12-21T00:00:00Z","timestamp":1103587200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> Borderline personality disorder (BPD) is a serious mental illness. Due to scepticism about the effectiveness of its treatment, the care of these patients is neglected. In this study we evaluated the effect of treatment 5 years after its ending, of patients with BPD.<\/jats:p>\n\t  <jats:p><jats:bold>Method.<\/jats:bold> Thirty subjects were treated twice weekly for 1 year by psychotherapy based on the \u2018Conversational Model\u2019 of Hobson. Outcome measures included time in hospital, number of episodes of violence and self-harm, number of medical appointments, drug use and work history. A \u2018morbidity budget\u2019 made up of these items was collated for the year before treatment, the year following treatment, and for the year preceding the 5-year follow-up. Additional measures included DSM-III criteria and a self-report of symptoms. These outcomes were compared to a hypothetical natural history of BPD constructed from the DSM scores of 150 borderline patients aged between 18 and 52 years.<\/jats:p>\n\t  <jats:p><jats:bold>Results.<\/jats:bold> Except for one measure, the improvements evident 1 year following treatment were maintained 4 years later. This improvement was not predicted by the hypothetical natural history.<\/jats:p>\n\t  <jats:p><jats:bold>Conclusion.<\/jats:bold> A particular form of treatment of BPD has relatively long-lasting, beneficial effects.<\/jats:p>","DOI":"10.1017\/s0033291704002788","type":"journal-article","created":{"date-parts":[[2004,12,22]],"date-time":"2004-12-22T20:59:00Z","timestamp":1103749140000},"page":"79-87","source":"Crossref","is-referenced-by-count":39,"title":["Five-year outcome of outpatient psychotherapy with borderline patients"],"prefix":"10.1017","volume":"35","author":[{"given":"JANINE","family":"STEVENSON","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RUSSELL","family":"MEARES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ROBERTO","family":"D'ANGELO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2004,12,21]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291704002788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T19:50:33Z","timestamp":1750449033000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291704002788\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12,21]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,8]]}},"alternative-id":["S0033291704002788"],"URL":"https:\/\/doi.org\/10.1017\/s0033291704002788","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"type":"print","value":"0033-2917"},{"type":"electronic","value":"1469-8978"}],"subject":[],"published":{"date-parts":[[2004,12,21]]}}}