University of Lausanne Reports Findings in Borderline Personality Disorder (Course and predictors of social security disability insurance in patients with borderline personality disorder over 24 years of prospective follow-up): Mental Health Diseases and Conditions – Borderline Personality Disorder

2023 OCT 20 (NewsRx) -- By a News Reporter-Staff News Editor at Pediatrics Daily News -- New research on Mental Health Diseases and Conditions - Borderline Personality Disorder is the subject of a report. According to news reporting originating from Lausanne, Switzerland, by NewsRx correspondents, research stated, “The utilization of Social Security Disability Insurance (SSDI) is frequent in patients with borderline personality disorder (BPD) and may represent a meaningful marker of a patient’s symptom severity, poor psychosocial functioning, and/or inner suffering. Over 24 years of prospective follow-up, the present study aims to describe the course of SSDI and assess the role of clinically relevant predictors.”

Funders for this research include Schweizerischer Nationalfonds zur Forderung der Wissenschaftlichen Forschung, National Institute of Mental Health, University of Lausanne.

Our news editors obtained a quote from the research from the University of Lausanne, “A total of 290 inpatients with BPD were interviewed at baseline and 12 consecutive follow-up waves, each separated by two years, after index hospitalization. Included were also 72 inpatients with other personality disorders. Surviving patients were reinterviewed. A series of interviews and self-report measures were used to assess psychosocial functioning and treatment history, axis I and II disorders, and childhood/adult adversity. Results show that rates of SSDI utilization were relatively stable over 24 years of follow-up (on average, 47.2% of the patients with BPD were on SSDI). Patients with BPD were three times more likely to be on SSDI than patients with other PDs. Patients with BPD displayed flexibility in their usage of SSDI. By 24 years, 46% of patients remitted, out of which 85% experienced recurrence and 50% of the patients had a new onset over time. In multivariate analyses, four variables were found to predict SSDI status in patients with BPD over time. These variables were: age 26 or older, lower IQ, severity of non-sexual childhood abuse, and presence of PTSD. The results of this study suggest that a combination of a demographic factors, childhood adversity, natural endowment, and comorbidity are significant predictors of receiving SSDI over time.”

According to the news editors, the research concluded: “On a group level, there is a relative stability of SSDI usage over time, but on the individual level, the present study found a high fluctuation in receiving SSDI over 24 months of prospective follow-up.”

For more information on this research see: Course and predictors of social security disability insurance in patients with borderline personality disorder over 24 years of prospective follow-up. Borderline Personality Disorder and Emotion Dysregulation, 2023;10(1):30. Borderline Personality Disorder and Emotion Dysregulation can be contacted at: Bmc, Campus, 4 Crinan St, London N1 9XW, England.

The news editors report that additional information may be obtained by contacting Ueli Kramer, Dept. of Psychiatry, Institute of Psychotherapy and General Psychiatry Service, University of Lausanne, Place Chauderon 18, CH-1003, Lausanne, Switzerland. Additional authors for this research include Christina M. Temes, Frances R. Frankenburg, Isabel V. Glass and Mary C. Zanarini.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1186/s40479-023-00236-x. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal Borderline Personality Disorder and Emotion Dysregulation is: Bmc, Campus, 4 Crinan St, London N1 9XW, England.

(Our reports deliver fact-based news of research and discoveries from around the world.)