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Differential treatment response of subtypes of patients with borderline personality organization, as assessed with theory-driven profiles of the Dutch short form of the MMPI: a naturalistic follow-up study.

Authors
  • Eurelings-Bontekoe, Elisabeth H M
  • Peen, Jaap
  • Noteboom, Annemieke
  • Alkema, Marieke
  • Dekker, Jack
Type
Published Article
Journal
Journal of personality assessment
Publication Date
Jan 01, 2012
Volume
94
Issue
4
Pages
380–392
Identifiers
DOI: 10.1080/00223891.2012.674995
PMID: 22497539
Source
Medline
License
Unknown

Abstract

We investigated the validity of different subtypes of borderline personality organization (BPO) as assessed by theory-driven profiles of the Minnesota Multiphasic Personality Disorder (MMPI; Hathaway & McKinley, 1943 ) Dutch Short Form (DSFM; Eurelings-Bontekoe, Onnink, Williams, & Snellen, 2008 ) in a naturalistic follow-up study among 2,062 psychiatric outpatients who received 6 months of ambulatory treatment. Patients were assessed at intake (T1) and 6 months later (T2). At T2, both patients and therapists rated the level of improvement, using the Global Assessment of Improvement. Patients with the high-level BPO profile showed the largest increase in well-being and the largest decrease in severity of symptomatology, whereas severity of symptomatology and well-being of patients with psychotic BPO profiles did not change over time. Agreement between patients and therapists about improvement was good for the internalizing immature BPO and high-level BPO patients, but poor for the externalizing low-level BPO and narcissistic patients.

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