Table 1.
BL | 2 YR FU | 4 YR FU | 6 YR FU | 8 YR FU | 10 YR FU | 12 YR FU | 14 YR FU | 16 YR FU |
RRR Diagnosis Time (0-8) Time (8-16) |
95%CI Diagnosis Time (0-8) Time (8-16) |
P-value Diagnosis Time (0-8) Time (8-16) |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | ||||
Outpatient Psychosocial Treatments | |||||||||||||||||||||
Individual Therapy | |||||||||||||||||||||
BPD | 279 | 97 | 257 | 93 | 211 | 78 | 197 | 75 | 186 | 73 | 181 | 73 | 167 | 68 | 154 | 65 | 149 | 65 | 1.06 .71 .91 |
.99-1.14 .66-.76 .84-1.00 |
NS <0.001 NS |
OPD | 62 | 86 | 59 | 88 | 42 | 66 | 40 | 64 | 28 | 45 | 27 | 44 | 36 | 60 | 28 | 48 | 32 | 55 | |||
Intensive Psychotherapy (>=2 sessions per wk) | |||||||||||||||||||||
BPD | 105 | 36 | 102 | 37 | 63 | 23 | 42 | 16 | 44 | 17 | 40 | 16 | 33 | 14 | 33 | 14 | 30 | 13 | 1.78 .40 .86 |
1.13-2.78 .31-.51 .63-1.16 |
NS <0.001 NS |
OPD | 14 | 19 | 13 | 19 | 6 | 9 | 7 | 11 | 4 | 7 | 5 | 8 | 5 | 8 | 4 | 7 | 5 | 9 | |||
Group Therapy | |||||||||||||||||||||
BPD | 105 | 36 | 63 | 23 | 46 | 17 | 32 | 12 | 35 | 14 | 24 | 10 | 29 | 12 | 33 | 14 | 17 | 7 | 1.78 .29 1.06 |
1.23-2.59 .22-.39 .71-1.61 |
.002 <0.001 NS |
OPD | 13 | 18 | 4 | 6 | 4 | 6 | 4 | 6 | 2 | 3 | 0 | 0 | 3 | 5 | 3 | 5 | 6 | 10 | |||
Couples/Family Therapy | |||||||||||||||||||||
BPD | 112 | 39 | 53 | 19 | 30 | 11 | 22 | 8 | 25 | 10 | 19 | 8 | 19 | 8 | 17 | 7 | 12 | 5 | 1.23 .19 1.07 |
.87-1.73 .13-.27 .65-1.78 |
NS <0.001 NS |
OPD | 21 | 29 | 9 | 13 | 6 | 9 | 4 | 6 | 5 | 8 | 4 | 7 | 5 | 8 | 4 | 7 | 5 | 9 | |||
Self-help Groups | |||||||||||||||||||||
BPD | 148 | 51 | 80 | 29 | 68 | 25 | 54 | 21 | 41 | 16 | 36 | 15 | 36 | 15 | 35 | 15 | 34 | 15 | 1.86 .31 1.05 |
1.30-2.65 .24-.41 .77-1.43 |
.001 <0.001 NS |
OPD | 23 | 32 | 11 | 16 | 6 | 9 | 8 | 13 | 7 | 11 | 7 | 12 | 6 | 10 | 7 | 12 | 6 | 10 | |||
Standing Medications | |||||||||||||||||||||
Any Standing Medication | |||||||||||||||||||||
BPD | 244 | 84 | 237 | 86 | 204 | 76 | 187 | 71 | 180 | 71 | 179 | 72 | 183 | 75 | 172 | 72 | 165 | 71 | 1.29 .81 1.03 |
1.13-1.48 .75-.88 .95-1.11 |
<0.001 <0.001 NS |
OPD | 44 | 61 | 52 | 78 | 34 | 53 | 34 | 54 | 30 | 48 | 32 | 53 | 35 | 58 | 30 | 51 | 30 | 52 | |||
Two or More Concurrent Medications | |||||||||||||||||||||
BPD | 190 | 66 | 176 | 64 | 149 | 55 | 130 | 49 | 134 | 53 | 130 | 52 | 121 | 50 | 119 | 50 | 119 | 52 | 2.10 .75 1.05 |
1.60-2.76 .66-.84 .93-1.18 |
<0.001 <0.001 NS |
OPD | 18 | 25 | 28 | 42 | 16 | 25 | 12 | 19 | 10 | 16 | 17 | 28 | 17 | 28 | 16 | 27 | 19 | 33 | |||
Three or More Concurrent Medications | |||||||||||||||||||||
BPD | 132 | 46 | 116 | 42 | 107 | 40 | 92 | 35 | 91 | 36 | 81 | 33 | 79 | 32 | 82 | 35 | 82 | 36 | 2.82 .73 1.06 |
1.89-4.20 .62-.85 .90-1.24 |
<0.001 <0.001 NS |
OPD | 9 | 13 | 15 | 22 | 8 | 13 | 5 | 8 | 3 | 5 | 9 | 15 | 10 | 17 | 8 | 14 | 9 | 16 | |||
Four or More Concurrent Medications | |||||||||||||||||||||
BPD | 83 | 29 | 62 | 23 | 58 | 22 | 46 | 17 | 55 | 22 | 53 | 21 | 43 | 18 | 51 | 21 | 43 | 19 | 4.65 .72 1.06 |
2.54-8.51 .56-.93 .82-1.38 |
<0.001 NS NS |
OPD | 1 | 1 | 6 | 9 | 5 | 8 | 1 | 2 | 0 | 0 | 3 | 5 | 3 | 5 | 4 | 7 | 4 | 7 | |||
Five or More Concurrent Medications | |||||||||||||||||||||
BPD | 52 | 18 | 32 | 12 | 27 | 10 | 25 | 10 | 25 | 10 | 26 | 10 | 19 | 8 | 19 | 8 | 16 | 7 | 8.37 .58 .81 |
2.89-24.2 .39-.85 .52-1.27 |
<0.001 NS NS |
OPD | 1 | 1 | 1 | 2 | 2 | 3 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 2 | 1 | 2 | 0 | 0 | |||
More Intensive Treatments | |||||||||||||||||||||
Day Treatment | |||||||||||||||||||||
BPD | 123 | 42 | 113 | 41 | 62 | 23 | 47 | 18 | 34 | 13 | 27 | 11 | 31 | 13 | 26 | 11 | 18 | 8 | 1.92 .28 .63 |
1.37-2.69 .22-.37 .43-.93 |
<0.001 <0.001 NS |
OPD | 14 | 19 | 20 | 30 | 5 | 8 | 4 | 6 | 2 | 3 | 1 | 2 | 3 | 5 | 2 | 3 | 1 | 2 | |||
Residential Treatment | |||||||||||||||||||||
BPD | 107 | 37 | 78 | 28 | 32 | 12 | 26 | 10 | 25 | 10 | 12 | 5 | 16 | 7 | 13 | 6 | 10 | 4 | 3.94 .19 .74 |
2.25-6.91 .13-.27 .45-1.23 |
<0.001 <0.001 NS |
OPD | 7 | 10 | 6 | 9 | 1 | 2 | 1 | 2 | 1 | 2 | 0 | 0 | 0 | 0 | 2 | 3 | 1 | 2 | |||
Any Psychiatric Hospitalization | |||||||||||||||||||||
BPD | 228 | 79 | 164 | 60 | 97 | 36 | 86 | 33 | 71 | 28 | 72 | 29 | 71 | 29 | 58 | 24 | 55 | 24 | 1.80 .31 .99 |
1.41-2.30 .26-.37 .80-1.21 |
<0.001 <0.001 NS |
OPD | 36 | 50 | 15 | 22 | 9 | 14 | 9 | 14 | 7 | 11 | 2 | 3 | 7 | 12 | 3 | 5 | 5 | 9 | |||
Multiple Hospitalizations | |||||||||||||||||||||
BPD | 175 | 60 | 11 | 43 | 70 | 26 | 61 | 23 | 45 | 18 | 36 | 15 | 40 | 16 | 34 | 14 | 35 | 15 | 3.25 .26 .94 |
2.11-5.00 .20-.33 .70-1.27 |
<0.001 <0.001 NS |
OPD | 15 | 21 | 7 | 11 | 5 | 8 | 2 | 3 | 3 | 5 | 0 | 0 | 5 | 8 | 1 | 2 | 2 | 4 | |||
30 Days or More of Psychiatric Hospitalization | |||||||||||||||||||||
BPD | 174 | 60 | 95 | 35 | 55 | 21 | 49 | 19 | 19 | 8 | 18 | 7 | 17 | 7 | 10 | 4 | 8 | 4 | 2.34 .14 .39 |
1.68-3.27 .11-.19 .22-.69 |
<0.001 <0.001 .001 |
OPD | 21 | 29 | 9 | 13 | 2 | 3 | 2 | 3 | 2 | 3 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | |||
ECT Treatment | |||||||||||||||||||||
BPD | 20 | 7 | 19 | 7 | 11 | 4 | 10 | 4 | 12 | 5 | 8 | 3 | 9 | 4 | 2 | 1 | 4 | 2 | 1.60 .54 .43 |
.81-3.15 .28-1.02 .20-.95 |
NS NS NS |
OPD | 4 | 6 | 4 | 6 | 0 | 0 | 1 | 2 | 2 | 3 | 0 | 0 | 2 | 3 | 2 | 3 | 0 | 0 |