Home WakeSpace Scholarship › Electronic Theses and Dissertations

The Course of Remission in Borderline Personality Disorder: The Relationship Between Symptoms, Age, and Functioning Over Time

Electronic Theses and Dissertations

Item Files

Item Details

abstract
There is beginning to be strong evidence that borderline personality disorder (BPD) decreases in prevalence substantially with time, indicating that remission and recovery is possible for many patients. However, many subsequent questions about the course of BPD still remain, such as whether its rate of symptom decline is impacted by moderators like age, severity, or treatment; whether its symptoms decline together or at different rates; whether these changes predict any subsequent changes in general functioning; and whether any of these changes can be accounted for by test bias. Using three waves of data from a longitudinal study of 282 participants of mixed BPD diagnostic status, the present study replicated past findings of decline in BPD symptomology, and these findings appear genuine given the absence of any observed test bias. Rates of decline were slower in older adults, faster in those receiving treatment, and faster in those with higher symptom counts. Symptoms largely did not decline at differential rates. General functioning did not largely improve over the study and was not robustly predicted by symptoms. These findings have implications both for what level of recovery patients can expect and for how BPD is conceptualized- as chronic, acute, or episodic.
subject
Age
Borderline personality disorder
Change
Development
Functioning
Symptoms
contributor
Emery, Leah Taylor (author)
Fleeson, William (committee chair)
Kiang, Lisa (committee member)
Friederic, Karin (committee member)
date
2019-05-24T08:35:43Z (accessioned)
2019 (issued)
degree
Psychology (discipline)
2024-06-01 (liftdate)
embargo
2024-06-01 (terms)
identifier
http://hdl.handle.net/10339/93948 (uri)
language
en (iso)
publisher
Wake Forest University
title
The Course of Remission in Borderline Personality Disorder: The Relationship Between Symptoms, Age, and Functioning Over Time
type
Thesis

Usage Statistics