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首页> 外文期刊>Journal of psychiatric research >The relationship of chronic medical illnesses, poor health-related lifestyle choices, and health care utilization to recovery status in borderline patients over a decade of prospective follow-up
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The relationship of chronic medical illnesses, poor health-related lifestyle choices, and health care utilization to recovery status in borderline patients over a decade of prospective follow-up

机译：在十年的前瞻性随访中，慢性医学疾病，不良的与健康相关的生活方式选择以及卫生保健利用率与边缘患者康复状态的关系

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Background: The interaction of borderline personality disorder (BPD) with physical health has not been well characterized. In this longitudinal study, we investigated the long-term relationship of chronic medical illnesses, health-related lifestyle choices, and health services utilization to recovery status in borderline patients over a decade of prospective follow-up. Method: 264 borderline patients were interviewed concerning their physical health at 6-year follow-up in a longitudinal study of the course of BPD. This sample was then reinterviewed five times at two-year intervals over the next ten years. We defined recovery from BPD based on a Global Assessment of Functioning score of 61 or higher, which required BPD remission, one close relationship, and full-time competent and consistent work or school attendance. We controlled for potentially confounding effects of time-varying major depressive disorder. Results: Never-recovered borderline patients were significantly more likely than ever-recovered borderline patients to have a medical syndrome, obesity, osteoarthritis, diabetes, urinary incontinence, or multiple medical conditions (p<0.0063). They were also significantly more likely to report pack-per-day smoking, weekly alcohol use, no regular exercise, daily sleep medication use, or pain medication overuse (p<0.0083). In addition, never-recovered borderline patients were significantly more likely than ever-recovered borderline patients to undergo a medical emergency room visit, medical hospitalization, X-ray, CT scan, or MRI scan (p<0.0063). Conclusions: Over a decade of prospective follow-up, failure to recover from BPD seems to be associated with a heightened risk of chronic medical illnesses, poor health-related lifestyle choices, and costly health services utilization.
机译：背景：边缘性人格障碍（BPD）与身体健康的相互作用尚未得到很好的表征。在这项纵向研究中，我们调查了十年前瞻性随访中慢性医学疾病，与健康相关的生活方式选择以及健康服务利用与边缘患者康复状态的长期关系。方法：在对BPD病程的纵向研究中，对264名边缘患者进行了为期6年的随访，就其身体健康状况进行了访谈。然后在接下来的十年中，以两年为间隔对样本进行五次重新访谈。我们基于61分或更高的全球功能评估得分定义了BPD的恢复，这要求BPD缓解，保持亲密关系以及专职和持续的工作或就学。我们控制了随时间变化的重度抑郁症的潜在混杂因素。结果：从未康复的交界患者比从未康复的交界患者更有可能患有医学综合症，肥胖，骨关节炎，糖尿病，尿失禁或多种疾病（p <0.0063）。他们还更有可能报告每天吸烟，每周饮酒，不定期运动，每天使用睡眠药物或过度使用止痛药（p <0.0083）。此外，从未康复的边缘患者比从未康复的边缘患者接受急诊室就诊，住院，X射线，CT扫描或MRI扫描的可能性更高（p <0.0063）。结论：经过十年的前瞻性随访，未能从BPD中恢复似乎与长期内科疾病，与健康有关的生活方式选择不当以及医疗服务利用成本高昂的风险增加有关。

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