Impact of comorbid borderline personality disorder on inpatient treatment for bulimia nervosa: analysis of routine data.
Borderline personality disorder
Bulimia nervosa
Eating disorder
Inpatient treatment
Journal
Borderline personality disorder and emotion dysregulation
ISSN: 2051-6673
Titre abrégé: Borderline Personal Disord Emot Dysregul
Pays: England
ID NLM: 101650634
Informations de publication
Date de publication:
2019
2019
Historique:
received:
07
11
2018
accepted:
14
12
2018
entrez:
26
1
2019
pubmed:
27
1
2019
medline:
27
1
2019
Statut:
epublish
Résumé
A substantial rate of patients with bulimia nervosa (BN) also suffer from Borderline personality disorder (BN + BPD). It is widely unknown how these comorbid patients with BN + BPD present and respond to inpatient treatment. Aims of the study were to examine (1) specific characteristics of patients with BN + BPD at admission, discharge, and during treatment, and (2) differential effects of inpatient treatment for BN vs. BN + BPD. We analyzed routine data of inpatients admitted for the treatment of BN between 2013 and 2017 in a specialized hospital for eating disorders. (1) Cross-sectional differences were examined with independent Of 1298 inpatients (96% female), 13.2% also had a diagnosis of BPD. (1) Patients with BN + BPD had more previous inpatient treatments ( Patients with BN + BPD improve during intense and specialized inpatient treatment, yet, retain pronounced impairment at discharge despite longer treatment. Treatment needs to be improved and should focus on transdiagnostic symptoms of BN and BPD.
Sections du résumé
BACKGROUND
BACKGROUND
A substantial rate of patients with bulimia nervosa (BN) also suffer from Borderline personality disorder (BN + BPD). It is widely unknown how these comorbid patients with BN + BPD present and respond to inpatient treatment. Aims of the study were to examine (1) specific characteristics of patients with BN + BPD at admission, discharge, and during treatment, and (2) differential effects of inpatient treatment for BN vs. BN + BPD.
METHOD
METHODS
We analyzed routine data of inpatients admitted for the treatment of BN between 2013 and 2017 in a specialized hospital for eating disorders. (1) Cross-sectional differences were examined with independent
RESULTS
RESULTS
Of 1298 inpatients (96% female), 13.2% also had a diagnosis of BPD. (1) Patients with BN + BPD had more previous inpatient treatments (
CONCLUSION
CONCLUSIONS
Patients with BN + BPD improve during intense and specialized inpatient treatment, yet, retain pronounced impairment at discharge despite longer treatment. Treatment needs to be improved and should focus on transdiagnostic symptoms of BN and BPD.
Identifiants
pubmed: 30680217
doi: 10.1186/s40479-018-0098-4
pii: 98
pmc: PMC6335811
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1Déclaration de conflit d'intérêts
Upon admission to the Schoen Clinic, all patients were asked to sign informed consent that their routine data may be used for scientific studies and publications. There was no formal approval of an ethics committee.Not applicable.The authors declare that there are no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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