Which factors are associated with duration of untreated illness in borderline personality disorder?

Author:

Esposito Cecilia Maria1ORCID,Auxilia Anna Maria2ORCID,Ceresa Alessandro1,Zanvit Francesco Giuseppe2,Zanelli Quarantini Francesco1,Capuzzi Enrico3,Caldiroli Alice3,Clerici Massimo23,Buoli Massimiliano14ORCID

Affiliation:

1. Department of Neurosciences and Mental Health Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

2. Department of Medicine and Surgery University of Milano Bicocca Monza Italy

3. Psychiatric Department Azienda Socio Sanitaria Territoriale Monza Monza Italy

4. Department of Pathophysiology and Transplantation University of Milan Milan Italy

Abstract

AbstractAimBorderline personality disorder (BPD) is a prevalent condition associated with high rates of hospitalizations. The purpose of this manuscript was to detect the factors associated with duration of untreated illness (DUI) in BPD.MethodsThrough chart review, we identified 152 patients followed up by community psychiatry services in Milan and Monza, Italy. The association between DUI and socioeconomic and clinical variables was examined using Pearson correlation and analyses of variances. The statistically significant variables from univariate analyses were then inserted in regression models.ResultsA longer DUI was associated with several variables (substance misuse after the onset of BPD, older age, earlier age at onset, longer duration of illness), but these results were not maintained in the regression analyses.ConclusionsIn conclusion, DUI does not seem to be significantly associated with specific clinical aspects of BPD, or significantly modify the course and outcome of the disorder. Studies with larger samples have to confirm these preliminary findings.

Publisher

Wiley

Subject

Biological Psychiatry,Psychiatry and Mental health,Pshychiatric Mental Health

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