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(p. 189) Going Forward 

(p. 189) Going Forward
Chapter:
(p. 189) Going Forward
Author(s):

Mary C. Zanarini

DOI:
10.1093/med-psych/9780195370607.003.0019
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date: 27 June 2019

Two waves of additional follow-up have recently been completed: 18-year follow-up and20-year follow-up. Two other waves will be completed in the next year or so: 22-year follow-up and 24-year follow-up. We have found that almost all borderline patients achieve at least a two-year symptomatic remission, and that symptomatic recurrences are relatively rare. We have also found that 60% of borderline patients eventually recover. In addition, we have found that the suicide rate in this sample is about half that found in older follow-back studies. We have also found areas with more guarded outcomes, particularly for those with BPD who have not recovered. We suggest that resilience is a factor that may be strongly related to a good outcome. In contrast, experiential avoidance may be a factor strongly related to a poor outcome. These additional waves of data will allow us to address these hypotheses with actual analytical results.

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