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The Effect of Borderline Personality Disorder on the Hospital Course of Affective Illness
Alexis A. Giese; Ellen Leibenluft; C. Richard Filson; Elizabeth A. Zimmerman; David L. Gardner,
Psychiatric Services 1990; doi:
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The authors thank Rex W. Cowdry, M.D.

University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Box C-268, Denver, Colorado 80262

Department of Psychiatry at Georgetown University School of Medicine in Washington, D.C.

Office of the Clinical Director

Clinical and Research Services Branch of the National Institute of Mental Health in Rockvile, Maryland

1990 by the American Psychiatric Association

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Two groups of patients with affective disorders, one group with a coexistent axis II diagnosis of borderline personality disorder and one group without, were compared to determine if the presence of borderline personality disorder affects the hospital course of patients with affective illness. Response to hospital treatment was assessed using standard psychiatric rating scales administered at admission, after one week of hospitalization, and before discharge. Although the patients with borderline personality disorder were more severely impaired than the comparison group, they were as likely as patients without the disorder to improve over the course of hospitalization.

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