The course of positive affective and cognitive states in borderline personality disorder: A 10-year follow-up study
Article first published online: 16 JUL 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Personality and Mental Health
Volume 6, Issue 4, pages 281–291, November 2012
How to Cite
Reed, L. I., Fitzmaurice, G. and Zanarini, M. C. (2012), The course of positive affective and cognitive states in borderline personality disorder: A 10-year follow-up study. Personality and Mental Health, 6: 281–291. doi: 10.1002/pmh.1197
- Issue published online: 4 NOV 2012
- Article first published online: 16 JUL 2012
- Manuscript Accepted: 9 MAR 2012
- Manuscript Revised: 27 FEB 2012
- Manuscript Received: 3 NOV 2011
- NIMH. Grant Numbers: MH47588, MH62169
- NIH. Grant Number: MH16259-31
The first aim of this study was to identify the course of positive states present in borderline personality disorder (BPD) and compare them with those of subjects with other personality disorders. The second was to compare the positive states of borderline patients who recovered from BPD with those who did not. Two hundred ninety patients with BPD and 72 non-borderline axis II subjects (OPD) completed the Positive Affect Scale (PAS), a 50-item self-report measure designed to assess positive states thought to be common among and characteristic of BPD over a 10-year course of prospective follow-up. Affective, cognitive and mixed PAS items were separately analysed on the basis of respective subscores. Borderline patients reported positive states less frequently than OPD subjects. Additionally, affective and cognitive subscores increased significantly for both groups taken together. Within the BPD group, recovered patients reported more positive states compared with non-recovered patients. Results also showed a significant increase in affective and cognitive states for both groups taken together. These results suggest a characteristic profile of positive states within borderline patients that is far lower than those reported by axis II comparison subjects. They also suggest that this characteristic profile is predictive of recovery of BPD over time. Copyright © 2012 John Wiley & Sons, Ltd.