Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Hooley, J. M. Articles by Hoffman, P. D. Search for Related Content PubMed Citation Articles by Hooley, J. M. Articles by Hoffman, P. D. Borderline Personality Disorders

Expressed Emotion and Clinical Outcome in Borderline Personality Disorder

OBJECTIVE: This longitudinal follow-up study examined the predictive validity of relatives' expressed emotion in a group of patients diagnosed with borderline personality disorder. METHOD: Thirty-five patients with DSM-III-R-diagnosed borderline personality disorder were followed up 1 year after they were discharged from a psychiatric hospital. Clinical outcome was assessed through interviews with patients and their family members. Expressed emotion in the patients' relatives, assessed at the time of the index admission, was then used to predict patients' subsequent clinical outcomes. RESULTS: Contrary to prediction, relatives' criticism and hostility did not predict how well patients did in the year after discharge. Neither did they predict rates of rehospitalization. Clinical outcome was strongly associated with family levels of emotional overinvolvement, however. Patients whose families scored higher on emotional overinvolvement had better clinical outcomes over the course of the follow-up period. CONCLUSIONS: These findings suggest that the association between expressed emotion and patient outcome may be different for patients with borderline personality disorder than it is for patients with schizophrenia or mood disorders.

This article has been cited by other articles:

				P. D. Hoffman, E. Buteau, and A. E. Fruzzetti Borderline Personality Disorder: Neo-Personality Inventory Ratings of Patients and Their Family Members International Journal of Social Psychiatry, May 1, 2007; 53(3): 204 - 215. [Abstract] [PDF]

				J. G. Gunderson, M. T. Daversa, C. M. Grilo, T. H. McGlashan, M. C. Zanarini, M. T. Shea, A. E. Skodol, S. Yen, C. A. Sanislow, D. S. Bender, et al. Predictors of 2-Year Outcome for Patients With Borderline Personality Disorder Am J Psychiatry, May 1, 2006; 163(5): 822 - 826. [Abstract] [Full Text] [PDF]

				M. J. HILSENROTH, S. J. ACKERMAN, M. D. BLAGYS, and J. L. PRICE Dr. Hilsenroth and Colleagues Reply Am J Psychiatry, November 1, 2001; 158(11): 1936 - 1937. [Full Text]

Get information about faster international access.

Privacy Policy

Copyright © 1999 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us