Longitudinal studies provide substantial evidence for a high rate of symptomatic remission in borderline personality disorder (BPD), while social and vocational functioning seems to remain consistently impaired. Less data is available on recovery and the associated objective and personal indicators. We examined 58 patients 12-18 years after their diagnosis of BPD and compared two different recovery criteria: observer-based global assessment of functioning and self-rated satisfaction with life (SWL). Symptomatic remission was observed in 81% of the participants (according to DSM-IV), but only 44% of them achieved a GAF level > 60, and only 49% reported SWL within the range of one standard deviation of the normal population. In line with previous research, our data show that DSM symptom remission alone is an insufficient indicator for recovery from BPD. Replacing the GAF with patient-reported satisfaction with life considers empowerment in BPD and offers an efficient alternative criterion for recovery.

中文翻译：

---

如何评估边缘性人格障碍的恢复：前DBT研究患者样本中的社会心理功能和对生活的满意度。

纵向研究为边缘性人格障碍（BPD）的症状缓解率高提供了充分的证据，而社交和职业功能似乎仍然持续受到损害。关于恢复以及相关目标和个人指标的可用数据较少。我们检查了58例BPD诊断后12-18年的患者，并比较了两种不同的恢复标准：基于观察者的整体功能评估和对生活的自我评价（SWL）。在81％的受试者中观察到症状缓解（根据DSM-IV），但只有44％的受试者的GAF水平> 60，只有49％的受试者报告SWL在正常人群的一个标准差范围内。根据先前的研究，我们的数据表明，仅DSM症状缓解不足以指示从BPD恢复。用患者报告的生活满意度代替GAF会考虑BPD的授权，并为康复提供了有效的替代标准。