In longitudinal studies, BPD symptoms diminish over time, though psychosocial functioning lags far behind. The effects of time and advancing age on BPD are poorly understood. We sought prospective predictors of psychosocial outcome and recovery in 150 BPD subjects followed 2 to 31 years (mean 9.94 years) using a multidimensional assessment method and biannual follow-ups. Time-in-study had no significant effect on achieving diagnostic remission in BPD, good psychosocial outcomes, meaningful interpersonal relationships, full employment, or total recovery; however, younger age was associated with social and vocational achievement independent of BPD remission. Significant contributions to psychosocial outcome were found for age, employment status, MDD, SUD, Any Anxiety Disorder, and Alcohol abuse/dependence (ALC). Remission from BPD was neither necessary or sufficient for good interpersonal relationships or full-time employment. Full-time employment and social and vocational adjustment (SAS-sr) predicted good psychosocial outcome. Axis I comorbidity with Any Anxiety Disorder, MDD, or SUD predicted poor outcome.

中文翻译：

---

边缘性人格障碍中社会心理结果的时间、年龄和预测因素。

在纵向研究中，尽管心理社会功能远远落后，但 BPD 症状会随着时间的推移而减少。人们对时间和年龄增长对 BPD 的影响知之甚少。我们使用多维评估方法和半年一次的随访，在 2 至 31 年（平均 9.94 年）后的 150 名 BPD 受试者中寻找心理社会结果和恢复的前瞻性预测因子。学习时间对 BPD 诊断缓解、良好的心理社会结果、有意义的人际关系、充分就业或完全康复没有显着影响；然而，年龄较小与社会和职业成就相关，与 BPD 缓解无关。年龄、就业状况、MDD、SUD、任何焦虑症和酒精滥用/依赖 (ALC) 对社会心理结果有显着贡献。BPD 的缓解对于良好的人际关系或全职工作来说既不是必要的，也不是充分的。全职就业和社会和职业调整（SAS-sr）预示着良好的社会心理结果。Axis I 合并任何焦虑症、MDD 或 SUD 预测不良结果。