Use of Care Services by Patients With Borderline Personality Disorder

Study Overview
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Brief Summary
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Borderline personality disorder (BPD) is characterized by a pervasive pattern of instability and impulsivity. Several North American prospective studies support the high level of mental health care utilization in this population. There is little data in other systems of health organization, such as France. Furthermore, little is known on the variables associated with the mental health service utilization among BPD patients. The main objective was to compare the utilization of mental health care among BPD patients, to the general population and patients with another personality disorder (PD) and to describe the demographic and clinical factors associated with the group of patients who use the most health care.

Official Title
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Use of Care Services by Patients With Borderline Personality Disorder

Conditions
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Borderline Personality Disorder

Intervention / Treatment
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* Behavioral: Psychologic test
* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Affiliated with the health insurance Inpatient Psychiatry Exclusion Criteria: Patient in forced hospitalization chronic psychotic disorder, mania or hypomania state, known mental retardation. Patient does not speak or read French

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Psychiatric patients group<br>Patient groups were composed with: BPD, other PD and assessed Psychologic test | Behavioral: Psychologic test<br>* Assessment by a psychologist including the Structured Interview for Diagnostic and Statistical Manual (DSM)-IV Personality Disorders (SIDP-IV) was given straight to those who had a score above 28. This questionnaire allowed us to distinguish one group of subjects with BPD and a group with other PD (without BPD). Clinical evaluation included Axis I (MINI), Axis II (SIDP-IV), psychopathological features (YSQ-I, Defense Style Questionnaire (DSQ-40), demographic variables and therapeutic alliance (Haq-II).<br>|
| Control group<br>Matched controls (age, sex) composed the 3rd and 4th group (BPD control and other PD control). They were randomly chosen in the health database insurance previously used. They had no intervention. | Other: No intervention<br>* No intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compare data among BPD Patients and general population | Utilization of mental health care | during five years previously to the inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospitalizations | Compare hospitalizations between BPD patients and general population | During five years previously to the inclusion | 
| Demographics data | Compare demographic data between BPD patient and general population | Inclusion |