Evidence map›Paper›PMID 32000616›Full record

ArticleJournal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)

Levels of Depersonalization and Derealization Reported by Recovered and Non-recovered Borderline Patients Over 20 Years of Prospective Follow-up.

Ravi Shah, Christina M Temes, Frances R Frankenburg, Garrett M Fitzmaurice, Mary C Zanarini

Open access · greenAbstract readVideo-Audio Media
In one paragraph

Article in Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Psychedelic-Associated Depersonalization-Derealization Disorder.Current topics in behavioral neurosciences · 2026
    Review
  2. Article
  3. Dissociation, trauma, and borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ravi ShahLaboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts, USA.
Christina M TemesLaboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts, USA.
Frances R FrankenburgLaboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts, USA.
Garrett M FitzmauriceDepartment of Psychiatry, Harvard Medical School, Belmont, Massachusetts, USA.
Mary C ZanariniLaboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts, USA.
McLean Hospital · USHarvard University · US

Funding

MCLEAN STUDY OF ADULT DEVELOPMENTR01MH062169 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI ZANARINI, MARY C · 2000 to 2014
$6.6M
NIMH NIH HHS R01 MH062169
6 · The paper itself

Abstract

Borderline personality disorder (BPD) is a serious psychiatric illness, and it is often associated with dissociative symptoms. The purpose of this study was to assess the course of depersonalization and derealization symptoms in recovered and non-recovered borderline patients over 20 years of prospective follow-up. The Dysphoric Affect Scale (DAS) - a 50-item self-report measure was administered to 290 borderline inpatients at baseline, and the remaining participants (85%) at 10 follow-up interviews conducted over 20 years. The level of depersonalization and derealization experienced by borderline patients was assessed using three items (feeling unreal, feeling completely numb, and feeling like people and things aren't real) from the DAS. The patients who recovered from BPD reported significantly lower scores in all three inner states (62 - 63%) at baseline compared to those patients who did not recover. Furthermore, scores of recovered and non-recovered groups decreased significantly in all three inner states studied over 20 years of prospective follow-up. Overall, these results suggest that the severity of depersonalization and derealization symptoms decreased significantly over 20 years of prospective follow-up and had a strong association with BPD recovery status.

Indexed as

AdolescentAdultBorderline Personality DisorderDepersonalizationFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleProspective StudiesPsychiatric Status Rating ScalesSeverity of Illness IndexBorderline personality disorderdepersonalizationderealizationdissociationlongitudinal

Identifiers

PMID32000616
PMCPMC9423009
OpenAlexW3004379408

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.