Evidence map›Paper›PMID 37229394›Full record

ArticleFrontiers in psychiatry2023

Improvement of personality functioning among people treated within personality disorder mental health services. A longitudinal, observational study.

Elfrida H Kvarstein, Mathias Frøyhaug, Mona S Pettersen, Sara Carlsen, Andreas Ekberg, Jane Fjermestad-Noll, Dag A Ulvestad, Elisabeth L Gikling, Eirik Hjermann, Kenneth Lindberget and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05989529 (Uncovering Clinical Trial Engagement Among Individuals With Borderline Personality Disorder), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.0field-weighted citation impact, top 4% 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.

NCT05989529 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Uncovering Clinical Trial Engagement Among Individuals With Borderline Personality Disorder

TypeobservationalSponsorPower Life Sciences Inc.Ran2024 to 2026Enrolled500ConditionsBorderline Personality Disorder
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 16 citations in OpenAlex.

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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

16 authors at 7 institutions in 1 country.

Elfrida H KvarsteinSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Mathias FrøyhaugGroruddalen District Psychiatric Center, Akershus University Hospital, Akershus, Norway.
Mona S PettersenTromsø University Hospital, Tromsø, Norway.
Sara CarlsenDepartment of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Andreas EkbergSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Jane Fjermestad-NollSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Dag A UlvestadSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Elisabeth L GiklingDepartment of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Eirik HjermannKronstad District Psychiatric Center, Haukeland University Hospital, Bergen, Norway.
Kenneth LindbergetStrømme District Psychiatric Center, Sørlandet Hospital, Kristiansand, Norway.
Siri OmvikKronstad District Psychiatric Center, Haukeland University Hospital, Bergen, Norway.
Ingeborg U-M EikenæsSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Benjamin HummelenDepartment of Research and Innovation, Oslo University Hospital, Oslo, Norway.
Katharina T E MorkenDepartment of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Theresa WilbergInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Geir A F PedersenSection for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Oslo, Norway.
Haukeland University Hospital · NOOslo University Hospital · NOUniversity of Oslo · NOAkershus University Hospital · NODiakonhjemmet Hospital · NOSørlandet Sykehus · NOUniversity Hospital of North Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Evidence-based personality disorder (PD) treatments are dominated by interventions targeting Borderline PD, although clinical populations characteristically include different PD features and severity. Personality functioning is a new concept intended to capture common features across PDs. This study aimed to investigate longitudinal improvement of personality functioning in a clinical sample assigned to PD treatment. Method: An observational, large, longitudinal study of patients in PD treatments on specialist mental health service levels ( Results: Thirty per cent had personality difficulties below PD threshold. Among PDs, 31% had Borderline (BPD), 39% Avoidant (AvPD), 15% not otherwise specified, 15% other PDs, and 24% > one PD. More severe initial LPFS-BF was associated with younger age, presence of PD and increasing number of total PD criteria. Across PD conditions, LPFS-BF, PHQ-9 and GAD-7 improved significantly (overall effect size 0.9). Mean duration of PD treatment was 15 (SD 9) months. Drop-out rates were low (12%). LPFS-BF improvement-rates were higher for BPD. Younger age was moderately associated with slower PHQ-9 improvement. Work/study activity was initially poor, poorer levels associated with AvPD and younger age, and improvement was non-significant across PD conditions. AvPD was associated with slower WSAS improvement-rates. Conclusion: Personality functioning improved across PD conditions. The results highlight BPD improvements. The study points to challenges concerning AvPD treatment, poor occupational activity and age-related differences.

Indexed as

improvementlongitudinalpersonality disorder (MeSH)personality functioningtreatment

Identifiers

PMID37229394
PMCPMC10203961
OpenAlexW4378347389

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.