Quetiapine for the treatment of borderline personality disorder; an open-label study.
نویسندگان
چکیده
PURPOSE Only a few studies have commented on the use of atypical antipsychotics for the treatment of Borderline Personality Disorder (BPD) features, including affective dysregulation and aggression. We aimed at evaluating both efficacy and safety of quetiapine in a sample of consecutive BPD patients. GENERAL METHODS 29 BPD outpatients entered, and 23 completed, a 12 week, open-label, regime of quetiapine at an average daily dosage of 540 mg (range: 400-800 mg). Efficacy assessment psychometric instruments included: Hamilton Rating Scales for Depression (HAM-D); Brief Psychiatric Rating Scale (BPRS); Global Assessment of Functioning (GAF); Clinical Global Impression Scale (CGI); and Aggression Questionnaire (AQ). FINDINGS Both completer and intent-to-treat analysis showed that most psychometric scales' scores exhibited a highly significant (HAM-D: p=.003; BPRS Hostility and Suspiciousness subscales; CGI; GAF; AQ: all at p=.000) improvement over time. Six patients dropped out early from treatment due to side effects; quetiapine was associated with two cases of transient thrombocytopenia. CONCLUSIONS Present findings would suggest that quetiapine may be effective for the treatment of a number of BPD features, including low mood and aggression. However, monitoring blood counts in patients receiving quetiapine seems to be justified.
منابع مشابه
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متن کاملAntipsychotics and borderline personality disorder
I congratulate Lieb et al on their excellent systematic review. However, it is interesting that studies until June 2008 were included in this review; moreover, that in January 2009 the National Institute for Health and Clinical Excellence (NICE) guidelines advised that ‘drug treatment should not be used specifically for borderline personality disorder or for the individual symptoms or behaviour...
متن کاملAntipsychotics and borderline personality disorder
I congratulate Lieb et al on their excellent systematic review. However, it is interesting that studies until June 2008 were included in this review; moreover, that in January 2009 the National Institute for Health and Clinical Excellence (NICE) guidelines advised that ‘drug treatment should not be used specifically for borderline personality disorder or for the individual symptoms or behaviour...
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ورودعنوان ژورنال:
- Progress in neuro-psychopharmacology & biological psychiatry
دوره 31 1 شماره
صفحات -
تاریخ انتشار 2007