We aimed to study physical health and primary care utilization in the long-term course of borderline personality disorder (BPD) and their impact on quality of life (QOL) in a Spanish clinical sample. This study is part of a longitudinal study following a clinical cohort with BPD. A total of 41 participants were re-evaluated at 10-year follow-up, when current medical conditions, primary care utilization, and quality of life were assessed. Comparative population data were extracted from the Catalan Health Survey ESCA. 68% of BPD patients reported physical health problems, and 32% informed of multiple medical illnesses at follow-up. Higher rates of musculoskeletal disorders and frequent use of general practitioner (GP) consultations were reported by BPD patients compared to the general population. Differences in physical health and use of primary care services between remitted and non-remitted BPD patients were not significant. BPD remission was independently associated with better long-term QOL. Comorbid somatic diseases worsened the long-term QOL of non-remitted BPD patients. Chronic somatic conditions are prevalent in people with BPD and interact negatively with persistent BPD pathology, worsening their QOL in the long-term. Health care strategies in the assistance of long-lasting BPD patients are recommended.

中文翻译：

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边缘性人格障碍患者的身体健康、初级保健利用率和长期生活质量：西班牙样本的 10 年跟踪研究

我们的目的是在西班牙临床样本中研究边缘型人格障碍 (BPD) 长期病程中的身体健康和初级保健利用率及其对生活质量 (QOL) 的影响。这项研究是 BPD 临床队列纵向研究的一部分。 10 年随访时，共有 41 名参与者接受了重新评估，评估了当前的医疗状况、初级保健利用率和生活质量。比较人口数据取自加泰罗尼亚健康调查 ESCA。 68% 的 BPD 患者报告有身体健康问题，32% 的患者在随访中得知患有多种疾病。与一般人群相比，BPD 患者的肌肉骨骼疾病发生率更高，并且经常接受全科医生 (GP) 咨询。缓解和未缓解的 BPD 患者在身体健康状况和初级保健服务使用方面的差异并不显着。 BPD 缓解与更好的长期生活质量独立相关。共病躯体疾病使未缓解的 BPD 患者的长期生活质量恶化。慢性躯体疾病在 BPD 患者中普遍存在，并与持续的 BPD 病理产生负面相互作用，从长远来看会恶化他们的生活质量。建议采取医疗保健策略来帮助长期 BPD 患者。