The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder.

European Journal of Psychotraumatology
Ad De JonghA van Minnen

Abstract

Background: It is generally recommended to exercise caution in applying trauma-focused treatment to individuals with posttraumatic stress disorder (PTSD) and comorbid borderline personality disorder (BPD). Objective: To investigate the effects of a brief, intensive, direct trauma-focused treatment programme for individuals with PTSD on BPD symptom severity. Methods: Individuals (n = 72) with severe PTSD (87.5% had one or more comorbidities; 52.8% fulfilled the criteria for the dissociative subtype of PTSD) due to multiple traumas (e.g. 90.3% sexual abuse) participated in an intensive eight-day trauma-focused treatment programme consisting of eye movement desensitization and reprocessing (EMDR) and prolonged exposure (PE) therapy, physical activity, and psychoeducation. Treatment did not include any form of stabilization (e.g. emotion regulation training) prior to trauma-focused therapy. Assessments took place at pre- and post-treatment (Borderline Symptom List, BSL-23; PTSD symptom severity, Clinician Administered PTSD Scale for DSM-5, CAPS-5), and across the eight treatment days (PTSD Checklist, PCL-5). Results: Treatment resulted in significant decreases of BPD symptoms (Cohen's d = 0.70). Of the 35 patients with a positive s...Continue Reading

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Citations

Oct 9, 2020·European Journal of Psychotraumatology·Eline M VoorendonkAgnes Van Minnen
Oct 23, 2020·Issues in Mental Health Nursing·Katrina Campbell, Richard Lakeman
Jan 8, 2021·European Journal of Psychotraumatology·Miranda Olff

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