دورية أكاديمية

Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder.

التفاصيل البيبلوغرافية
العنوان: Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder.
المؤلفون: Kolthof, K A, Voorendonk, E M, Van Minnen, A, De Jongh, A
المصدر: Eur J Psychotraumatol ; ISSN:2000-8066 ; Volume:13 ; Issue:2
بيانات النشر: Atypon
سنة النشر: 2022
المجموعة: PubMed Central (PMC)
مصطلحات موضوعية: Post-traumatic stress disorder, Trastorno de estrés postraumático, borderline personality disorder, diagnostic status, estado de diagnóstico, intensive trauma-focused treatment, resultado del tratamiento, trastorno límite de la personalidad, tratamiento intensivo centrado en el trauma, treatment outcome, 创伤后应激障碍, 治疗结果, 聚焦创伤的强化治疗, 诊断状态, 边缘性人格障碍
الوصف: Background: Research indicates that intensive trauma-focused therapy can be effective in alleviating symptoms of post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). However, these studies have relied on self-report of BPD symptoms and follow-up data are scarce.Objective: The purpose of this feasibility study was to determine the effects of an intensive trauma-focused treatment programme on the severity of PTSD and BPD symptoms and the diagnostic status up to a 12-month follow-up.Methods: A total of 45 (60% female) individuals meeting the diagnostic criteria of both PTSD and BPD participated in an intensive eight-day trauma-focused treatment programme which combined prolonged exposure and EMDR therapy in an inpatient treatment setting. Severity of PTSD and BPD symptoms were assessed at pre-treatment, post-treatment, 6 months, and 12 months after treatment (CAPS-5, BPDSI-IV). Diagnostic status was determined using clinical interviews (CAPS-5 and SCID-5-P) at pre-treatment and 12-month follow-up.Results: Of all participants, 93.3% had been exposed to physical abuse, and 71.1% to sexual abuse prior to the age of 12 years. PTSD and BPD symptom severity significantly decreased from pre- to post-treatment (Cohen's ds: 1.58 and 0.98, respectively), and these results were maintained at 6- (ds: 1.20 and 1.01) and 12-month follow-up (ds: 1.53 and 1.36). Based upon CAPS-5, 69.2% no longer met the diagnostic criteria of PTSD at 12-month follow-up, while according to the SCID-5-P 73.1% no longer fulfilled the diagnostic criteria of BPD at that time. No significant worsening of symptoms occurred.Conclusion: The findings of this study, which is the first to examine the effects of psychotherapeutic treatment of PTSD on the presence of a borderline personality disorder one year after treatment, add support to the notion that a brief intensive trauma-focused treatment can be a valuable option for individuals suffering from both PTSD and BPD.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: https://doi.org/10.1080/20008066.2022.2143076Test; https://pubmed.ncbi.nlm.nih.gov/38872595Test; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704092Test/
DOI: 10.1080/20008066.2022.2143076
الإتاحة: https://doi.org/10.1080/20008066.2022.2143076Test
https://pubmed.ncbi.nlm.nih.gov/38872595Test
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704092Test/
رقم الانضمام: edsbas.AF683F5B
قاعدة البيانات: BASE