OBJECTIVES: This study examined treatment preferences among suicidal and self-injuring women with borderline personality disorder (BPD) and PTSD. METHOD: Women (N = 42, M(age) = 34) with BPD, PTSD and recent intentional self-injury were evaluated upon entry into a psychotherapy outcome study. RESULTS: The majority preferred a combined dialectical behavior therapy (DBT) and prolonged exposure (PE) treatment (73.8%), followed by DBT alone (26.2%), and PE alone (0%). Women who preferred the combined treatment were more likely to report a desire to obtain relief from PTSD and to receive specific DBT and PE treatment components as reasons underlying this preference. Few women (21.4%) reported concerns about PE, but those who did were more likely to prefer DBT alone. More severe PTSD re-experiencing symptoms, a childhood index trauma, and less reduction in positive affect after a trauma interview predicted a preference for the combined treatment. CONCLUSIONS: These results may help to inform treatment for these complex patients.
OBJECTIVES: This study examined treatment preferences among suicidal and self-injuring women with borderline personality disorder (BPD) and PTSD. METHOD:Women (N = 42, M(age) = 34) with BPD, PTSD and recent intentional self-injury were evaluated upon entry into a psychotherapy outcome study. RESULTS: The majority preferred a combined dialectical behavior therapy (DBT) and prolonged exposure (PE) treatment (73.8%), followed by DBT alone (26.2%), and PE alone (0%). Women who preferred the combined treatment were more likely to report a desire to obtain relief from PTSD and to receive specific DBT and PE treatment components as reasons underlying this preference. Few women (21.4%) reported concerns about PE, but those who did were more likely to prefer DBT alone. More severe PTSD re-experiencing symptoms, a childhood index trauma, and less reduction in positive affect after a trauma interview predicted a preference for the combined treatment. CONCLUSIONS: These results may help to inform treatment for these complex patients.
Authors: Marylene Cloitre; Christine A Courtois; Anthony Charuvastra; Richard Carapezza; Bradley C Stolbach; Bonnie L Green Journal: J Trauma Stress Date: 2011-12-06
Authors: Jina Pagura; Murray B Stein; James M Bolton; Brian J Cox; Bridget Grant; Jitender Sareen Journal: J Psychiatr Res Date: 2010-05-26 Impact factor: 4.791
Authors: Carissa van den Berk Clark; Rachel Moore; Scott Secrest; Peter Tuerk; Sonya Norman; Ursula Myers; Patrick J Lustman; F David Schneider; Jacqueline Barnes; Randy Gallamore; Muhammad Ovais; James Alex Plurad; Jeffrey F Scherrer Journal: Psychiatr Serv Date: 2019-04-23 Impact factor: 3.084