Kolthof, K. A. 
ORCID: https://orcid.org/0000-0001-6944-6375, Voorendonk, E. M. ORCID: https://orcid.org/0000-0001-7554-8343, Van Minnen, A. ORCID: https://orcid.org/0000-0002-3099-8444 and De Jongh, A. ORCID: https://orcid.org/0000-0001-6031-9708
2022,
'Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder'
, European Journal of Psychotraumatology, 13 (2)
.
|
PDF
- Published Version
Available under License Creative Commons Attribution Non-commercial 4.0. Download (2MB) | Preview |
Abstract
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.
| Item Type: | Article |
|---|---|
| Schools: | Schools > School of Health and Society |
| Journal or Publication Title: | European Journal of Psychotraumatology |
| Publisher: | Informa UK Limited |
| ISSN: | 2000-8066 |
| Funders: | none |
| SWORD Depositor: | Publications Router |
| Depositing User: | Publications Router |
| Date Deposited: | 12 Jan 2023 12:54 |
| Last Modified: | 12 Jan 2023 13:00 |
| URI: | https://usir.salford.ac.uk/id/eprint/66083 |
Actions (login required)
 |
Edit record (repository staff only) |
Tools
Tools