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

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) .

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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

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