The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder
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 p...
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doaj-f67dfadff8a6449abeb9bbfa9626ace32021-06-25T11:10:02ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2020.17211421721142The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorderA. De Jongh0G. N. Groenland1S. Sanches2H. Bongaerts3E. M. Voorendonk4A. Van Minnen5University of Amsterdam and VU University AmsterdamPsychotrauma Expertise Centre (PSYTREC), Bilthoven, The NetherlandsPsychotrauma Expertise Centre (PSYTREC), Bilthoven, The NetherlandsPsychotrauma Expertise Centre (PSYTREC), Bilthoven, The NetherlandsPsychotrauma Expertise Centre (PSYTREC), Bilthoven, The NetherlandsPsychotrauma Expertise Centre (PSYTREC), Bilthoven, The NetherlandsBackground: 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 screen for BPD at pre-treatment, 32.7% lost their positive screen at post-treatment. No adverse events nor dropouts occurred during the study time frame, and none of the patients experienced symptom deterioration in response to treatment. Conclusion: The results suggest that an intensive trauma-focused treatment is a feasible and safe treatment for PTSD patients with clinically elevated symptoms of BPD, and that BPD symptoms decrease along with the PTSD symptoms.http://dx.doi.org/10.1080/20008198.2020.1721142posttraumatic stress disorderborderline personality disorderintensive trauma-focused treatmentprolonged exposureemdr therapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A. De Jongh G. N. Groenland S. Sanches H. Bongaerts E. M. Voorendonk A. Van Minnen |
spellingShingle |
A. De Jongh G. N. Groenland S. Sanches H. Bongaerts E. M. Voorendonk A. Van Minnen The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder European Journal of Psychotraumatology posttraumatic stress disorder borderline personality disorder intensive trauma-focused treatment prolonged exposure emdr therapy |
author_facet |
A. De Jongh G. N. Groenland S. Sanches H. Bongaerts E. M. Voorendonk A. Van Minnen |
author_sort |
A. De Jongh |
title |
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder |
title_short |
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder |
title_full |
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder |
title_fullStr |
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder |
title_full_unstemmed |
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder |
title_sort |
impact of brief intensive trauma-focused treatment for ptsd on symptoms of borderline personality disorder |
publisher |
Taylor & Francis Group |
series |
European Journal of Psychotraumatology |
issn |
2000-8066 |
publishDate |
2020-12-01 |
description |
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 screen for BPD at pre-treatment, 32.7% lost their positive screen at post-treatment. No adverse events nor dropouts occurred during the study time frame, and none of the patients experienced symptom deterioration in response to treatment. Conclusion: The results suggest that an intensive trauma-focused treatment is a feasible and safe treatment for PTSD patients with clinically elevated symptoms of BPD, and that BPD symptoms decrease along with the PTSD symptoms. |
topic |
posttraumatic stress disorder borderline personality disorder intensive trauma-focused treatment prolonged exposure emdr therapy |
url |
http://dx.doi.org/10.1080/20008198.2020.1721142 |
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