Cognitive behavioral therapy for posttraumatic stress disorder in individuals with severe mental illness and borderline personality disorder

Autor: Stephen Lo, Stanley D. Rosenberg, M. Alexandra Kredlow, Kristin L. Szuhany, Kim T. Mueser, Jennifer D. Gottlieb, Haiyi Xie
Rok vydání: 2017
Předmět:
Adult
Male
050103 clinical psychology
medicine.medical_specialty
medicine.medical_treatment
Population
Psychological intervention
behavioral disciplines and activities
Article
law.invention
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Borderline Personality Disorder
law
mental disorders
medicine
Humans
0501 psychology and cognitive sciences
Psychiatry
education
Borderline personality disorder
Biological Psychiatry
education.field_of_study
Cognitive Behavioral Therapy
Depression
Mental Disorders
05 social sciences
Middle Aged
Mental illness
medicine.disease
Mental health
030227 psychiatry
Cognitive behavioral therapy
Psychiatry and Mental health
Treatment Outcome
Tolerability
Feasibility Studies
Female
Psychology
Clinical psychology
Zdroj: Psychiatry Research. 249:86-93
ISSN: 0165-1781
DOI: 10.1016/j.psychres.2016.12.045
Popis: Secondary analyses were performed on data from two randomized controlled trials of a cognitive behavioral therapy (CBT) program for post-traumatic stress disorder (PTSD) in individuals with severe mental illness (SMI) to examine the feasibility, tolerability, and effectiveness for individuals with borderline personality disorder (BPD). In Study 1, 27 participants received CBT or treatment as usual. In Study 2, 55 participants received CBT or a Brief treatment. Feasibility and tolerability of CBT, PTSD symptoms, and other mental health and functional outcomes were examined, with assessments at baseline, post-treatment, and two follow-up time points. CBT was feasible and tolerable in this population. Study 1 participants in CBT improved significantly more in PTSD symptoms, depression, and self-reported physical health. Study 2 participants in both CBT and Brief improved significantly in PTSD symptoms, posttraumatic cognitions, depression, and overall functioning, with those in CBT acquiring significantly more PTSD knowledge, and having marginally significantly greater improvement in PTSD symptoms. CBT for PTSD was feasible and tolerated in individuals with SMI, BPD, and PTSD, and associated with improvements in PTSD symptoms and related outcomes. Prospective research is needed to evaluate CBT in individuals with BPD, including comparing it with staged interventions for this population.
Databáze: OpenAIRE
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