Changes in post-traumatic stress disorder symptoms during residential treatment for borderline personality disorder: a longitudinal cross-lagged study

Autor: Sara R. Masland, Mackenzie H. Cummings, Kaylee E. Null, Kim M. Woynowskie, Lois W. Choi-Kain
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Borderline Personality Disorder and Emotion Dysregulation, Vol 6, Iss 1, Pp 1-9 (2019)
Druh dokumentu: article
ISSN: 2051-6673
DOI: 10.1186/s40479-019-0113-4
Popis: Abstract Background Symptoms of borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD) commonly co-occur. Recent evidence supports the concomitant treatment of BPD and PTSD. Methods This study uses a longitudinal cross-lagged panel model to examine BPD and PTSD symptom response in a sample of 110 women undergoing residential treatment for BPD. The naturalistic treatment primarily followed a dialectical-behavior therapy protocol, with individualized integration of other major evidence-based treatments (EBTs) for BPD, including mentalization-based treatment, good psychiatric management, and transference-focused psychotherapy. Results A residentially-based integration of treatment approaches resulted in significant reductions in BPD (d = 0.71) and PTSD (d = 0.75) symptoms. Moreover, changes in BPD symptoms prospectively predicted changes in PTSD symptoms (constrained path b = 1.73), but the reverse was not true (constrained path b = 0.05). Conclusions A naturalistic integration of EBTs for BPD may benefit both BPD and PTSD symptoms even in the absence of PTSD-oriented intervention. Additionally, the attenuation of BPD symptoms may have positive impact on PTSD symptoms.
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