1. The Influence of Posttraumatic Stress Disorder on Treatment Outcomes of Patients With Borderline Personality Disorder
- Author
-
Tali Boritz, Ryan Barnhart, and Shelley McMain
- Subjects
Adult ,Male ,050103 clinical psychology ,medicine.medical_specialty ,Cost effectiveness ,Cost-Benefit Analysis ,medicine.medical_treatment ,Poison control ,Suicide, Attempted ,Comorbidity ,behavioral disciplines and activities ,law.invention ,Stress Disorders, Post-Traumatic ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Behavior Therapy ,Borderline Personality Disorder ,law ,Outcome Assessment, Health Care ,mental disorders ,Injury prevention ,Humans ,Medicine ,0501 psychology and cognitive sciences ,Young adult ,Psychiatry ,Borderline personality disorder ,business.industry ,05 social sciences ,medicine.disease ,Dialectical behavior therapy ,030227 psychiatry ,Psychiatry and Mental health ,Clinical Psychology ,Female ,business ,Self-Injurious Behavior ,Clinical psychology - Abstract
The aim of this study was to determine the influence of posttraumatic stress disorder (PTSD) on treatment outcomes in patients with borderline personality disorder (BPD). Participants were 180 individuals diagnosed with BPD enrolled in a randomized controlled trial that compared the clinical and cost effectiveness of dialectical behavior therapy (DBT) and general psychiatric management (GPM). Multilevel linear models and generalized linear models were used to compare clinical outcomes of BPD patients with and without PTSD. BPD patients with comorbid PTSD reported significantly higher levels of global psychological distress at baseline and end of treatment compared to their non-PTSD counterparts. Both groups evidenced comparable rates of change on suicide attempts and non-suicidal self-injury (NSSI), global psychological distress, and BPD symptoms over the course of treatment and post-treatment follow-up. DBT and GPM were effective for BPD patients with and without PTSD across a broad range of outcomes.
- Published
- 2016