The DOI matches its Crossref record; 43 of the 44 references it cites were found in a registry or an index.
The association of posttraumatic stress disorder, complex posttraumatic stress disorder, and borderline personality disorder from a network analytical perspective
Abstract
Background Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level.Methods Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II. The psychopathological network was analyzed using the network approach.Results PTSD and Complex PTSD symptoms were strongly connected within disorders and to a lesser degree between disorders. Symptoms of BPD were weakly connected to others. Re-experiencing and dissociation were the most central symptoms.Conclusions Mental disorders are no discrete entities, clear boundaries are unlikely to be found. The psychopathological network revealed central symptoms that might be important targets for specific first interventions.
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“On the other hand, BPD symptoms were only weakly inter-connected to one another, primarily centering on self-harm, chronic emotional emptiness, mood instability, and impulsivity.”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [95]
In the citing paper
“In addition, dissociative and DSO emotion dysregulation symptoms were most central and most strongly connected to PTSD symptoms.”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [95]
In the citing paper
“Furthermore, none of the BPD symptoms were more than weakly connected with either the PTSD or DSO symptoms, except to the PTSD symptom of reckless behavior.”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [95]
In the citing paper
“In a sample of adults with histories of institutional child abuse, network analyses showed that PTSD and DSO symptoms were moderately interconnected [95].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [95]
In the citing paper
“Dissociation has been shown to be problematic for a sub-set of the individuals who are diagnosed with BPD, PTSD, and cPTSD, both as freestanding disorders and when comorbid with one another [95, 179, 180].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [95]
Citations
Cites
The Structure and Function of Complex Networks
Newman, M. E. J. (2003) · SIAM Review · doi:10.1137/s003614450342480 · Cited by 18,719
Finding and evaluating community structure in networks
Newman, M. E. J., & Girvan, M. (2004) · Physical Review E · doi:10.1103/physreve.69.026113 · Cited by 13,931
Modularity and community structure in networks
Newman, M. E. J. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0601602103 · Cited by 12,256
Complex networks: structure and dynamics
BOCCALETTI, S., LATORA, V, MORENO, Y., CHAVEZ, M., & HWANG, D. (2006) · Physics Reports · doi:10.1016/j.physrep.2005.10.009 · Cited by 11,010
The igraph software package for complex network research
Csárdi, G., & Nepusz, T. (2006) · Medical Entomology and Zoology · Cited by 10,078
Development and validation of a brief screening version of the Childhood Trauma Questionnaire
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., et al. (2003) · Child Abuse & Neglect · doi:10.1016/s0145-2134(02)00541-0 · Cited by 6,419
Sparse inverse covariance estimation with the graphical lasso
Friedman, J., Hastie, T., & Tibshirani, R. (2008) · Biostatistics · doi:10.1093/biostatistics/kxm045 · Cited by 6,355
Qgraph: Network visualizations of relationships in psychometric data
Epskamp, S., Cramer, A., Waldorp, L., Schmittmann, V., & Borsboom, D. (2012) · Journal of Statistical Software · doi:10.18637/jss.v048.i04 · Cited by 4,844
Network analysis: An integrative approach to the structure of psychopathology
Borsboom, D., & Cramer, A. O. J. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185608 · Cited by 4,359
Node centrality in weighted networks: Generalizing degree and shortest paths
Opsahl, T., Agneessens, F., & Skvoretz, J. V. (2010) · Social Networks · doi:10.1016/j.socnet.2010.03.006 · Cited by 3,854
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Items 101–145 of 145
Beck, J. G., Woodward, M. J., Pickover, A. M., Lipinski, A. J., Dodson, T. S., & Tran, H. N. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22756 · Cited by 3
Dissociative experiences alter resting state functional connectivity after childhood abuse
von Schröder, C., Nkrumah, R. O., Demirakça, T., Ende, G., & Schmahl, C. G. (2025) · Scientific Reports · doi:10.1038/s41598-024-79023-9 · Cited by 4
Disorders Specifically Associated with Stress
Brewin, C. R., & Maercker, A. R. A. (2023) · Cambridge University Press eBooks · doi:10.1017/9781009182232.006 · Cited by 3
Jowett, S., Hyland, P., Hansen, M., & Bach, B. (2024) · Journal of Personality Disorders · doi:10.1521/pedi.2024.38.3.207 · Cited by 3
Kerig, P. K., Mendez, L., & Mozley, M. M. (2025) · Springer eBooks · doi:10.1007/978-3-031-69734-0_5 · Cited by 3
Introduction to the Special Issue: Network Analysis of Traumatic Stress
Frewen, P., O'Donnell, M. L., & D'Andrea, W. M. (2020) · Journal of Traumatic Stress · doi:10.1002/jts.22486 · Cited by 3
Sigurðardóttir, K., Qambar, N., Elklit, A., Auning-Hansen, M. A., & Nielsen, S. B. (2024) · Scandinavian Journal of Psychology · doi:10.1111/sjop.13079 · Cited by 2
Farkas, B. F., Győri, D., Komáromy, D., Garas, P., Kollárovics, N., Horváth, L. O., & Balázs, J. (2025) · Scandinavian Journal of Child and Adolescent Psychiatry and Psychology · doi:10.2478/sjcapp-2025-0013 · Cited by 2
Byrd, I. R., Kahn, C., Kopitz, J. L., Cao, X., Martin, H., & Dowgwillo, E. A. (2025) · Journal of Personality Assessment · doi:10.1080/00223891.2025.2599304 · Cited by 2
Complex post-traumatic stress disorder: a breakthrough in treating personality disorders
Tomalski, R., & Pietkiewicz, I. J. (2020) · Psychiatria i Psychologia Kliniczna · doi:10.15557/pipk.2020.0006 · Cited by 2
Cognitive–behavioural therapy for complex post-traumatic stress disorder
Rajkumar, B. (2024) · BJPsych Advances · doi:10.1192/bja.2024.29 · Cited by 2
Vidal, N., Brunet-Gouet, É., Frileux, S., Aubin, V., Belzeaux-R, R., Courtet, P., d’Amato, T., Dubertret, C., Étain, B., Gard, S., et al. (2024) · Depression and Anxiety · doi:10.1155/2024/3375145 · Cited by 4
Fernández-Fillol, C., Owczarek, M., Pérez-Garcı́a, M., Karatzias, T., Shevlin, M. E., Hyland, P., & Hidalgo-Ruzzante, N. A. (2026) · Journal of Interpersonal Violence · doi:10.1177/08862605261417331 · Cited by 1
Levin, Y., Mor-Ben-Ishai, S., Hyland, P., Karatzias, T., Shevlin, M. E., Unoka, Z., Preiss, M., Błachnio, A., Stănculete, M. F., Adamkovic, M., et al. (2026) · Psychiatry Research · doi:10.1016/j.psychres.2026.117303 · Cited by 1
Steil, R., Preiss, H., Rueger, M. S., Ehring, T. W., Nexhmedin Morina, B., Kuck, S., Mewes, R., Giesebrecht, J., Johow, J., Weise, C., et al. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2538264 · Cited by 1
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Adult Sequelae of Childhood Interpersonal Violence
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Reeves, J. W., & Fisher, A. J. (2019) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/aqkvb
la Rie, D., & Wageningen, S.-V. (2022) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2711-9_3
PTSD Symptoms Comparison EMDR and NFB with IPV Survivors: Ex-Post-Facto Study byPreprint
Shaikh, H. (2023) · Research Square · doi:10.21203/rs.3.rs-3161799/v1
Le grand livre du trauma complexe. De l'enfant à l'adulte
Cagnone, V., Dzierzynski, N., & Abgrall-Barbry, G. (2023) · Dunod eBooks · doi:10.3917/dunod.mengi.2023.01.0079
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Vancappel, A., & Hingray, C. (2023) · Dunod eBooks · doi:10.3917/dunod.mengi.2023.01.0094
Carrasquillo, E. M. (2024) · Associative Journal of Health Sciences · doi:10.31031/ajhs.2024.03.000555
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Ahmed, Z. M., Dil, S., & Baeez, Y. K. (2024) · ASEAN Journal of Psychiatry · doi:10.54615/2231-7805.47341
Snoek, A. (2024) · doi:10.5463/thesis.960
Salavati, M., & Selby, E. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-75503-3_13
Moving forward: challenges and directions for psychopathological network theory and methodologyPreprint
Fried, E. I., & Cramer, A. O. J. (2016) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/mh3cf_v1
Melia, A., Morant, N. J., Afrah, H., Menon, S., & Katona, C. (2026) · Illness Crisis & Loss · doi:10.1101/2025.06.09.25329248 · Cited by 1
Spiller, T. R., Levi, O., Neria, Y., Suarez‐Jimenez, B., Bar‐Haim, Y., & Lazarov, A. (2020) · Figshare · doi:10.6084/m9.figshare.13078292
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Cao, Y. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5366021
Spiller, T. R., Levi, O., Neria, Y., Suarez‐Jimenez, B., Bar‐Haim, Y., & Lazarov, A. (2020) · Figshare · doi:10.6084/m9.figshare.13078289
Schieß-Jokanovic, J., Knefel, M., Kantor, V., Weindl, D., Schäfer, I., & Lueger‐Schuster, B. (2022) · Figshare · doi:10.6084/m9.figshare.19670287
Self-citationRueger, M. S., Nehler, K. J., Lechner‐Meichsner, F., Ehring, T. W., Preiß, H., Nexhmedin Morina, B., Kip, A., Mewes, R., Giesebrecht, J., Weise, C., et al. (2026) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2026.2641642
Vancappel, A. (2021) · theses.fr (ABES) · doi:10.70675/dea8e3d7zeecaz44d6za3e9z95ed7c42b45e
Pascuzzi, B., & Keeley, J. W. (2026) · British Journal of Clinical Psychology · doi:10.1111/bjc.70063
Fuchshuber, J., Kessler, H., Kehyayan, A., Pape, M., Hofmann, T., Rose, M., Imbierowicz, K., Geiser, F., Bierling, A. L., Weidner, K., et al. (2026) · European Journal of Psychotraumatology · doi:10.1080/20008066.2026.2677274
Gálvez-Merlín, A., Díaz-González, S., Julian-Montaner, E., Fuentes‐García, N., González‐Gómez, M., López‐Villatoro, J. M., Díaz‐Marsá, M., & Carrasco, J. L. (2026) · Healthcare · doi:10.3390/healthcare14162527
Abargil, M., Rubinstein, D., Lerner, A., Basol, E. Z., Maynard, J., Davydovska, T., & Harpaz‐Rotem, I. (2026) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001885
La thérapie comportementale dialectique
Speranza, M., & Perroud, N. (2025) · Carrefour des psychothérapies · doi:10.3917/dbu.chiro.2025.01.0295
Metadata
- Authors
- Knefel, M., Tran, U. S., & Lueger-Schuster, B.
- Affiliations
- University of Vienna (AT)
- Corresponding author
- Knefel, Matthias
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 43
- Pages
- 70-78
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2520302677
- Cited by
- 146
- References
- 44
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 14 · 2023: 13 · 2022: 14 · 2021: 23 · 2020: 23 · 2019: 14 · 2018: 13 · 2017: 7 · 2016: 3
- FWCI
- 16.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Austrian Science Fund (P 26584)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- post-traumatic stress disorder, complex PTSD, borderline personality disorder, symptom networks, comorbidities, childhood abuse, re-experiencing, dissociation
- MeSH terms
- Adult, Aged, Aged, 80 and over, Borderline Personality Disorder, Dissociative Disorders, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Stress Disorders, Post-Traumatic, Adult Survivors of Child Abuse, Symptom Assessment
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