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Cited by 16Posttraumatic Stress Disorder ResearchPersonality Disorders and PsychopathologyChild Abuse and Trauma

Exposure to interpersonal violence and risk of post-traumatic stress disorder among women with borderline personality disorder

Sinai, Cave, Hirvikoski, Tatja, Wiklander, Maria, Nordström, Anna-Lena, Nordström, Peter, Nilsonne, Åsa, Wilczek, Alexander, Åsberg, Marie +1 more·2018·Psychiatry Research
DOI 10.1016/j.psychres.2018.01.047
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Abstract

Background This study aims to determine the validity of the Karolinska Interpersonal Violence Scale (KIVS), as a screening tool for PTSD, among women with borderline personality disorder (BPD) and severe suicidal behavior.Method 106 women with BPD and at least two suicide attempts were assessed with the KIVS for exposure to interpersonal violence as a child and as an adult. The screening ability of the KIVS for the diagnosis of PTSD was analyzed using receiver operating characteristic curve analysis.Results PTSD diagnosis was valid for 61 (58%) women with BPD. The KIVS - exposure of lifetime interpersonal violence, displayed fair accuracy of predicting diagnosis of PTSD (area under the curve 0.79, confidence interval [0.71, 0.88]) and performed well (sensitivity 0.90 and specificity 0.62), with a cut-off score of 4 (range 0-10). Poly-traumatization was not significantly related to PTSD diagnosis as compared to single traumatization, whereas sexual victimization was significantly more prevalent in women with PTSD diagnosis, as compared to other types of traumatic events.Conclusion A score of 4 or more on the KIVS - exposure to interpersonal lifetime violence presents well as a screening instrument for risk of PTSD, among women with BPD.

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  • Sexual victimization in adulthood was found to be the most prevalent type of victimization among women with comorbid BPD/PTSD.

    “More specifically, sexual victimization in adulthood was found to be the most prevalent type of victimization among women with comorbid BPD/PTSD [156].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [156]

  • Childhood emotional abuse and neglect and sexual abuse also may be of particular importance in the development of cPTSD or PTSD when they are comorbid with BPD-and this comorbidity of trauma-related disorders with BPD may occur more often than BPD in the absence of PTSD or cPTSD.

    “Childhood emotional abuse and neglect [52] and sexual abuse [156] also may be of particular importance in the development of cPTSD or PTSD when they are comorbid with BPD—and this comorbidity of trauma-related disorders with BPD may occur more often than BPD in the absence of PTSD or cPTSD [52, 73, 83, 84].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [156]

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Authors
Sinai, C., Hirvikoski, T., Wiklander, M., Nordström, A.-L., Nordström, P., Nilsonne, Å., Wilczek, A., Åsberg, M., & Jokinen, J.
Affiliations
  • Linköping University (SE)
  • Karolinska Institutet (SE)
  • Danderyds sjukhus (SE)
  • Karolinska University Hospital (SE)
Corresponding author
Sinai, Cave
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2018-04
Volume
262
Pages
311-315
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2018.01.047
OpenAlex
W2791510849
Cited by
16
References
29
Citations by year
2026: 3 · 2025: 1 · 2023: 4 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1
FWCI
2.35
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Swedish Research Council (5454, K2009-61P-21304-04-4, K2009-61×−21305-01-1)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
post-traumatic stress disorder, borderline personality disorder, interpersonal violence, childhood abuse, screening instrument validity, suicide attempts, sexual victimization, women
MeSH terms
Exposure to Violence, Adult, Borderline Personality Disorder, Female, Humans, Life Change Events, Mass Screening, Middle Aged, Psychometrics, Psychotherapy, Surveys and Questionnaires, Risk Factors, Sex Offenses, Stress Disorders, Post-Traumatic, Suicide, Attempted, Reproducibility of Results, Young Adult, Suicidal Ideation

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