Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: a preliminary examination
Abstract
The present study examined the effect of the presence of borderline personality disorder characteristics (BPC) on patients' responses to cognitive behavioral treatment for chronic PTSD. Seventy-two female victims of sexual and non-sexual assault were randomly assigned to one of four treatment conditions: prolonged exposure (PE), stress inoculation training (SIT), combined treatment (PE/SIT), and wait list control (WL). Treatment consisted of nine bi-weekly individual sessions. Seventeen percent of the patients met full (10%) or partial criteria (7%) for borderline personality disorder. A greater number of patients with BPC reported sexual assault in childhood compared to those without the symptomatology. Patients with BPC also reported more pre-treatment anger. In general, those with BPC benefited significantly from treatment, although at post-treatment, they were less likely to achieve good end-state functioning than those without such symptomatology. The relationship between BPC and treatment response will be discussed.
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When acutely suicidal and self-injuring patients are excluded, those with borderline personality disorder characteristics are less likely to reach overall good end-state functioning.
“When acutely suicidal and self-injuring patients are excluded, individuals with and without BPD characteristics show comparable rates of improvement in PTSD during cognitive behavioral treatment (Clarke, Rizvi, & Resick, 2008; Feeny, Zoellner, & Foa, 2002), but are less likely to achieve overall good end-state functioning (Feeny et al., 2002).”
When acutely suicidal and self-injuring patients are excluded, people with and without borderline personality disorder characteristics improve in PTSD at comparable rates during cognitive behavioral treatment.
“When acutely suicidal and self-injuring patients are excluded, individuals with and without BPD characteristics show comparable rates of improvement in PTSD during cognitive behavioral treatment (Clarke, Rizvi, & Resick, 2008; Feeny, Zoellner, & Foa, 2002), but are less likely to achieve overall good end-state functioning (Feeny et al., 2002).”
From A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD (2014) · cites this paper as Feeny, Zoellner, & Foa, 2002
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References 32 · Cited by 159
- Authors
- Feeny, N. C., Zoellner, L. A., & Foa, E. B.
- Affiliations
- Case Western Reserve University (US)
- University of Washington (US)
- University of Pennsylvania (US)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2002-02
- Volume
- 16
- Issue
- 1
- Pages
- 30-40
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2122337711
- Cited by
- 159
- References
- 32
- Citations by year
- 2024: 4 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 25 · 2019: 22 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 9 · 2014: 9 · 2013: 13 · 2012: 7
- FWCI
- 3.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 42178, R01MH042178)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- chronic posttraumatic stress disorder, sexual assault, prolonged exposure, stress inoculation training, treatment response, child sexual abuse, anger
- MeSH terms
- Adult, Borderline Personality Disorder, Female, Humans, Sex Offenses, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Crime Victims
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