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European journal of psychotraumatology
2020;11 (1): 1721142.

The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder.

A De Jongh, G N Groenland, S Sanches, H Bongaerts, E M Voorendonk, A Van Minnen
Author Information
  1. A De Jongh: Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands. ORCID
  2. G N Groenland: Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands. ORCID
  3. S Sanches: Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands. ORCID
  4. H Bongaerts: Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands. ORCID
  5. E M Voorendonk: Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands. ORCID
  6. A Van Minnen: Psychotrauma Expertise Centre (PSYTREC), Bilthoven, The Netherlands. ORCID
PMID: 32128048 DOI: 10.1080/20008198.2020.1721142

Abstract

: It is generally recommended to exercise caution in applying trauma-focused treatment to individuals with posttraumatic stress disorder (PTSD) and comorbid borderline personality disorder (BPD). : To investigate the effects of a brief, intensive, direct trauma-focused treatment programme for individuals with PTSD on BPD symptom severity. : Individuals ( = 72) with severe PTSD (87.5% had one or more comorbidities; 52.8% fulfilled the criteria for the dissociative subtype of PTSD) due to multiple traumas (e.g. 90.3% sexual abuse) participated in an intensive eight-day trauma-focused treatment programme consisting of eye movement desensitization and reprocessing (EMDR) and prolonged exposure (PE) therapy, physical activity, and psychoeducation. Treatment did not include any form of stabilization (e.g. emotion regulation training) prior to trauma-focused therapy. Assessments took place at pre- and post-treatment (Borderline Symptom List, BSL-23; PTSD symptom severity, Clinician Administered PTSD Scale for DSM-5, CAPS-5), and across the eight treatment days (PTSD Checklist, PCL-5). : Treatment resulted in significant decreases of BPD symptoms (Cohen's = 0.70). Of the 35 patients with a positive screen for BPD at pre-treatment, 32.7% lost their positive screen at post-treatment. No adverse events nor dropouts occurred during the study time frame, and none of the patients experienced symptom deterioration in response to treatment. : The results suggest that an intensive trauma-focused treatment is a feasible and safe treatment for PTSD patients with clinically elevated symptoms of BPD, and that BPD symptoms decrease along with the PTSD symptoms.

Keywords

EMDR therapy Posttraumatic stress disorder borderline personality disorder intensive trauma-focused treatment prolonged exposure • One of the few studies that investigated the effects of trauma-focused treatment on symptoms of borderline personality disorder (BPD) outside the context of Dialectic Behaviour Therapy.• No detrimental effects of intensive trauma-focused treatment on BPD symptoms occurred.• A combination of Exposure therapy and EMDR therapy is a valuable option to consider when PTSD patients are diagnosed with additional BPD.

References

Psychopathology. 2009;42(6):394-8 [PMID: 19776670]
Eur J Psychotraumatol. 2019 May 23;10(1):1614822 [PMID: 31164968]
Behav Res Ther. 2016 Feb;77:62-7 [PMID: 26723004]
Eur J Psychotraumatol. 2014 Sep 15;5: [PMID: 25279111]
J Trauma Stress. 2017 Apr;30(2):178-181 [PMID: 28329406]
Lancet. 2015 Feb 21;385(9969):735-43 [PMID: 25706219]
Borderline Personal Disord Emot Dysregul. 2019 Mar 5;6:7 [PMID: 30873283]
Depress Anxiety. 2016 May;33(5):359-69 [PMID: 26840244]
Psychol Assess. 2018 Mar;30(3):383-395 [PMID: 28493729]
Australas Psychiatry. 2017 Aug;25(4):333-335 [PMID: 28347146]
Psychol Assess. 2016 Nov;28(11):1379-1391 [PMID: 26653052]
Behav Res Ther. 2014 Apr;55:7-17 [PMID: 24562087]
Behav Ther. 2008 Mar;39(1):72-8 [PMID: 18328872]
J Affect Disord. 2013 Feb 20;145(2):143-55 [PMID: 22999891]
J Trauma Stress. 2015 Jun;28(3):253-7 [PMID: 26062135]
Psychother Psychosom. 2013;82(4):221-33 [PMID: 23712109]
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57 [PMID: 9881538]
Am J Psychiatry. 2014 Mar;171(3):294-304 [PMID: 24480899]
Curr Psychiatry Rep. 2015 Mar;17(3):549 [PMID: 25736701]
Acta Psychiatr Scand. 2000 Jan;101(1):46-59 [PMID: 10674950]
Borderline Personal Disord Emot Dysregul. 2016 Aug 01;3:7 [PMID: 27482383]
Eur J Psychotraumatol. 2018 May 18;9(1):1468707 [PMID: 29805779]
BMC Psychiatry. 2016 Jul 20;16:254 [PMID: 27439618]
Aust N Z J Psychiatry. 2005 Jul;39(7):583-90 [PMID: 15996139]
Eur J Psychotraumatol. 2018 Nov 22;9(1):1546085 [PMID: 30510643]
Psychopathology. 2007;40(2):126-32 [PMID: 17215599]
Am J Geriatr Psychiatry. 2012 May;20(5):380-90 [PMID: 22522959]
Psychopathology. 2015;48(1):1-10 [PMID: 25227722]
Eur J Psychotraumatol. 2018 Jan 30;9(1):1425574 [PMID: 29410776]
Psychopathology. 2009;42(1):32-9 [PMID: 19023232]
Eur J Psychotraumatol. 2018 Jul 10;9(1):1487225 [PMID: 30013726]
Depress Anxiety. 2012 Aug;29(8):701-8 [PMID: 22431063]
Eur J Psychotraumatol. 2018 Feb 06;9(1):1430962 [PMID: 29441153]
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