In:
Journal of Clinical Psychology, Wiley, Vol. 69, No. 7 ( 2013-07), p. 749-761
Abstract:
This study examined treatment preferences among suicidal and self‐injuring women with borderline personality disorder (BPD) and PTSD. Method Women ( N = 42, M age = 34) with BPD, PTSD and recent intentional self‐injury were evaluated upon entry into a psychotherapy outcome study. Results The majority preferred a combined dialectical behavior therapy (DBT) and prolonged exposure (PE) treatment (73.8%), followed by DBT alone (26.2%), and PE alone (0%). Women who preferred the combined treatment were more likely to report a desire to obtain relief from PTSD and to receive specific DBT and PE treatment components as reasons underlying this preference. Few women (21.4%) reported concerns about PE, but those who did were more likely to prefer DBT alone. More severe PTSD re‐experiencing symptoms, a childhood index trauma, and less reduction in positive affect after a trauma interview predicted a preference for the combined treatment. Conclusions These results may help to inform treatment for these complex patients.
Type of Medium:
Online Resource
ISSN:
0021-9762
,
1097-4679
DOI:
10.1002/jclp.2013.69.issue-7
Language:
English
Publisher:
Wiley
Publication Date:
2013
detail.hit.zdb_id:
1475037-5
SSG:
5,2
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