Impact of Co-Occurring Posttraumatic Stress Disorder on Suicidal Women With Borderline Personality Disorder

Melanie S. Harned · Shireen L. Rizvi · Marsha Marie Linehan

128 citations0/0 files storedAmerican Journal of Psychiatry

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Personality Disorders and Psychopathology Suicide and Self-Harm Studies Posttraumatic Stress Disorder Research

Abstract

OBJECTIVE: The authors examined the impact of co-occurring posttraumatic stress disorder (PTSD) on women with borderline personality disorder who had attempted suicide in the preceding year. METHOD: Female borderline personality disorder outpatients (N=94) either with (N=53, 56.4%) or without PTSD (N=41, 43.6%) and with recent and repeated suicidal or self-injurious behavior were compared in nine areas of functioning. RESULTS: Borderline personality disorder patients with and without PTSD differed in the lethality, intent, and triggers for intentional self-injury, trauma history, emotion regulation, and axis I comorbidity. The two groups did not differ in borderline personality disorder severity, axis II comorbidity, psychosocial functioning, or mental health or medical treatment utilization. CONCLUSIONS: The results indicate greater impairment among individuals with both disorders and suggest that there are some unique features associated with co-occurring borderline personality disorder and PTSD that require further attention in assessment and treatment.

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References

1995Posttraumatic Stress Disorder in the National Comorbidity Survey 2003Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale 2006The functions of deliberate self-injury: A review of the evidence 1987The Longitudinal Interval Follow-up Evaluation 2000Posttraumatic stress disorder: the burden to the individual and to society.1995Structured Clinical Interview for DSM-III-R Personality Disorders 2000Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: The Traumatic Life Events Questionnaire.1998Axis I Comorbidity of Borderline Personality Disorder

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2015Changes in Comorbid Conditions After Prolonged Exposure for PTSD: a Literature Review 2014Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review 2013The Role of Trauma Symptoms in Nonsuicidal Self-Injury 2015The comorbidity of borderline personality disorder and posttraumatic stress disorder: revisiting the prevalence and associations in a general population sample

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