Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self‐injuring women with borderline personality disorder

MS Harned, SC Jackson, KA Comtois… - Journal of Traumatic …, 2010 - Wiley Online Library
MS Harned, SC Jackson, KA Comtois, MM Linehan
Journal of Traumatic Stress, 2010Wiley Online Library
This study examined the efficacy of dialectical behavior therapy (DBT) in reducing behaviors
commonly used as exclusion criteria for posttraumatic stress disorder (PTSD) treatment. The
sample included 51 suicidal and/or self‐injuring women with borderline personality disorder
(BPD), 26 (51%) of whom met criteria for PTSD. BPD clients with and without PTSD were
equally likely to eliminate the exclusionary behaviors during 1 year of DBT. By
posttreatment, 50–68% of the BPD clients with PTSD would have been suitable candidates …
Abstract
This study examined the efficacy of dialectical behavior therapy (DBT) in reducing behaviors commonly used as exclusion criteria for posttraumatic stress disorder (PTSD) treatment. The sample included 51 suicidal and/or self‐injuring women with borderline personality disorder (BPD), 26 (51%) of whom met criteria for PTSD. BPD clients with and without PTSD were equally likely to eliminate the exclusionary behaviors during 1 year of DBT. By posttreatment, 50–68% of the BPD clients with PTSD would have been suitable candidates for PTSD treatment. Borderline personality disorder clients with PTSD who began treatment with a greater number of recent suicide attempts and more severe PTSD were significantly less likely to become eligible for PTSD treatment.
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