title: Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder.
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.
authors.affiliation: Behavioral Research and Therapy Clinics, Department of Psychology, University of Washington, 3935 University Way NE, Seattle, WA 98105, USA. mharned@u.washington.edu
authors.forename: Melanie S
authors.initials: MS
authors.lastname: Harned
authors.forename: Safia C
authors.initials: SC
authors.lastname: Jackson
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Comtois
authors.forename: Marsha M
authors.initials: MM
authors.lastname: Linehan
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019122:Meditation / Q000379:methods* / Q000523:psychology; D010555:Personality Inventory; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult