Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder.
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.
Harned
Melanie S
MS
Behavioral Research and Therapy Clinics, Department of Psychology, University of Washington, 3935 University Way NE, Seattle, WA 98105, USA. mharned@u.washington.edu
Jackson
Safia C
SC
Comtois
Katherine A
KA
Linehan
Marsha M
MM
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