title: [Trauma-related disorders in patients with borderline personality disorders. Results of a multicenter study].
abstract: BACKGROUND
  There is current controversy about the diagnostic overlap between personality disorders and trauma-related disorders.
  
  
  METHODS
  Applying a multicenter study design, trauma-related disorders were investigated via interview assessment in 136 patients with borderline personality disorder (BPD) in 5 specialized treatment centers. Additionally a spectrum of psychological symptoms and prevalence of lifetime traumatic experiences were assessed by questionnaire measures.
  
  
  RESULTS
  Diagnostic overlap between BPD and PTSD was found to be high (79%) as well as the overlap of BPD with complex PTSD (55%) and severe dissociative disorders (41%). Including neglect and emotional violence as trauma categories, an extremely high prevalence of lifetime traumatic experiences was reported (96%). Experiences of sexual violence were reported by 48% of all female and 28% of all male patients. Severe forms of physical violence were reported by 65% of all patients.
  
  
  CONCLUSIONS
  BPD patients with severe psychopathology show a high comorbidity with trauma-related disorders including dissociative disorders. This association has to be taken into account when planning psychological treatment.
authors: Klinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, Langerstrasse 3, Munich, Germany. m.sack@tum.de
authors: M
authors: M
authors: Sack
authors: U
authors: U
authors: Sachsse
authors: B
authors: B
authors: Overkamp
authors: B
authors: B
authors: Dulz
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001883:Borderline Personality Disorder / Q000453:epidemiology*; D015897:Comorbidity; D004213:Dissociative Disorders / Q000453:epidemiology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D018570:Risk Assessment; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014754:Violence / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult