title: Treatment preference among suicidal and self-injuring women with borderline personality disorder and PTSD.
abstract: OBJECTIVE
  This study examined treatment preferences among suicidal and self-injuring women with borderline personality disorder (BPD) and PTSD.
  
  
  METHODS
  Women (N = 42, M(age) = 34) with BPD, PTSD and recent intentional self-injury were evaluated upon entry into a psychotherapy outcome study.
  
  
  RESULTS
  The majority preferred a combined dialectical behavior therapy (DBT) and prolonged exposure (PE) treatment (73.8%), followed by DBT alone (26.2%), and PE alone (0%). Women who preferred the combined treatment were more likely to report a desire to obtain relief from PTSD and to receive specific DBT and PE treatment components as reasons underlying this preference. Few women (21.4%) reported concerns about PE, but those who did were more likely to prefer DBT alone. More severe PTSD re-experiencing symptoms, a childhood index trauma, and less reduction in positive affect after a trauma interview predicted a preference for the combined treatment.
  
  
  CONCLUSIONS
  These results may help to inform treatment for these complex patients.
authors: Behavioral Research and Therapy Clinics, University of Washington, Seattle, WA, 98195-5915, USA. mharned@u.washington.edu
authors: Melanie S
authors: MS
authors: Harned
authors: Mathew A
authors: MA
authors: Tkachuck
authors: Kelly A
authors: KA
authors: Youngberg
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000453:epidemiology / Q000628:therapy*; D015897:Comorbidity; D005260:Female; D006801:Humans; D007171:Implosive Therapy; D016015:Logistic Models; D008875:Middle Aged; D057240:Patient Preference; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000628:therapy*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000628:therapy*; D014481:United States; D000092864:Suicide Prevention