Traumafolgestörungen bei Patienten mit Borderline-Persönlichkeitsstörung

Sack, Martin; Sachsse, Ulrich; Overkamp, Bettina; Dulz, Birger

doi:10.1007/s00115-012-3489-6

Cited by 37 publications

(20 citation statements)

References 29 publications

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“…With regard to a specific association between PTSD and BPD, the taxonomic hypothesis most commonly advocated by ‘trauma models' is that both pathologies are part of a general spectrum of pathologies related to traumatic experiences [11,64,65,66]. Although this is a tentative approach, empirical findings show that the prevalence of PTSD and traumatic events in childhood is not consistently higher in subjects with BPD than in patients with other personality disorders [16].…”

Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

“…Within BPD samples, findings show that 33-79% of these patients are also diagnosed with PTSD comorbidity, regardless of whether the sample came from an outpatient or inpatient setting [11,12,13,14,15]. Additionally, when a comparison group was included, consisting of patients with a principal diagnosis of major depression, the percentage of subjects with PTSD was 5 times greater among BPD subjects [13].…”

Section: Prevalence Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

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Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Frías

Palma

2014

Psychopathology

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Background: Traditionally, the presence of post-traumatic stress disorder (PTSD) in subjects diagnosed with borderline personality disorder (BPD) has been the object of scant empirical research. The clarification of issues related to the different areas of study for this comorbidity is not only significant from a theoretical point of view but also relevant for clinical practice. The aim of this review is to describe the main theoretical findings and research conclusions about the comorbidity between PTSD and BPD. Methods: A literature review was carried out via PubMed and PsycINFO for the period between 1990 and September 2013. The descriptors used were ‘post-traumatic stress disorder', ‘borderline personality disorder', ‘PTSD', ‘complex PTSD' and ‘BPD'. Results: Epidemiological studies show that the risk of PTSD among BPD subjects is not regularly higher than in subjects with other personality disorders. Furthermore, there is no conclusive evidence about the main aetiopathogenic mechanism of this comorbidity, either of one disorder being a risk factor for the other one or of common underlying variables. Concerning comparative studies, several studies with PTSD-BPD subjects have found a higher severity of psychopathology and psychosocial impairment than in BPD subjects. With regard to nosological status, the main focus of controversy is the validation of ‘complex PTSD', a clinical entity which may comprise a subgroup of PTSD-BPD subjects. With regard to treatment, there are preliminary evidences for the efficient treatment of psychopathology in both PTSD and BPD. Conclusions: These findings are remarkable for furthering the understanding of the link between PTSD and BPD and their implications for treatment. The results of this review are discussed, including methodological constraints that hinder external validity and consistency of referred findings.

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Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

Section: Prevalence Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Frías

Palma

2014

Psychopathology

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“…Case in point, there is remarkable overlap between cPTSD and several other diagnoses/syndromes, including PTSD, depression, anxiety disorders and borderline personality disorder [27]. Moreover, the co-incidence between cPTSD and BPD, which is often regarded as a trauma-related condition [9], has been reported to be 80%, questioning the discriminant validity of cPTSD [28]. Studies on the treatment of cPTSD are scarce, although Dorrepaal et al [29] encourages group treatment for patients with cPTSD, notwithstanding the reported attrition rates ranging between 16% [29] and 20% [30].…”

Section: Complex Ptsd (Cptsd) and Borderline Personality Disorder (Bpd)mentioning

confidence: 99%

Attrition and Outcome in Group Psychotherapy among Traumatized and Non-Traumatized Inpatients

Vogel¹,

Braungardt²,

Kaul³

et al. 2017

J Psychol Psychother

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Objective: To examine the impact of correlates of trauma on the appropriateness for group therapy (GT) in 60 participants based on the similarity of the exclusion criteria for GT to the features of posttraumatic disturbances and borderline personality. Method: We assessed the correlates of trauma (PTSD, complex PTSD, dissociation), features of BPD, psychopathological distress and the readiness for GT. Results: There were inverse correlations between the motivation for GT and multiple symptoms, as well as weak associations with the correlates of trauma. Pessimistic expectations of GT and dissociative amnesia were linked to worse outcomes, while phobic anxiety predicted continuation of therapy. Conclusion: Dissociative amnesia and the expectation of GT are potential targets for pre-group preparation for trauma-related disorders.

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“…Deutlich wird daran zum einen die Tendenz zur weiteren Spezialisierung, zum anderen eine Entwicklung in Richtung neuer Angebote, die der Komplexität der BPS-Komorbidität Rechnung tragen [Harned et al, 2012;Sack et al, 2013].…”

Section: Besonderheiten Vollstationärer Und Teilstationärer Angeboteunclassified

Stationäre und teilstationäre DBT-Angebote für Patienten mit Borderline-Persönlichkeitsstörung - Ergebnisse einer deutschlandweiten Umfrage

Richter

Steinacher²,

Eschenhoff³

et al. 2014

Verhaltenstherapie

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Hintergrund: Deutschlandweite, retrospektive Erfassung der stationären und tagesklinischen DBT-Versorgung von Patienten mit Borderline-Persönlichkeitsstörung (BPS) für das Jahr 2011: Anzahl der Behandlungsplätze; Patienten pro Jahr; Wartezeit; Behandlungsdauer; Subspezialisierung; Vernetzung stationärer, tagesklinischer bzw. ambulanter Therapieangebote. Methoden: Fragebogenversendung über E-Mail-Verteiler des DBT-Dachverbands. Ergebnisse: 42 Krankenhäuser und Tageskliniken gaben Rückmeldung (Rücklaufquote: 75%, 527 Therapieplätze, 2310 behandelte Patienten). Die mittlere Wartezeit betrug 14,3 Wochen. Die mittlere Behandlungsdauer betrug ≥9,6 Wochen und ≤20,3 Wochen. 52,2% der antwortenden Einrichtungen waren durch den Dachverband zertifiziert (allerdings nur 7,1% der Tageskliniken). 57,1% boten eine Subspezialisierung an, 14,3% eine separierte Diagnose- und Behandlungsphase, 92,1% sahen ein tagesklinisches Angebot als wünschenswert an, aber nur 28,6% besaßen ein solches. 38,1% boten einen Wechsel zwischen stationären, tagesklinischen oder ambulanten Therapieoptionen an (Therapeutenwechsel in 61% der Fälle). In Bezug auf die Übernahme höherer Behandlungskosten, die durch die DBT entstanden waren, hatten nur 4,8% der Einrichtungen spezielle Vertragsvereinbarungen mit Krankenkassen. Schlussfolgerungen: Grundlage dieses Beitrags ist eine erste systematisierte Umfrage im deutschsprachigen Raum. Im Jahr 2011 gab es in Deutschland hochgerechnet 700 vollstationäre und tagesklinische DBT-Behandlungsplätze für etwa 3000 Patienten mit BPS. Das Verhältnis von einem DBT-Platz zu 191 Patienten pro Jahr sowie die lange Wartezeit waren Indikatoren für ein zu geringes Angebot (teil)stationärer DBT, das die Nachfrage bei Weitem nicht decken konnte; gleichzeitig bestand eine ambulante Versorgungslücke.

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Traumafolgestörungen bei Patienten mit Borderline-Persönlichkeitsstörung

Abstract: 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.

Cited by 37 publications

References 29 publications

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Attrition and Outcome in Group Psychotherapy among Traumatized and Non-Traumatized Inpatients

Stationäre und teilstationäre DBT-Angebote für Patienten mit Borderline-Persönlichkeitsstörung - Ergebnisse einer deutschlandweiten Umfrage

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