TY - JOUR
T1 - Traumafolgestörungen bei Patienten mit Borderline- Persönlichkeitsstörung
T2 - Ergebnisse einer Multicenterstudie
AU - Sack, M.
AU - Sachsse, U.
AU - Overkamp, B.
AU - Dulz, B.
PY - 2013/5
Y1 - 2013/5
N2 - Background: There is current controversy about the diagnostic overlap between personality disorders and trauma-related disorders. Patients and 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.
AB - Background: There is current controversy about the diagnostic overlap between personality disorders and trauma-related disorders. Patients and 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.
KW - Borderline personality disorder
KW - Diagnostic overlap
KW - Dissociative disorders
KW - Posttraumatic stress disorder
KW - Trauma-related disorders
UR - http://www.scopus.com/inward/record.url?scp=84879124113&partnerID=8YFLogxK
U2 - 10.1007/s00115-012-3489-6
DO - 10.1007/s00115-012-3489-6
M3 - Artikel
C2 - 22743835
AN - SCOPUS:84879124113
SN - 0028-2804
VL - 84
SP - 608
EP - 614
JO - Nervenarzt
JF - Nervenarzt
IS - 5
ER -