Journal article
Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy.
- Euler S Department of Consultation Psychiatry and Psychosomatics, University Hospital Zurich, Zurich, Switzerland.
- Stalujanis E Psychiatric University Hospital, University of Basel, Basel, Switzerland.
- Lindenmeyer HJ Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York, and Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
- Nicastro R TRE Unit, Division of Psychiatric Specialties, Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva, Switzerland.
- Kramer U Lausanne University Hospital and University of Lausanne, Switzerland, and Department of Psychology, University of Windsor, Windsor, Canada.
- Perroud N TRE Unit, Division of Psychiatric Specialties, Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva, Switzerland.
- Weibel S Department of Psychiatry and Addictology, University Hospital of Strasbourg, Strasbourg, France, and INSERM U1114, Strasbourg, France.
- 2019-12-31
Published in:
- Journal of personality disorders. - 2019
Bayesian analysis
I-DBT
borderline personality disorder
childhood maltreatment
dialectical behavior therapy
emotional abuse
emotional neglect
physical abuse
physical neglect
sexual abuse
trauma
English
Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its subtypes affected treatment retention, depressive symptoms, and impulsivity throughout short-term intensive dialectical behavior therapy (I-DBT) in 333 patients with BPD. Data were analyzed with linear and logistic regressions and linear mixed models, using a Bayesian approach. Patients who reported childhood emotional abuse had a higher dropout rate, whereas it was lower in patients who reported childhood emotional neglect. Emotional neglect predicted a greater decrease of depressive symptoms, and global CM predicted a greater decrease of impulsivity. The authors concluded that patients with BPD who experienced CM might benefit from I-DBT in specific symptom domains. Nonetheless, the impact of emotional abuse on higher dropout needs to be considered.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1521/pedi_2019_33_461
- PMID 31887100
- Persistent URL
- https://folia.unifr.ch/global/documents/215197
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