Λεπτομέρειες βιβλιογραφικής εγγραφής
| Τίτλος: |
Veterans with co-occurring PTSD and BPD symptoms benefit from dialectical behavior therapy: effects of PTSD on BPD symptom trajectories. |
| Συγγραφείς: |
Schreiber AM; Department of Psychiatry, University of Kentucky College of Medicine, Lexington, KY 40509, USA.; Mental Health Service, Ann Arbor VA Medical Center, Ann Arbor, MI 48105, USA., Davis MT; Department of Psychiatry, Yale School of Medicine, New Haven, CT 06519, USA., Cawood CD; Mental Health Service, Ann Arbor VA Medical Center, Ann Arbor, MI 48105, USA.; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USA. |
| Πηγή: |
Cognitive behaviour therapy [Cogn Behav Ther] 2026 Sep; Vol. 55 (5), pp. 780-794. Date of Electronic Publication: 2025 Oct 14. |
| Τύπος έκδοσης: |
Journal Article |
| Γλώσσα: |
English |
| Στοιχεία περιοδικού: |
Publisher: Taylor & Francis Country of Publication: England NLM ID: 101143317 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2316 (Electronic) Linking ISSN: 16506073 NLM ISO Abbreviation: Cogn Behav Ther Subsets: MEDLINE |
| Imprint Name(s): |
Original Publication: Basingstoke, Hampshire, UK ; Philadelphia, PA : Taylor & Francis, c2002- |
| Ιατρικοί όροι (MeSH): |
Stress Disorders, Post-Traumatic*/therapy , Stress Disorders, Post-Traumatic*/complications , Stress Disorders, Post-Traumatic*/psychology , Stress Disorders, Post-Traumatic*/epidemiology , Borderline Personality Disorder*/therapy , Borderline Personality Disorder*/complications , Borderline Personality Disorder*/psychology , Borderline Personality Disorder*/epidemiology , Veterans*/psychology , Dialectical Behavior Therapy*/methods, Humans ; Male ; Adult ; Female ; Comorbidity ; Treatment Outcome ; Middle Aged ; Severity of Illness Index |
| Περίληψη: |
Among those with borderline personality disorder (BPD), dialectical behavior therapy (DBT) is considered a frontline treatment for reducing impulsivity and suicidality and improving emotion regulation. DBT has been proven effective when delivered within Veterans Health Administration. Much of the research supporting the use of DBT was conducted on patients with relatively clean diagnostic profiles (e.g. excluding bipolar disorder). However, Veterans are diagnostically complex and are especially likely to have comorbid posttraumatic stress disorder (PTSD). We sought to understand how a PTSD diagnosis affected treatment outcomes among Veterans who presented for full-model DBT treatment. In a sample of 62 Veterans, half of whom had probable (N = 24) or confirmed (N = 7) PTSD, we tested whether comorbid PTSD and BPD affected baseline severity, treatment engagement, or treatment outcomes. Compared to those without PTSD, BPD-PTSD did not hamper treatment engagement and was unrelated to BPD symptom severity at baseline. BPD-PTSD was associated with noninferior and indeed sharper reductions in BPD symptoms throughout treatment. That is, relative to Veterans without PTSD, Veterans with co-occurring PTSD and BPD symptoms reported steeper symptom reductions. Altogether, our findings support the use of DBT in Veterans who present with both BPD symptoms and PTSD. |
| Contributed Indexing: |
Keywords: Dialectical behavior therapy; Veterans; borderline personality disorder; posttraumatic stress disorder |
| Entry Date(s): |
Date Created: 20251014 Date Completed: 20260818 Latest Revision: 20260818 |
| Update Code: |
20260818 |
| DOI: |
10.1080/16506073.2025.2572480 |
| PMID: |
41084836 |
| Βάση Δεδομένων: |
MEDLINE |