A comparison of posttraumatic stress disorder with and without borderline personality disorder among women with a history of childhood sexual abuse - Etiological and clinical characteristics
A comparison of posttraumatic stress disorder with and without borderline personality disorder among women with a history of childhood sexual abuse - Etiological and clinical characteristics
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DOI：
10.1097/00005053-200009000-00005
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发表时间：
2000-09-01
影响因子：
1.9
通讯作者：
Cloitre, M
中科院分区：
文献类型：
--
作者：
Heffernan, K;Cloitre, M
创伤后应激障碍（PTSD）和边缘型人格障碍（BPD）在定义和表现上的重叠引起了人们对这两种障碍之间关系的质疑。它们是单独的疾病，同一疾病的变体，还是共病？本研究探讨了病因变量和目前的功能，两组门诊妇女与儿童性虐待的历史：那些与创伤后应激障碍（N = 45）和创伤后应激障碍和BPD（N = 26）。这些群体在儿童期性虐待的严重程度、频率或肇事者数量方面没有差异，也没有差异，无论肇事者是否是家庭成员。BPD的额外诊断与更早的虐待发病年龄和母亲的身体和语言虐待率显着较高。PTSD症状的严重程度和频率不受BPD诊断的影响，这表明人格障碍和PTSD是独立的症状结构。PTSD+BPD组在其他几个临床指标上得分更高，包括愤怒，分离，焦虑和人际关系问题。他们在使用精神卫生服务的频率上没有差异，但在治疗中往往不太顺从。这些和其他研究结果进行了讨论，并考虑治疗的影响。
The overlap in definition and presentation between posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD) has raised questions about the relationship of these disorders. Are they separate disorders, variants of the same disorder, or comorbid conditions? The present study examined etiological variables and current functioning among two groups of outpatient women with a history of childhood sexual abuse: those with PTSD only (N = 45) and those with PTSD and BPD (N = 26). The groups did not differ in severity, frequency, or number of perpetrators of their childhood sexual abuse, or whether the perpetrator was a family member or not. The additional diagnosis of BPD was associated with earlier age of abuse onset and significantly higher rates of physical and verbal abuse by mother. Severity and frequency of PTSD symptoms were not affected by BPD diagnosis, suggesting that the personality disorder and PTSD are independent symptom constructs. The PTSD+BPD group scored higher on several other clinical measures including anger, dissociation, anxiety, and interpersonal problems. They did not differ in their frequency of use of mental health services but tended to be less compliant in their treatment. These and other findings are discussed, and implications for treatment are considered.