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- Title
Traumafolgestörungen bei Patienten mit Borderline-Persönlichkeitsstörung.
- Authors
Sack, M.; Sachsse, U.; Overkamp, B.; Dulz, B.
- Abstract
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.
- Subjects
BORDERLINE personality disorder; DISSOCIATIVE disorders; DISSOCIATION (Psychology); PERSONALITY disorders; COMORBIDITY
- Publication
Der Nervenarzt, 2013, Vol 84, Issue 5, p608
- ISSN
0028-2804
- Publication type
Article
- DOI
10.1007/s00115-012-3489-6