女性强奸受害者创伤后应激障碍认知行为治疗中的边缘型人格特征与治疗结果
Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims.
作者信息
Clarke Stephanie B, Rizvi Shireen L, Resick Patricia A
机构信息
National Center for PTSD and VA Boston Healthcare System, USA.
出版信息
Behav Ther. 2008 Mar;39(1):72-8. doi: 10.1016/j.beth.2007.05.002. Epub 2007 Oct 22.
Abstract
Many studies report that comorbid borderline personality pathology is associated with poorer outcomes in the treatment of Axis I disorders. Given the high rates of comorbidity between borderline personality pathology and posttraumatic stress disorder (PTSD), it is essential to determine whether borderline symptomatology affects PTSD treatment outcome. This study examined the effects of borderline personality characteristics (BPC) on 131 female rape victims receiving cognitive-behavioral treatment for PTSD. Higher BPC scores were associated with greater pretreatment PTSD severity; however, individuals with higher levels of BPC were just as likely to complete treatment and also as likely to show significant treatment response on several outcome measures. There were no significant interactions between type of treatment and BPC on the outcome variables. Findings suggest that women with borderline pathology may be able to benefit significantly from cognitive-behavioral treatment for PTSD.
摘要
许多研究报告称，共病的边缘型人格病理与轴I障碍治疗效果较差有关。鉴于边缘型人格病理与创伤后应激障碍（PTSD）之间的共病率很高，确定边缘型症状是否会影响PTSD治疗结果至关重要。本研究考察了边缘型人格特征（BPC）对131名接受PTSD认知行为治疗的女性强奸受害者的影响。较高的BPC分数与治疗前较高的PTSD严重程度相关；然而，BPC水平较高的个体完成治疗的可能性相同，并且在多项结果指标上显示出显著治疗反应的可能性也相同。在结果变量上，治疗类型与BPC之间没有显著交互作用。研究结果表明，患有边缘型病理的女性可能能够从PTSD的认知行为治疗中显著获益。
相似文献
1
Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims.女性强奸受害者创伤后应激障碍认知行为治疗中的边缘型人格特征与治疗结果
Behav Ther. 2008 Mar;39(1):72-8. doi: 10.1016/j.beth.2007.05.002. Epub 2007 Oct 22.
2
Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: a preliminary examination.
J Pers Disord. 2002 Feb;16(1):30-40. doi: 10.1521/pedi.16.1.30.22555.
3
Posttraumatic Stress Disorder in Patients With Borderline Personality Disorder: Treatment Outcomes and Mediators.边缘型人格障碍患者的创伤后应激障碍：治疗结果和中介因素。
J Trauma Stress. 2018 Dec;31(6):899-908. doi: 10.1002/jts.22340. Epub 2018 Nov 6.
4
Resolution of trauma-related guilt following treatment of PTSD in female rape victims: a result of cognitive processing therapy targeting comorbid depression?女性强奸受害者创伤后应激障碍治疗后创伤相关内疚感的缓解：针对共病抑郁的认知加工疗法的结果？
J Affect Disord. 2005 Jun;86(2-3):259-65. doi: 10.1016/j.jad.2005.02.013.
5
Role of Borderline Personality Disorder in the Treatment of Military Sexual Trauma-related Posttraumatic Stress Disorder with Cognitive Processing Therapy.边缘型人格障碍在采用认知加工疗法治疗军事性创伤相关创伤后应激障碍中的作用
Behav Med. 2017 Jul-Sep;43(3):184-190. doi: 10.1080/08964289.2016.1276430.
6
Borderline Personality Disorder and Military Sexual Trauma: Analysis of Previous Traumatization and Current Psychiatric Presentation.边缘性人格障碍与军事性创伤：既往创伤经历及当前精神症状分析
J Interpers Violence. 2017 Aug;32(15):2223-2236. doi: 10.1177/0886260515596149. Epub 2015 Jul 21.
7
Post-traumatic stress disorder and the outcome of dialectical behaviour therapy for borderline personality disorder.创伤后应激障碍与边缘型人格障碍辩证行为治疗的结果。
Personal Ment Health. 2013 Aug;7(3):181-90. doi: 10.1002/pmh.1227. Epub 2013 Mar 18.
8
Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling.强奸受害者创伤后应激障碍的治疗：认知行为疗法与咨询的比较
J Consult Clin Psychol. 1991 Oct;59(5):715-23. doi: 10.1037//0022-006x.59.5.715.
9
Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder.辩证行为疗法作为边缘型人格障碍伴自杀和/或自伤女性 PTSD 治疗的前驱。
J Trauma Stress. 2010 Aug;23(4):421-9. doi: 10.1002/jts.20553.
10
Cognitive behavioral therapy for posttraumatic stress disorder in individuals with severe mental illness and borderline personality disorder.针对患有严重精神疾病和边缘型人格障碍的个体的创伤后应激障碍的认知行为疗法。
Psychiatry Res. 2017 Mar;249:86-93. doi: 10.1016/j.psychres.2016.12.045. Epub 2017 Jan 4.
引用本文的文献
1
The impact of types of childhood maltreatment on the severity of PTSD and comorbid personality disorder symptoms.童年期虐待类型对创伤后应激障碍严重程度及共病性人格障碍症状的影响。
Eur J Psychotraumatol. 2025 Dec;16(1):2491172. doi: 10.1080/20008066.2025.2491172. Epub 2025 Apr 22.
2
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms: study protocol and rationale.一项针对有创伤后应激障碍和物质使用障碍症状的被监禁者的团体认知加工疗法的参与者随机试点混合II期试验：研究方案与理论依据。
Health Justice. 2022 Oct 1;10(1):30. doi: 10.1186/s40352-022-00192-8.
3
Impact of comorbid personality disorders on psychotherapy for post-traumatic stress disorder: systematic review and meta-analysis.共病人格障碍对创伤后应激障碍心理治疗的影响：系统评价和荟萃分析。
Eur J Psychotraumatol. 2021 Jun 22;12(1):1929753. doi: 10.1080/20008198.2021.1929753.
4
Predicting and Managing Treatment Non-Response in Posttraumatic Stress Disorder.创伤后应激障碍治疗无反应的预测与管理
Curr Treat Options Psychiatry. 2020 Jun;7(2):70-87. doi: 10.1007/s40501-020-00203-1. Epub 2020 Mar 23.
5
Psychotherapy for posttraumatic stress disorder in patients with borderline personality disorder: a systematic review and meta-analysis of its efficacy and safety.边缘型人格障碍患者创伤后应激障碍的心理治疗：疗效与安全性的系统评价和荟萃分析
Eur J Psychotraumatol. 2020 Sep 16;11(1):1796188. doi: 10.1080/20008198.2020.1796188.
6
The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder.创伤后应激障碍简短强化创伤聚焦治疗对边缘型人格障碍症状的影响。
Eur J Psychotraumatol. 2020 Feb 14;11(1):1721142. doi: 10.1080/20008198.2020.1721142. eCollection 2020.
7
Feasibility of EMDR for posttraumatic stress disorder in patients with personality disorders: a pilot study.眼动脱敏再处理疗法对人格障碍患者创伤后应激障碍的可行性：一项试点研究。
Eur J Psychotraumatol. 2019 May 23;10(1):1614822. doi: 10.1080/20008198.2019.1614822. eCollection 2019.
8
A research programme to evaluate DBT-PTSD, a modular treatment approach for Complex PTSD after childhood abuse.一项评估DBT-PTSD的研究计划，这是一种针对童年期虐待后复杂性创伤后应激障碍的模块化治疗方法。
Borderline Personal Disord Emot Dysregul. 2019 Mar 5;6:7. doi: 10.1186/s40479-019-0099-y. eCollection 2019.
9
How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder?应激暴露与应激调节如何与边缘型人格障碍相关？
Front Psychol. 2017 Nov 30;8:2054. doi: 10.3389/fpsyg.2017.02054. eCollection 2017.
10
Longitudinal Associations between Posttraumatic Stress Disorder Severity and Personality Disorder Features among Female Rape Survivors.女性强奸幸存者创伤后应激障碍严重程度与人格障碍特征之间的纵向关联
Front Psychiatry. 2017 Feb 2;8:6. doi: 10.3389/fpsyt.2017.00006. eCollection 2017.
本文引用的文献
1
Randomized trial of cognitive-behavioral therapy for chronic posttraumatic stress disorder in adult female survivors of childhood sexual abuse.针对童年期性虐待成年女性幸存者慢性创伤后应激障碍的认知行为疗法随机试验。
J Consult Clin Psychol. 2005 Jun;73(3):515-24. doi: 10.1037/0022-006X.73.3.515.
2
Clinical features and impairment in women with Borderline Personality Disorder (BPD) with Posttraumatic Stress Disorder (PTSD), BPD without PTSD, and other personality disorders with PTSD.患有创伤后应激障碍（PTSD）的边缘型人格障碍（BPD）女性、未患PTSD的BPD女性以及患有PTSD的其他人格障碍女性的临床特征与损伤情况。
J Nerv Ment Dis. 2003 Nov;191(11):706-13. doi: 10.1097/01.nmd.0000095122.29476.ff.
3
The relationship of borderline personality disorder to posttraumatic stress disorder and traumatic events.边缘型人格障碍与创伤后应激障碍及创伤事件的关系。
Am J Psychiatry. 2003 Nov;160(11):2018-24. doi: 10.1176/appi.ajp.160.11.2018.
4
An inventory for measuring depression.一份用于测量抑郁的量表。
Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004.
5
How well does cognitive-behavioral therapy treat symptoms of complex PTSD? An examination of child sexual abuse survivors within a clinical trial.认知行为疗法对复杂性创伤后应激障碍症状的治疗效果如何？一项针对儿童性虐待幸存者的临床试验研究。
CNS Spectr. 2003 May;8(5):340-55. doi: 10.1017/s1092852900018605.
6
Is comorbidity of posttraumatic stress disorder and borderline personality disorder related to greater pathology and impairment?创伤后应激障碍与边缘型人格障碍的共病是否与更严重的病理状态和功能损害相关？
Am J Psychiatry. 2002 Nov;159(11):1940-3. doi: 10.1176/appi.ajp.159.11.1940.
7
A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.认知加工疗法与延长暴露疗法及等待状态对女性强奸受害者慢性创伤后应激障碍治疗效果的比较。
J Consult Clin Psychol. 2002 Aug;70(4):867-79. doi: 10.1037//0022-006x.70.4.867.
8
Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: a preliminary examination.
J Pers Disord. 2002 Feb;16(1):30-40. doi: 10.1521/pedi.16.1.30.22555.
9
The impact of borderline personality disorder on process group outcome among women with posttraumatic stress disorder related to childhood abuse.边缘型人格障碍对与童年期虐待相关的创伤后应激障碍女性患者在治疗组治疗结果中的影响。
Int J Group Psychother. 2001 Jul;51(3):379-98. doi: 10.1521/ijgp.51.3.379.49886.
10
Complexities in complex posttraumatic stress disorder in inpatient women: evidence from cluster analysis of MCMI-III Personality Disorder Scales.
J Pers Assess. 1999 Dec;73(3):449-71. doi: 10.1207/S15327752JPA7303_10.
Zotero 插件