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Treatment Preference among Suicidal and Self‐Injuring Women with Borderline Personality Disorder and PTSD
Author(s) -
Harned Melanie S.,
Tkachuck Mathew A.,
Youngberg Kelly A.
Publication year - 2013
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.21943
Subject(s) - borderline personality disorder , psychology , clinical psychology , personality , psychiatry , preference , personality disorders , social psychology , economics , microeconomics
Objectives This study examined treatment preferences among suicidal and self‐injuring women with borderline personality disorder (BPD) and PTSD. Method Women ( N = 42, M age = 34) with BPD, PTSD and recent intentional self‐injury were evaluated upon entry into a psychotherapy outcome study. Results The majority preferred a combined dialectical behavior therapy (DBT) and prolonged exposure (PE) treatment (73.8%), followed by DBT alone (26.2%), and PE alone (0%). Women who preferred the combined treatment were more likely to report a desire to obtain relief from PTSD and to receive specific DBT and PE treatment components as reasons underlying this preference. Few women (21.4%) reported concerns about PE, but those who did were more likely to prefer DBT alone. More severe PTSD re‐experiencing symptoms, a childhood index trauma, and less reduction in positive affect after a trauma interview predicted a preference for the combined treatment. Conclusions These results may help to inform treatment for these complex patients.