Citation

Sack M, Sachsse U, Overkamp B, Dulz B. Nervenarzt, Der 2013; 84(5): 608-614.

Vernacular Title

Traumafolgestörungen bei Patienten mit Borderline-Persönlichkeitsstörung : Ergebnisse einer Multicenterstudie.

Affiliation

Klinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, Langerstr. 3, 81675, München, Deutschland, m.sack@tum.de.

Copyright

(Copyright © 2013, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00115-012-3489-6

PMID

22743835

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.

Language: de