TY  - JOUR
PY  - 2017//
TI  - Borderline personality disorder and military sexual trauma: analysis of previous traumatization and current psychiatric presentation
JO  - Journal of interpersonal violence
A1  - Williams, Rush
A1  - Holliday, Ryan
A1  - Clem, Matthew
A1  - Anderson, Elizabeth
A1  - Morris, Elizabeth E.
A1  - Surís, Alina
SP  - 2223
EP  - 2236
VL  - 32
IS  - 15
N2  - Military sexual trauma (MST) increases vulnerability for posttraumatic stress disorder (PTSD). Sexual trauma is also associated with increased risk for developing borderline personality disorder (BPD). Research has also documented a significant link between PTSD and BPD; however, there is a paucity of information examining this relationship among veterans with MST-related PTSD. In particular, we sought to examine whether comorbid BPD-PTSD compared with veterans with PTSD and no BPD resulted in increased PTSD and depression symptomatology. We also examined psychiatric, previous sexual trauma, and demographic factors to determine what-if any-factors were associated with comorbid BPD diagnosis. Using data from a recently conducted randomized clinical trial, we examined electronic medical records of the local Veterans Affairs Medical Center. Data from 90 veterans with MST-related PTSD were obtained. More than 22% (n = 20) of the sample had a historical diagnosis of BPD. Participants were administered measures to assess psychiatric symptomatology (PTSD and depression), trauma-related negative cognitions (NCs), and previous sexual traumatization (e.g., childhood and civilian sexual exposure). An analysis of variance was conducted, which found that veterans with comorbid MST-related PTSD and BPD had significantly greater PTSD criterion B (avoidance) symptoms, depressive symptomatology, and NC scores than participants without comorbid BPD. In addition, a binary stepwise logistic regression found that veterans' BPD was also positively associated with NCs about self and the world; however, self-blame, depression, PTSD, sociodemographic variables (e.g., gender, age), and previous sexual traumatizations were not significant predictors. Implications are discussed with regard to clinical care and future research directions.<p />  <p>Language: en</p>
LA  - en
SN  - 0886-2605
UR  - http://dx.doi.org/10.1177/0886260515596149
ID  - ref1
ER  -