Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy.
Détails
ID Serval
serval:BIB_5AEAEB0FDDD1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy.
Périodique
Journal of personality disorders
ISSN
1943-2763 (Electronic)
ISSN-L
0885-579X
Statut éditorial
Publié
Date de publication
06/2021
Peer-reviewed
Oui
Volume
35
Numéro
3
Pages
428-446
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its subtypes affected treatment retention, depressive symptoms, and impulsivity throughout short-term intensive dialectical behavior therapy (I-DBT) in 333 patients with BPD. Data were analyzed with linear and logistic regressions and linear mixed models, using a Bayesian approach. Patients who reported childhood emotional abuse had a higher dropout rate, whereas it was lower in patients who reported childhood emotional neglect. Emotional neglect predicted a greater decrease of depressive symptoms, and global CM predicted a greater decrease of impulsivity. The authors concluded that patients with BPD who experienced CM might benefit from I-DBT in specific symptom domains. Nonetheless, the impact of emotional abuse on higher dropout needs to be considered.
Mots-clé
Bayesian analysis, I-DBT, borderline personality disorder, childhood maltreatment, dialectical behavior therapy, emotional abuse, emotional neglect, physical abuse, physical neglect, sexual abuse, trauma
Pubmed
Web of science
Création de la notice
25/06/2021 17:13
Dernière modification de la notice
15/07/2021 5:37