Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome

被引:19
作者
McFetridge, Mark Andrew [1 ]
Milner, Rebecca [2 ]
Gavin, Victoria [3 ]
Levita, Liat [4 ]
机构
[1] Acorn Programme, Heslington Rd, York YO10 5BN, N Yorkshire, England
[2] Univ York, Dept Psychol, York, N Yorkshire, England
[3] HMP Send, Woking, Surrey, England
[4] Univ Sheffield, Dept Psychol, Affect Neurosci, Sheffield, S Yorkshire, England
关键词
D O I
10.1192/bjpo.bp.115.000117
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Consecutive admissions of 214 women with borderline personality disorder were investigated for patterns of specific forms of self-harm and reported developmental experiences. Systematic examination of clinical notes found that 75% had previously reported a history of childhood sexual abuse. These women were more likely to self-harm, and in specific ways that may reflect their past experiences. Despite this, treatment within a dialectical behaviour therapy-informed therapeutic community leads to relatively greater clinical gains than for those without a reported sexual abuse trauma history.Notably, greater behavioural and self-reported distress and dissociation were not found to predict poor clinical outcome.
引用
收藏
页码:18 / 20
页数:3
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