McFetridge, Mark, Milner, Rebecca, Gavin, Victoria and Levita, Liat (2018) Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome. BJPsych Open, 1 (1). pp. 18-20.
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Text (Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome)
McFetridge Milner Gavin & Levita (2015).pdf - Published Version Available under License Creative Commons Attribution Non-commercial No Derivatives. | Preview |
Abstract
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.
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