Evaluation of Narrative Exposure Therapy (NET) for Borderline Personality Disorder with Comorbid Posttraumatic Stress Disorder

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2014
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Pabst, Astrid
Bernhardt, Kristin
Goder, Robert
Rosentreager, Rotraudt
Robjant, Katy
Aldenhoff, Josef
Seeck-Hirschner, Mareen
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Clinical Neuropsychiatry. 2014, 11(4), pp. 108-117. ISSN 1724-4935
Zusammenfassung

Objective: frequently patients with borderline personality disorder (BPD) report a history of exposure to traumatic stressors and, as a consequence, symptoms of Posttraumatic Stress Disorder (PTSD). BPD and PTSD combined exacerbate suffering beyond a simple additive effect. To assist these complex cases, we have tested the efficacy of Narrative Exposure Therapy (NET), an evidence-based treatment for survivors of different, multiple or continued traumatic stressors and compared the outcome with the one from a standard Treatment by Experts for Borderline Personality Disorder (TBE)
Method: in both an inpatient and outpatient setting, patients with BPD and comorbid PTSD (N=22) were assigned to NET or a TBE They received either weekly sessions of NET(on average 17) or TBE (on average 14). Changes in symptoms were evaluated prior to therapy, at 6 months and 1 year post-therapy.
Results: both treatment forms reduced all of the symptoms (PTSD, borderline, depression and dissociation) substantially. The decrease continued throughout the 12 months follow-up period producing large effects. Greatest effect sizes with Hedge’s g =1.6; CI 0.6 – 2.5 was obtained for the reduction of PTSD symptoms by NET (g=1.1; CI 0.2 – 2.0 for TBE) and depression (g=1.4 for NET and g=0.7 TBE).
Conclusions: the results of this evaluation study showed a considerable reduction for the whole spectrum of symptoms in patient with BPD and PTSD and indicate that Narrative Exposure Therapy (NEt) warrants further testing as an effective tool to assist borderline patients suffering from trauma symptoms in both, a hospital setting as well as on an outpatient basis.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
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borderline personality disorder, posttraumatic stress disorder, complex trauma, disorders of extreme stress, narrative exposure therapy ( n E t ), traumatic stress, dissociation, trauma spectrum
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ISO 690PABST, Astrid, Maggie SCHAUER, Kristin BERNHARDT, Martina RUF-LEUSCHNER, Robert GODER, Thomas ELBERT, Rotraudt ROSENTREAGER, Katy ROBJANT, Josef ALDENHOFF, Mareen SEECK-HIRSCHNER, 2014. Evaluation of Narrative Exposure Therapy (NET) for Borderline Personality Disorder with Comorbid Posttraumatic Stress Disorder. In: Clinical Neuropsychiatry. 2014, 11(4), pp. 108-117. ISSN 1724-4935
BibTex
@article{Pabst2014Evalu-30559,
  year={2014},
  title={Evaluation of Narrative Exposure Therapy (NET) for Borderline Personality Disorder with Comorbid Posttraumatic Stress Disorder},
  number={4},
  volume={11},
  issn={1724-4935},
  journal={Clinical Neuropsychiatry},
  pages={108--117},
  author={Pabst, Astrid and Schauer, Maggie and Bernhardt, Kristin and Ruf-Leuschner, Martina and Goder, Robert and Elbert, Thomas and Rosentreager, Rotraudt and Robjant, Katy and Aldenhoff, Josef and Seeck-Hirschner, Mareen}
}
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