The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews

Abstract Background Trauma-related disorders and personality disorders are prevalent in survivors of chronic childhood trauma and neglect. Both conditions have serious consequences for patients, their families, society and public health and a high risk of development of chronicity. However, informat...

Full description

Bibliographic Details
Main Authors: Sanne Swart, Marleen Wildschut, Nel Draijer, Willemien Langeland, Jan H. Smit
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-017-1339-6
_version_ 1819163732501069824
author Sanne Swart
Marleen Wildschut
Nel Draijer
Willemien Langeland
Jan H. Smit
author_facet Sanne Swart
Marleen Wildschut
Nel Draijer
Willemien Langeland
Jan H. Smit
author_sort Sanne Swart
collection DOAJ
description Abstract Background Trauma-related disorders and personality disorders are prevalent in survivors of chronic childhood trauma and neglect. Both conditions have serious consequences for patients, their families, society and public health and a high risk of development of chronicity. However, information on the long term course trajectories is lacking and predictors of course outcome in survivors of chronic childhood traumatization are unknown. The first aim of the current study is to identify two-year course trajectories of pathology in patients with trauma-related disorders and personality disorders. The second aim is to examine predictors of the course, including demographics, clinical characteristics and comorbidities. Methods/design The study is a naturalistic two-year follow-up of 150 patients consecutively admitted to the trauma treatment program and the personality disorder treatment program respectively at GGZ Friesland, a regular Dutch mental health care center. The only exclusion criterion is insufficient mastery of the Dutch language. Participants will be assessed after 2 years of treatment through measures that have been completed at baseline, including structured clinical interviews to measure childhood histories of trauma and neglect, (symptoms of) trauma-related disorders and personality disorders, and psychological questionnaire measures (e.g., general psychopathology, depressive symptoms and personality features). In addition, participants will complete an evaluation questionnaire to assess medication prescribed and treatment (s) received outside GGZ Friesland between baseline and follow-up. Information about (psychological and pharmacological) treatment received at GGZ Friesland during the follow-up period will be collected from patient files. Discussion This study provides insight in the two-year course of (comorbid) trauma-related disorders and personality disorders. Identifying predictors of the course of trauma-related and personality disorders will allow to differentiate clinical profiles and will offer indicators for treatment.
first_indexed 2024-12-22T17:48:49Z
format Article
id doaj.art-093ddd6ccd1146bb8c8b0cfa88f317ed
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-22T17:48:49Z
publishDate 2017-05-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-093ddd6ccd1146bb8c8b0cfa88f317ed2022-12-21T18:18:12ZengBMCBMC Psychiatry1471-244X2017-05-011711810.1186/s12888-017-1339-6The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviewsSanne Swart0Marleen Wildschut1Nel Draijer2Willemien Langeland3Jan H. Smit4GGZ FrieslandGGZ FrieslandDepartment of Psychiatry and EMGO Institute, Vrije University Medical Center/GGZinGeestDepartment of Research, GGZinGeestDepartment of Psychiatry and EMGO Institute, Vrije University Medical Center/GGZinGeestAbstract Background Trauma-related disorders and personality disorders are prevalent in survivors of chronic childhood trauma and neglect. Both conditions have serious consequences for patients, their families, society and public health and a high risk of development of chronicity. However, information on the long term course trajectories is lacking and predictors of course outcome in survivors of chronic childhood traumatization are unknown. The first aim of the current study is to identify two-year course trajectories of pathology in patients with trauma-related disorders and personality disorders. The second aim is to examine predictors of the course, including demographics, clinical characteristics and comorbidities. Methods/design The study is a naturalistic two-year follow-up of 150 patients consecutively admitted to the trauma treatment program and the personality disorder treatment program respectively at GGZ Friesland, a regular Dutch mental health care center. The only exclusion criterion is insufficient mastery of the Dutch language. Participants will be assessed after 2 years of treatment through measures that have been completed at baseline, including structured clinical interviews to measure childhood histories of trauma and neglect, (symptoms of) trauma-related disorders and personality disorders, and psychological questionnaire measures (e.g., general psychopathology, depressive symptoms and personality features). In addition, participants will complete an evaluation questionnaire to assess medication prescribed and treatment (s) received outside GGZ Friesland between baseline and follow-up. Information about (psychological and pharmacological) treatment received at GGZ Friesland during the follow-up period will be collected from patient files. Discussion This study provides insight in the two-year course of (comorbid) trauma-related disorders and personality disorders. Identifying predictors of the course of trauma-related and personality disorders will allow to differentiate clinical profiles and will offer indicators for treatment.http://link.springer.com/article/10.1186/s12888-017-1339-6Clinical courseTrauma related disordersPersonality disordersComorbidityPrediction
spellingShingle Sanne Swart
Marleen Wildschut
Nel Draijer
Willemien Langeland
Jan H. Smit
The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
BMC Psychiatry
Clinical course
Trauma related disorders
Personality disorders
Comorbidity
Prediction
title The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
title_full The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
title_fullStr The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
title_full_unstemmed The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
title_short The clinical course of trauma-related disorders and personality disorders: study protocol of two-year follow-up based on structured interviews
title_sort clinical course of trauma related disorders and personality disorders study protocol of two year follow up based on structured interviews
topic Clinical course
Trauma related disorders
Personality disorders
Comorbidity
Prediction
url http://link.springer.com/article/10.1186/s12888-017-1339-6
work_keys_str_mv AT sanneswart theclinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT marleenwildschut theclinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT neldraijer theclinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT willemienlangeland theclinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT janhsmit theclinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT sanneswart clinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT marleenwildschut clinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT neldraijer clinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT willemienlangeland clinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews
AT janhsmit clinicalcourseoftraumarelateddisordersandpersonalitydisordersstudyprotocoloftwoyearfollowupbasedonstructuredinterviews