Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study
Background: In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment. Objective: In this study, we aimed to investigate if pers...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2013-11-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://www.ejpt.net/index.php/ejpt/article/download/21171/pdf_1 |
| _version_ | 1828205096029126656 |
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| author | Ethy Dorrepaal Kathleen Thomaes Johannes H. Smit Dick J. Veltman Adriaan W. Hoogendoorn Anton J. L. M. van Balkom Nel Draijer |
| author_facet | Ethy Dorrepaal Kathleen Thomaes Johannes H. Smit Dick J. Veltman Adriaan W. Hoogendoorn Anton J. L. M. van Balkom Nel Draijer |
| author_sort | Ethy Dorrepaal |
| collection | DOAJ |
| description | Background: In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment. Objective: In this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment. Method: In a randomized controlled trial on a 20-week stabilizing group cognitive behavioral treatment (CBT) for child-abuse-related complex PTSD, we included 71 patients of whom 38 were randomized to a psycho-educational and cognitive behavioral stabilizing group treatment. We compared the patients with few PD symptoms (adaptive) (N=14) with the non-adaptive patients (N=24) as revealed by a cluster analysis. Results: We found that non-adaptive patients compared to the adaptive patients showed very low drop-out rates. Both non-adaptive patients, classified with highly different personality profiles “withdrawn” and “aggressive,” were equally compliant. With regard to symptom reduction, we found no significant differences between subtypes. Post-hoc, patients with a PD showed lower drop-out rates and higher effect sizes in terms of complex PTSD severity, especially on domains that affect regulation and interpersonal problems. Conclusion: Contrary to our expectations, these preliminary findings indicate that this treatment is well tolerated by patients with a variety of personality pathology. Larger sample sizes are needed to study effectiveness for subgroups of complex PTSD patients. |
| first_indexed | 2024-04-12T12:34:14Z |
| format | Article |
| id | doaj.art-7a7d387660224094a9810d90cef99bcf |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-12T12:34:14Z |
| publishDate | 2013-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-7a7d387660224094a9810d90cef99bcf2022-12-22T03:32:56ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662013-11-01401710.3402/ejpt.v4i0.21171Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary studyEthy DorrepaalKathleen ThomaesJohannes H. SmitDick J. VeltmanAdriaan W. HoogendoornAnton J. L. M. van BalkomNel DraijerBackground: In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment. Objective: In this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment. Method: In a randomized controlled trial on a 20-week stabilizing group cognitive behavioral treatment (CBT) for child-abuse-related complex PTSD, we included 71 patients of whom 38 were randomized to a psycho-educational and cognitive behavioral stabilizing group treatment. We compared the patients with few PD symptoms (adaptive) (N=14) with the non-adaptive patients (N=24) as revealed by a cluster analysis. Results: We found that non-adaptive patients compared to the adaptive patients showed very low drop-out rates. Both non-adaptive patients, classified with highly different personality profiles “withdrawn” and “aggressive,” were equally compliant. With regard to symptom reduction, we found no significant differences between subtypes. Post-hoc, patients with a PD showed lower drop-out rates and higher effect sizes in terms of complex PTSD severity, especially on domains that affect regulation and interpersonal problems. Conclusion: Contrary to our expectations, these preliminary findings indicate that this treatment is well tolerated by patients with a variety of personality pathology. Larger sample sizes are needed to study effectiveness for subgroups of complex PTSD patients.www.ejpt.net/index.php/ejpt/article/download/21171/pdf_1Personality disorderstreatment outcomechild abuseposttraumatic stress disordercognitive behavioral treatmentcomplex PTSDdissociative subtype |
| spellingShingle | Ethy Dorrepaal Kathleen Thomaes Johannes H. Smit Dick J. Veltman Adriaan W. Hoogendoorn Anton J. L. M. van Balkom Nel Draijer Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study European Journal of Psychotraumatology Personality disorders treatment outcome child abuse posttraumatic stress disorder cognitive behavioral treatment complex PTSD dissociative subtype |
| title | Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study |
| title_full | Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study |
| title_fullStr | Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study |
| title_full_unstemmed | Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study |
| title_short | Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study |
| title_sort | treatment compliance and effectiveness in complex ptsd patients with co morbid personality disorder undergoing stabilizing cognitive behavioral group treatment a preliminary study |
| topic | Personality disorders treatment outcome child abuse posttraumatic stress disorder cognitive behavioral treatment complex PTSD dissociative subtype |
| url | http://www.ejpt.net/index.php/ejpt/article/download/21171/pdf_1 |
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