Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study.

The first purpose of this study was to determine the course of dissociation among patients with borderline personality disorder (BPD) and personality-disordered comparison subjects (OPD) over 24 years of prospective follow-up. The second purpose was to determine clinically meaningful predictors of d...

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Publicado en:Journal of Trauma & Dissociation Vol. 25; no. 5; pp. 613 - 628
Autores principales: Niesten, Isabella J. M., Glass, Isabel V., Zanarini, Mary C.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct-Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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        15299732
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      jtl: Journal of Trauma & Dissociation
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      dt: Oct-Dec2024
      vid: 25
      iid: 5
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/15299732.2024.2383192
        179805565
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        atl: Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study.
      aug:
        au:
          Niesten, Isabella J. M.
          Glass, Isabel V.
          Zanarini, Mary C.
        affil: Department of Clinical Psychology, Open University, Heerlen, the Netherlands
      sug:
        subj:
          Borderline Personality Disorder Psychosocial Factors
          Personality Disorders Psychosocial Factors
          Dissociative Disorders
          Trauma In Infancy and Childhood
          Trauma In Adulthood
          Intelligence
          Human
          Funding Source
          Male
          Female
          Adult
          Child
          Young Adult
          Predictive Value of Tests
          Prospective Studies
          Child Abuse, Sexual
          Interpersonal Relations
          Cognition
          Scales
          Questionnaires
          Adult: 19-44 years
          Child: 6-12 years
          Male
          Female
      ab: The first purpose of this study was to determine the course of dissociation among patients with borderline personality disorder (BPD) and personality-disordered comparison subjects (OPD) over 24 years of prospective follow-up. The second purpose was to determine clinically meaningful predictors of dissociation among patients with BPD. The Dissociative Experiences Scale (DES) was administered to 290 patients with BPD and 72 personality-disordered comparison subjects at baseline, and then once every two years over 24 years of prospective follow-up. Baseline predictors were assessed with the Revised Childhood Experiences Questionnaire (CEQ-R), the SCID-I, and the Shipley Institute of Living Scale. Time-varying predictors were assessed at baseline and every subsequent two years by means of the Abuse History Interview (AHI). Patients with BPD had higher baseline dissociation scores than personality-disordered comparison subjects. Whilst dissociation decreased significantly over time for both patient groups, the BPD group showed a steeper decline. Severity of childhood sexual abuse, adult history of rape, adult history of partner violence, and IQ were multivariate predictors of dissociation among patients with BPD. Taken together, the present findings suggest that a combination of interpersonal trauma exposure and cognitive abilities may contribute to the severity of dissociation in adult patients with BPD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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