The association of posttraumatic stress disorder,complex posttraumatic stress disorder,and borderline personality disorder from a network analytical perspective |
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| Affiliation: | 1. School of Counselling Psychology, Trinity College, The University of Dublin, Dublin 2, Ireland;2. Spirasi, The National Centre for the Rehabilitation of Victims of Torture, Phibsborough, Dublin, Ireland;3. Department of Psychology, Maynooth University, Kildare, Ireland;4. Centre for Global Health, Trinity College Dublin, The University of Dublin, Ireland;1. Department of Psychology, Maynooth University, Kildare, Ireland;2. School of Health & Social Care, Edinburgh Napier University, Edinburgh, United Kingdom;3. NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, United Kingdom;4. School of Psychology, Ulster University, Derry, Northern Ireland United Kingdom;5. National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, CA, United States;6. Department of Psychiatry and Behavioural Sciences, Stanford University, Stanford, CA, United States;7. School of Social Work, Ariel University, Ariel, Israel |
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| Abstract: | BackgroundPosttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level.MethodsSymptoms were assessed in adult survivors of childhood abuse (N = 219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II. The psychopathological network was analyzed using the network approach.ResultsPTSD and Complex PTSD symptoms were strongly connected within disorders and to a lesser degree between disorders. Symptoms of BPD were weakly connected to others. Re-experiencing and dissociation were the most central symptoms.ConclusionsMental disorders are no discrete entities, clear boundaries are unlikely to be found. The psychopathological network revealed central symptoms that might be important targets for specific first interventions. |
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| Keywords: | PTSD Complex posttraumatic stress disorder Borderline personality disorder Nosology Network approach |
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