Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study
Steuwe C, Rullkötter N, Ertl V, Berg M, Neuner F, Beblo T, Driessen M (2016)
BMC Psychiatry 16(1): 254.
Zeitschriftenaufsatz
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Autor*in
Steuwe, CarolinUniBi
;
Rullkötter, Nina;
Ertl, VerenaUniBi;
Berg, MichaelaUniBi;
Neuner, FrankUniBi;
Beblo, ThomasUniBi;
Driessen, MartinUniBi ![](https://pub.uni-bielefeld.de/images/icon_orcid.png)
![](https://pub.uni-bielefeld.de/images/icon_orcid.png)
![](https://pub.uni-bielefeld.de/images/icon_orcid.png)
Einrichtung
Abstract / Bemerkung
Background
This pilot study focused on the feasibility and potential effectiveness of a protocol based on Narrative Exposure Therapy (NET) that was integrated into a standard inpatient program to treat patients with comorbid Borderline Personality Disorder (BPD) and Posttraumatic Stress Disorder (PTSD).
Methods
Eleven patients (1 male, 10 female) without previous stabilization periods or the absence of intentional self-injury received NET during a ten-week inpatient program. Patients were assessed again at post-treatment and a 12-month follow-up.
Results
Drop-out rates during treatment were low, with 90.9 % completing NET. Furthermore, acceptance of NET was high, with only one patient rejecting treatment. The program was safe because it did not lead to aggravations in symptom severity at either the post-treatment or 12-month follow-up. Additionally, the rate of self-harming behaviors throughout the treatment phase was low (18.2 %). In fact, treatment was associated with positive effects on PTSD and BPD symptom severity as well as secondary outcome measures, including depression, dissociation and quality of life.
Conclusions
The present study found that NET is feasible and safe in an inpatient setting for treating highly burdened patients with BPD and PTSD. There is also evidence for the potential effectiveness of NET in this highly burdened population.
Stichworte
Borderline personality disorder Posttraumatic stress disorder Narrative exposure therapy Feasibility
Erscheinungsjahr
2016
Zeitschriftentitel
BMC Psychiatry
Band
16
Ausgabe
1
Art.-Nr.
254
Urheberrecht / Lizenzen
ISSN
1471-244X
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2904780
Zitieren
Steuwe C, Rullkötter N, Ertl V, et al. Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry. 2016;16(1): 254.
Steuwe, C., Rullkötter, N., Ertl, V., Berg, M., Neuner, F., Beblo, T., & Driessen, M. (2016). Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry, 16(1), 254. https://doi.org/10.1186/s12888-016-0969-4
Steuwe, Carolin, Rullkötter, Nina, Ertl, Verena, Berg, Michaela, Neuner, Frank, Beblo, Thomas, and Driessen, Martin. 2016. “Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study”. BMC Psychiatry 16 (1): 254.
Steuwe, C., Rullkötter, N., Ertl, V., Berg, M., Neuner, F., Beblo, T., and Driessen, M. (2016). Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry 16:254.
Steuwe, C., et al., 2016. Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry, 16(1): 254.
C. Steuwe, et al., “Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study”, BMC Psychiatry, vol. 16, 2016, : 254.
Steuwe, C., Rullkötter, N., Ertl, V., Berg, M., Neuner, F., Beblo, T., Driessen, M.: Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry. 16, : 254 (2016).
Steuwe, Carolin, Rullkötter, Nina, Ertl, Verena, Berg, Michaela, Neuner, Frank, Beblo, Thomas, and Driessen, Martin. “Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study”. BMC Psychiatry 16.1 (2016): 254.
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Daten bereitgestellt von European Bioinformatics Institute (EBI)
2 Zitationen in Europe PMC
Daten bereitgestellt von Europe PubMed Central.
Feasibility of EMDR for posttraumatic stress disorder in patients with personality disorders: a pilot study.
Slotema CW, van den Berg DPG, Driessen A, Wilhelmus B, Franken IHA., Eur J Psychotraumatol 10(1), 2019
PMID: 31164968
Slotema CW, van den Berg DPG, Driessen A, Wilhelmus B, Franken IHA., Eur J Psychotraumatol 10(1), 2019
PMID: 31164968
Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?
Kaess M, Fischer-Waldschmidt G, Resch F, Koenig J., Borderline Personal Disord Emot Dysregul 4(), 2017
PMID: 28484600
Kaess M, Fischer-Waldschmidt G, Resch F, Koenig J., Borderline Personal Disord Emot Dysregul 4(), 2017
PMID: 28484600
47 References
Daten bereitgestellt von Europe PubMed Central.
Borderline personality disorder.
Lieb K, Zanarini MC, Schmahl C, Linehan MM, Bohus M., Lancet 364(9432), 2004
PMID: 15288745
Lieb K, Zanarini MC, Schmahl C, Linehan MM, Bohus M., Lancet 364(9432), 2004
PMID: 15288745
Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions.
Grant BF, Chou SP, Goldstein RB, Huang B, Stinson FS, Saha TD, Smith SM, Dawson DA, Pulay AJ, Pickering RP, Ruan WJ., J Clin Psychiatry 69(4), 2008
PMID: 18426259
Grant BF, Chou SP, Goldstein RB, Huang B, Stinson FS, Saha TD, Smith SM, Dawson DA, Pulay AJ, Pickering RP, Ruan WJ., J Clin Psychiatry 69(4), 2008
PMID: 18426259
Comorbidity of borderline personality disorder and posttraumatic stress disorder in the U.S. population.
Pagura J, Stein MB, Bolton JM, Cox BJ, Grant B, Sareen J., J Psychiatr Res 44(16), 2010
PMID: 20537660
Pagura J, Stein MB, Bolton JM, Cox BJ, Grant B, Sareen J., J Psychiatr Res 44(16), 2010
PMID: 20537660
Axis I comorbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission.
Zanarini MC, Frankenburg FR, Hennen J, Reich DB, Silk KR., Am J Psychiatry 161(11), 2004
PMID: 15514413
Zanarini MC, Frankenburg FR, Hennen J, Reich DB, Silk KR., Am J Psychiatry 161(11), 2004
PMID: 15514413
Impact of co-occurring posttraumatic stress disorder on suicidal women with borderline personality disorder.
Harned MS, Rizvi SL, Linehan MM., Am J Psychiatry 167(10), 2010
PMID: 20810470
Harned MS, Rizvi SL, Linehan MM., Am J Psychiatry 167(10), 2010
PMID: 20810470
Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury.
Weierich MR, Nock MK., J Consult Clin Psychol 76(1), 2008
PMID: 18229981
Weierich MR, Nock MK., J Consult Clin Psychol 76(1), 2008
PMID: 18229981
Borderline personality disorder.
Leichsenring F, Leibing E, Kruse J, New AS, Leweke F., Lancet 377(9759), 2011
PMID: 21195251
Leichsenring F, Leibing E, Kruse J, New AS, Leweke F., Lancet 377(9759), 2011
PMID: 21195251
Linehan MM., 1993
Dialectical behavior therapy for borderline personality disorder: a meta-analysis using mixed-effects modeling.
Kliem S, Kroger C, Kosfelder J., J Consult Clin Psychol 78(6), 2010
PMID: 21114345
Kliem S, Kroger C, Kosfelder J., J Consult Clin Psychol 78(6), 2010
PMID: 21114345
Treating co-occurring Axis I disorders in recurrently suicidal women with borderline personality disorder: a 2-year randomized trial of dialectical behavior therapy versus community treatment by experts.
Harned MS, Chapman AL, Dexter-Mazza ET, Murray A, Comtois KA, Linehan MM., J Consult Clin Psychol 76(6), 2008
PMID: 19045974
Harned MS, Chapman AL, Dexter-Mazza ET, Murray A, Comtois KA, Linehan MM., J Consult Clin Psychol 76(6), 2008
PMID: 19045974
A real-world study of the effectiveness of DBT in the UK National Health Service.
Feigenbaum JD, Fonagy P, Pilling S, Jones A, Wildgoose A, Bebbington PE., Br J Clin Psychol 51(2), 2011
PMID: 22574799
Feigenbaum JD, Fonagy P, Pilling S, Jones A, Wildgoose A, Bebbington PE., Br J Clin Psychol 51(2), 2011
PMID: 22574799
Post-traumatic stress disorder and the outcome of dialectical behaviour therapy for borderline personality disorder.
Barnicot K, Priebe S., Personal Ment Health 7(3), 2013
PMID: 24343961
Barnicot K, Priebe S., Personal Ment Health 7(3), 2013
PMID: 24343961
A multidimensional meta-analysis of psychotherapy for PTSD.
Bradley R, Greene J, Russ E, Dutra L, Westen D., Am J Psychiatry 162(2), 2005
PMID: 15677582
Bradley R, Greene J, Russ E, Dutra L, Westen D., Am J Psychiatry 162(2), 2005
PMID: 15677582
Examining potential contraindications for prolonged exposure therapy for PTSD
van A, Harned MS, Zoellner L, Mills K., 2012
van A, Harned MS, Zoellner L, Mills K., 2012
Treating PTSD in suicidal and self-injuring women with borderline personality disorder: development and preliminary evaluation of a Dialectical Behavior Therapy Prolonged Exposure Protocol.
Harned MS, Korslund KE, Foa EB, Linehan MM., Behav Res Ther 50(6), 2012
PMID: 22503959
Harned MS, Korslund KE, Foa EB, Linehan MM., Behav Res Ther 50(6), 2012
PMID: 22503959
Integrating dialectical behavior therapy and prolonged exposure to treat co-occuring borderline personality disorder and PTSD: Two case studies
Harned MS, Linehan MM., 2008
Harned MS, Linehan MM., 2008
Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study of an intensive residential treatment program.
Steil R, Dyer A, Priebe K, Kleindienst N, Bohus M., J Trauma Stress 24(1), 2011
PMID: 21351167
Steil R, Dyer A, Priebe K, Kleindienst N, Bohus M., J Trauma Stress 24(1), 2011
PMID: 21351167
Dialectical behaviour therapy for post-traumatic stress disorder after childhood sexual abuse in patients with and without borderline personality disorder: a randomised controlled trial.
Bohus M, Dyer AS, Priebe K, Kruger A, Kleindienst N, Schmahl C, Niedtfeld I, Steil R., Psychother Psychosom 82(4), 2013
PMID: 23712109
Bohus M, Dyer AS, Priebe K, Kruger A, Kleindienst N, Schmahl C, Niedtfeld I, Steil R., Psychother Psychosom 82(4), 2013
PMID: 23712109
A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD.
Harned MS, Korslund KE, Linehan MM., Behav Res Ther 55(), 2014
PMID: 24562087
Harned MS, Korslund KE, Linehan MM., Behav Res Ther 55(), 2014
PMID: 24562087
Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims.
Clarke SB, Rizvi SL, Resick PA., Behav Ther 39(1), 2007
PMID: 18328872
Clarke SB, Rizvi SL, Resick PA., Behav Ther 39(1), 2007
PMID: 18328872
Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: a preliminary examination.
Feeny NC, Zoellner LA, Foa EB., J. Pers. Disord. 16(1), 2002
PMID: 11881159
Feeny NC, Zoellner LA, Foa EB., J. Pers. Disord. 16(1), 2002
PMID: 11881159
Emotional-instabile Persönlichkeitsstörung vom Borderline-Typ - Update wissenschaftlicher Perspektiven
Schmid MM, Gahr M, Fladung A-K, Freudenmann RW, Wolf RC, Schönfeldt-Lecuona C., 2013
Schmid MM, Gahr M, Fladung A-K, Freudenmann RW, Wolf RC, Schönfeldt-Lecuona C., 2013
The emerging evidence for Narrative Exposure Therapy: a review.
Robjant K, Fazel M., Clin Psychol Rev 30(8), 2010
PMID: 20832922
Robjant K, Fazel M., Clin Psychol Rev 30(8), 2010
PMID: 20832922
Dissociation following traumatic stress: etiology and treatment
Schauer M, Elbert F., 2010
Schauer M, Elbert F., 2010
Treatment of patients with borderline personality disorder and comorbid posttraumatic stress disorder using narrative exposure therapy: a feasibility study.
Pabst A, Schauer M, Bernhardt K, Ruf M, Goder R, Rosentraeger R, Elbert T, Aldenhoff J, Seeck-Hirschner M., Psychother Psychosom 81(1), 2011
PMID: 22123437
Pabst A, Schauer M, Bernhardt K, Ruf M, Goder R, Rosentraeger R, Elbert T, Aldenhoff J, Seeck-Hirschner M., Psychother Psychosom 81(1), 2011
PMID: 22123437
AUTHOR UNKNOWN, 2000
Schauer M, Neuner F, Elbert T., 2011
Narrative Exposition
Neuner F, Schauer M, Elbert T., 2013
Neuner F, Schauer M, Elbert T., 2013
First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS., 1997
First MB, Spitzer RL, Gibbon M, Williams JBW., 2002
Bernstein D, Fink L., 1998
Clinical significance: a statistical approach to defining meaningful change in psychotherapy research.
Jacobson NS, Truax P., J Consult Clin Psychol 59(1), 1991
PMID: 2002127
Jacobson NS, Truax P., J Consult Clin Psychol 59(1), 1991
PMID: 2002127
Ehlers A, Steil R, Winter H, Foa EB., 1996
The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale
Foa EB, Cashman L, Jaycox L, Perry K., 1997
Foa EB, Cashman L, Jaycox L, Perry K., 1997
[Development of the Borderline Symptom List]
Bohus M, Limberger MF, Frank U, Sender I, Gratwohl T, Stieglitz RD., Psychother Psychosom Med Psychol 51(5), 2001
PMID: 11417358
Bohus M, Limberger MF, Frank U, Sender I, Gratwohl T, Stieglitz RD., Psychother Psychosom Med Psychol 51(5), 2001
PMID: 11417358
Spitzer C, Stieglitz RD, Freyberger H-J., 2005
Development, reliability, and validity of a dissociation scale.
Bernstein EM, Putnam FW., J. Nerv. Ment. Dis. 174(12), 1986
PMID: 3783140
Bernstein EM, Putnam FW., J. Nerv. Ment. Dis. 174(12), 1986
PMID: 3783140
Hautzinger M, Keller F, Kühner C., 2006
Angermeyer MC, Kilian R, Matschinger H., 2000
Cohen J., 1988
[The treatment history of patients with borderline personality disorder in the Republic of Germany]
Jerschke S, Meixner K, Richter H, Bohus M., Fortschr Neurol Psychiatr 66(12), 1998
PMID: 9922927
Jerschke S, Meixner K, Richter H, Bohus M., Fortschr Neurol Psychiatr 66(12), 1998
PMID: 9922927
Evaluation of narrative exposure therapy (NET) for borderline personality disorder with comorbid posttraumatic stress disorder
Pabst A, Schauer M, Bernhardt K, Ruf-Leuschner M, Goder R, Elbert T, Rosentraeger R, Robjant K, Aldenhoff J, Seeck-Hirschner M., 2014
Pabst A, Schauer M, Bernhardt K, Ruf-Leuschner M, Goder R, Elbert T, Rosentraeger R, Robjant K, Aldenhoff J, Seeck-Hirschner M., 2014
[Psychotherapists' attitudes towards the treatment of patients with borderline personality disorder].
Jobst A, Horz S, Birkhofer A, Martius P, Rentrop M., Psychother Psychosom Med Psychol 60(3-4), 2009
PMID: 19452423
Jobst A, Horz S, Birkhofer A, Martius P, Rentrop M., Psychother Psychosom Med Psychol 60(3-4), 2009
PMID: 19452423
A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD.
Becker CB, Zayfert C, Anderson E., Behav Res Ther 42(3), 2004
PMID: 14975770
Becker CB, Zayfert C, Anderson E., Behav Res Ther 42(3), 2004
PMID: 14975770
Treatment preference among suicidal and self-injuring women with borderline personality disorder and PTSD.
Harned MS, Tkachuck MA, Youngberg KA., J Clin Psychol 69(7), 2013
PMID: 23444147
Harned MS, Tkachuck MA, Youngberg KA., J Clin Psychol 69(7), 2013
PMID: 23444147
Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder.
Harned MS, Jackson SC, Comtois KA, Linehan MM., J Trauma Stress 23(4), 2010
PMID: 20648564
Harned MS, Jackson SC, Comtois KA, Linehan MM., J Trauma Stress 23(4), 2010
PMID: 20648564
Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial.
Bohus M, Haaf B, Simms T, Limberger MF, Schmahl C, Unckel C, Lieb K, Linehan MM., Behav Res Ther 42(5), 2004
PMID: 15033496
Bohus M, Haaf B, Simms T, Limberger MF, Schmahl C, Unckel C, Lieb K, Linehan MM., Behav Res Ther 42(5), 2004
PMID: 15033496
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