Distinguishing Complex PTSD from Borderline Personality Disorder among individuals with a history of sexual trauma; a latent class analysis

Research output: Contribution to journalArticle

Abstract

Introduction
There has been debate regarding whether Complex PTSD (CPTSD) is conceptually distinct from Borderline Personality Disorder (BPD).
Objective
To assess whether ICD-11 CPTSD was distinguishable from BPD in a sample of sexual assault survivors.
Method
A subsample of individuals (n = 956), that selected sexual assault as an index trauma, were selected from a U.S. general population survey dataset. The distribution of PTSD, CPTSD and BPD symptomology was evaluated using latent class analysis (LCA). Multinomial logistic regression analyses were performed to evaluate whether various forms of child maltreatment and cumulative child maltreatment could discriminate between classes.
Results
CPTSD emerged as a distinct symptom profile within the sample. Conversely, BPD symptomology was evident in two classes but was accompanied by PTSD/CPTSD symptomology in each. Overall, five classes were identified that differed both quantitatively and qualitatively. Cumulative childhood maltreatment and physical neglect predicted CPTSD class membership.
Conclusion
The findings suggest that CPTSD is distinct from BPD among a sample of individuals who have been shown to be at significant risk for both diagnoses. Further research is required to identify factors that distinguish CPTSD from BPD
LanguageEnglish
Number of pages8
JournalEuropean Journal of Truama and Dissociation
Early online date31 Aug 2018
DOIs
Publication statusE-pub ahead of print - 31 Aug 2018

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Borderline Personality Disorder
Post-Traumatic Stress Disorders
Wounds and Injuries
Child Abuse
Survivors
Logistic Models
Regression Analysis

Keywords

  • Post traumatic stress
  • complex post traumatic stress
  • ICD-11
  • Borderline Personality Disorder
  • sexual assault

Cite this

@article{a6b5a82c7dd043fcaa2bd112d00abe4f,
title = "Distinguishing Complex PTSD from Borderline Personality Disorder among individuals with a history of sexual trauma; a latent class analysis",
abstract = "IntroductionThere has been debate regarding whether Complex PTSD (CPTSD) is conceptually distinct from Borderline Personality Disorder (BPD).ObjectiveTo assess whether ICD-11 CPTSD was distinguishable from BPD in a sample of sexual assault survivors.MethodA subsample of individuals (n = 956), that selected sexual assault as an index trauma, were selected from a U.S. general population survey dataset. The distribution of PTSD, CPTSD and BPD symptomology was evaluated using latent class analysis (LCA). Multinomial logistic regression analyses were performed to evaluate whether various forms of child maltreatment and cumulative child maltreatment could discriminate between classes.ResultsCPTSD emerged as a distinct symptom profile within the sample. Conversely, BPD symptomology was evident in two classes but was accompanied by PTSD/CPTSD symptomology in each. Overall, five classes were identified that differed both quantitatively and qualitatively. Cumulative childhood maltreatment and physical neglect predicted CPTSD class membership.ConclusionThe findings suggest that CPTSD is distinct from BPD among a sample of individuals who have been shown to be at significant risk for both diagnoses. Further research is required to identify factors that distinguish CPTSD from BPD",
keywords = "Post traumatic stress, complex post traumatic stress, ICD-11, Borderline Personality Disorder, sexual assault",
author = "Rachel Frost and Philip Hyland and M Shevlin and Jamie Murphy",
year = "2018",
month = "8",
day = "31",
doi = "10.1016/j.ejtd.2018.08.004",
language = "English",
journal = "European Journal of Truama and Dissociation",
issn = "2468-7499",
publisher = "Elsevier",

}

TY - JOUR

T1 - Distinguishing Complex PTSD from Borderline Personality Disorder among individuals with a history of sexual trauma; a latent class analysis

AU - Frost, Rachel

AU - Hyland, Philip

AU - Shevlin, M

AU - Murphy, Jamie

PY - 2018/8/31

Y1 - 2018/8/31

N2 - IntroductionThere has been debate regarding whether Complex PTSD (CPTSD) is conceptually distinct from Borderline Personality Disorder (BPD).ObjectiveTo assess whether ICD-11 CPTSD was distinguishable from BPD in a sample of sexual assault survivors.MethodA subsample of individuals (n = 956), that selected sexual assault as an index trauma, were selected from a U.S. general population survey dataset. The distribution of PTSD, CPTSD and BPD symptomology was evaluated using latent class analysis (LCA). Multinomial logistic regression analyses were performed to evaluate whether various forms of child maltreatment and cumulative child maltreatment could discriminate between classes.ResultsCPTSD emerged as a distinct symptom profile within the sample. Conversely, BPD symptomology was evident in two classes but was accompanied by PTSD/CPTSD symptomology in each. Overall, five classes were identified that differed both quantitatively and qualitatively. Cumulative childhood maltreatment and physical neglect predicted CPTSD class membership.ConclusionThe findings suggest that CPTSD is distinct from BPD among a sample of individuals who have been shown to be at significant risk for both diagnoses. Further research is required to identify factors that distinguish CPTSD from BPD

AB - IntroductionThere has been debate regarding whether Complex PTSD (CPTSD) is conceptually distinct from Borderline Personality Disorder (BPD).ObjectiveTo assess whether ICD-11 CPTSD was distinguishable from BPD in a sample of sexual assault survivors.MethodA subsample of individuals (n = 956), that selected sexual assault as an index trauma, were selected from a U.S. general population survey dataset. The distribution of PTSD, CPTSD and BPD symptomology was evaluated using latent class analysis (LCA). Multinomial logistic regression analyses were performed to evaluate whether various forms of child maltreatment and cumulative child maltreatment could discriminate between classes.ResultsCPTSD emerged as a distinct symptom profile within the sample. Conversely, BPD symptomology was evident in two classes but was accompanied by PTSD/CPTSD symptomology in each. Overall, five classes were identified that differed both quantitatively and qualitatively. Cumulative childhood maltreatment and physical neglect predicted CPTSD class membership.ConclusionThe findings suggest that CPTSD is distinct from BPD among a sample of individuals who have been shown to be at significant risk for both diagnoses. Further research is required to identify factors that distinguish CPTSD from BPD

KW - Post traumatic stress

KW - complex post traumatic stress

KW - ICD-11

KW - Borderline Personality Disorder

KW - sexual assault

U2 - 10.1016/j.ejtd.2018.08.004

DO - 10.1016/j.ejtd.2018.08.004

M3 - Article

JO - European Journal of Truama and Dissociation

T2 - European Journal of Truama and Dissociation

JF - European Journal of Truama and Dissociation

SN - 2468-7499

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