School of Psychology, Ulster University, Derry, Northern Ireland.
Edinburgh Napier University, School of Health & Social Care, Edinburgh, UK.
NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, UK.
Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK.
Department of Psychology, Maynooth University, Kildare, Ireland.
National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California.
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Department of Psychotraumatology, Clinic St. Irmingard, Prien am Chiemsee, Germany.
Faculty of Psychology, University of Vienna, Austria.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Centre for Developmental and Complex Trauma St Andrews Healthcare, UK.
复杂的创伤后应激障碍 (CPTSD) 和边缘型人格障碍 (BPD) 的诊断差异是否足以保证单独的诊断分类多年来一直是争论的话题。为了促进累积证据的法则网络，本研究的主要目标是使用网络分析探索 ICD-11 PTSD 的症状和自组织障碍 (DSO) 如何与临床样本中的 BPD 相互关联多发性创伤个体 (N = 330)。参与者完成了生活事件、CPTSD 和 BPD 的测量。总体而言，我们的研究表明 BPD 和 CPTSD 在很大程度上是分开的。BPD 和 CPTSD 症状群之间的桥梁很少，“情感失调”项目是唯一与 BPD 相关的项目。本研究为越来越多关于 CPTSD 的判别有效性的文献做出了贡献，并支持其与 BPD 的区别。讨论了对治疗的影响。
Whether complex posttraumatic stress disorder (CPTSD) and borderline personality disorder (BPD) diagnoses differ substantially enough to warrant separate diagnostic classifications has been a subject of controversy for years. To contribute to the nomological network of cumulative evidence, the main goal of the present study was to explore, using network analysis, how the symptoms of ICD-11 PTSD and disturbances in self-organization (DSO) are interconnected with BPD in a clinical sample of polytraumatized individuals (N = 330). Participants completed measures of life events, CPTSD, and BPD. Overall, our study suggests that BPD and CPTSD are largely separated. The bridges between BPD and CPTSD symptom clusters were scarce, with "Affective Dysregulation" items being the only items related to BPD. The present study contributes to the growing literature on discriminant validity of CPTSD and supports its distinctiveness from BPD. Implications for treatment are discussed.
