Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its subtypes affected treatment retention, depressive symptoms, and impulsivity throughout short-term intensive dialectical behavior therapy (I-DBT) in 333 patients with BPD. Data were analyzed with linear and logistic regressions and linear mixed models, using a Bayesian approach. Patients who reported childhood emotional abuse had a higher dropout rate, whereas it was lower in patients who reported childhood emotional neglect. Emotional neglect predicted a greater decrease of depressive symptoms, and global CM predicted a greater decrease of impulsivity. The authors concluded that patients with BPD who experienced CM might benefit from I-DBT in specific symptom domains. Nonetheless, the impact of emotional abuse on higher dropout needs to be considered.

中文翻译：

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边缘型人格障碍中的童年虐待对强化辩证行为疗法治疗反应的影响

童年虐待 (CM)，包括情感、身体和性虐待以及情感和身体上的忽视，与边缘型人格障碍 (BPD) 的严重程度有关。然而，关于 CM 对治疗反应的影响的知识很少。作者调查了 333 名 BPD 患者在短期强化辩证行为治疗 (I-DBT) 期间，自我报告的 CM 或其亚型之一是否会影响治疗保留、抑郁症状和冲动。使用贝叶斯方法，使用线性和逻辑回归以及线性混合模型分析数据。报告童年情感虐待的患者辍学率较高，而报告童年情感忽视的患者辍学率较低。情绪忽视预示着抑郁症状的减少更多，和全局 CM 预测冲动性的下降幅度更大。作者得出结论，患有 CM 的 BPD 患者可能会从特定症状领域的 I-DBT 中受益。尽管如此，需要考虑情绪虐待对较高辍学率的影响。