Evidence map›Paper›PMID 38502144›Full record

Trial reportJournal of traumatic stress2024

BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms.

Caitlyn O Hood, Matthew W Southward, Christal L Badour, Shannon Sauer-Zavala

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of traumatic stress, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Caitlyn O HoodDepartment of Psychiatry, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-4147-5366
Matthew W SouthwardDepartment of Psychology, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-5888-2769
Christal L BadourDepartment of Psychology, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0001-9985-8418
Shannon Sauer-ZavalaDepartment of Psychology, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-7322-983X
University of Kentucky · US

Funding

A Precision Medicine Approach to Target Engagement for Emotion RegulationK23MH126211 · NIMH · UNIVERSITY OF KENTUCKY · PI SOUTHWARD, MATTHEW WAYNE · 2022 to 2025
$592k
NIMH NIH HHS K23 MH126211NIMH NIH HHS K23MH126211
6 · The paper itself

Abstract

BPD Compass is a transdiagnostic psychotherapy that includes cognitive, behavioral, and mindfulness skills targeting the personality dimensions of negative affectivity, disinhibition, and antagonism. Given considerable symptom comorbidity and overlap in etiology between borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD), this study investigated whether BPD Compass holds promise as an integrated approach to simultaneously treating co-occurring BPD features and PTSD symptoms. Participants included 84 trauma-exposed adults who participated in a two-phase clinical trial (Phase 1: randomized controlled trial of BPD Compass vs. waitlist [n = 43]; Phase 2: open trial of BPD Compass [n = 41]). Compared to waitlist, BPD Compass led to medium-to-large-sized, significant improvements in BPD features, βs = -.57 -.44, and facets of neuroticism, βs < -.55--.73, as well as small, nonsignificant improvements in self-reported, β = -.20, and clinician-rated PTSD symptom severity, β = -.19. During treatment, within-person improvements in PTSD symptoms predicted subsequent improvements in BPD features, β = .13, but not vice versa, β = .07. Within-person PTSD symptom reduction also predicted subsequent improvement in all personality dimensions, whereas only within-person improvement in despondence, β = .12, affective dysregulation, β = .11, and dissociative tendencies, β = .12, predicted PTSD symptom reductions. Findings offer preliminary support for the potential of BPD Compass to target BPD features and aspects of neuroticism and agreeableness among trauma-exposed adults. Moreover, PTSD symptom change predicting subsequent improvement in BPD features runs counter to current stage-based treatment models that emphasize BPD feature stabilization before engaging in trauma-focused therapy.

Indexed as

Borderline Personality DisorderStress Disorders, Post-TraumaticAdultCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedMindfulnessYoung Adult

Identifiers

PMID38502144
PMCPMC13078314
OpenAlexW4392950075

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.