OBJECTIVE: This study was conducted to determine whether trauma
variables and certain behavioral correlates are differentially prevalent in
borderline personality disorder patients with greater and those with lesser
dissociative experience. METHOD: Subjects were 62 female inpatients, all
meeting DSM-III-R criteria for borderline personality disorder, 14 of whom
also had a concomitant dissociative disorder diagnosis. Structured
interviews and published scales were used to collect data addressing a
priori hypotheses. RESULTS: Univariate analyses supported hypotheses that
patients with borderline personality disorder and greater dissociative
experience are characterized by more self-reported traumatic experiences,
posttraumatic symptoms, behavioral dyscontrol, self-injurious behavior, and
alcohol abuse. Multivariate analyses suggested that scores on the
Dissociative Experiences Scale were predicted particularly by adult sexual
assault, behavioral dyscontrol, and both sexual and physical abuse in
childhood. CONCLUSIONS: These results support the use of the Dissociative
Experience Scale as a brief screening instrument to aid in the
identification of borderline personality disorder patients with prominent
posttraumatic and dissociative disorders. Patients with borderline
personality disorder seem to be characterized by somewhat different life
experiences, treatment histories, and behavioral presentations depending on
their level of dissociative experience, even though they meet the same
DSM-III-R criteria. Neither extreme view of the overlap in diagnostic
populations was supported.
Abstract Teaser