{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:19:42Z","timestamp":1787015982837,"version":"build-2736575974"},"reference-count":55,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Treatments for borderline personality disorder (BPD) and post\u2010traumatic stress disorder (PTSD) are less effective for patients with co\u2010occurring symptoms of both disorders, who are considered to have complex PTSD (cPTSD), compared with patients with either condition alone. Evidence suggests that co\u2010occurrence of symptoms indicates greater impairment in mentalizing. This study examines evidence for targeting mentalizing when treating individuals with co\u2010occurring symptoms, irrespective of their exposure to developmental trauma and, for the first time, investigates the mediational role of mentalizing in the associations between BPD symptomatology and cPTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We identified in a routine clinical service a group of patients with BPD, with or without co\u2010occurring symptoms of PTSD. We hypothesized that patients with co\u2010occurring symptoms and a history of childhood maltreatment will show more severe clinical profiles and greater mentalizing problems, which in turn lead to symptoms consistent with cPTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Clinical profiles of 72 patients with BPD (43 with and 29 without co\u2010occurring symptoms of PTSD; mean age in both groups 28\u2009years, 79% and 83% female, respectively) were identified using the Structured Clinical Interview for DSM\u2010IV Axis II Disorders. Patients completed self\u2010report measures of BPD and PTSD symptoms, well\u2010being, dissociation and reflective functioning. Childhood trauma histories were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with patients with BPD\u2010only, those with co\u2010occurring BPD and PTSD showed greater severity in terms of BPD and dissociative symptoms, met a broader range of BPD diagnostic criteria, had a greater sense of personal worthlessness and self\u2010evaluated their well\u2010being as considerably diminished. This group was also more inclined to recall increased instances of childhood sexual abuse. In a mediation analysis, mentalizing acted as a partial mediator for the relationship between BPD severity and cPTSD, as well as between dissociative symptoms and cPTSD. Interestingly, mentalizing did not mediate the relationship between childhood sexual abuse and cPTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, the correlational findings are consistent with an intended focus on mentalizing to treat cPTSD symptoms in individuals who also meet criteria for a diagnosis of BPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12514","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T09:57:24Z","timestamp":1702893444000},"page":"58-74","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Childhood maltreatment, dissociation and borderline personality disorder: Preliminary data on the mediational role of mentalizing in complex post\u2010traumatic stress disorder"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1137-4609","authenticated-orcid":false,"given":"Anthony","family":"Bateman","sequence":"first","affiliation":[{"name":"Department of Clinical, Educational and Health Psychology, Psychoanalysis Unit University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"R\u00fcfenacht","sequence":"additional","affiliation":[{"name":"Division of Psychiatric Specialties, Department of Psychiatry Geneva University Hospitals  Geneva Switzerland"},{"name":"Department of Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Perroud","sequence":"additional","affiliation":[{"name":"Division of Psychiatric Specialties, Department of Psychiatry Geneva University Hospitals  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Debban\u00e9","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences University of Geneva  Geneva Switzerland"},{"name":"Research Department of Clinical, Educational, and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Nolte","sequence":"additional","affiliation":[{"name":"Department of Clinical, Educational and Health Psychology University College London  London UK"},{"name":"Anna Freud Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Shaverin","sequence":"additional","affiliation":[{"name":"Anna Freud Centre  London UK"},{"name":"Tavistock Trauma Service Tavistock &amp; 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