Trauma-Related Negative Cognitions Mediate the Relationship Between Avoidant Personality Beliefs and Impeded Response to Psychotherapy for PTSD

References

• American Psychiatric Association. (1987). Diagnostic and statistical manual of mental health disorders (DSM-III-R). Washington, DC: Author.
   Google Scholar
• American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR®. Washington, DC: Author.
   Google Scholar
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
   Google Scholar
• Beck, A., & Beck, J. (1991). The personality belief questionnaire. Unpublished assessment instrument. Bala Cynwyd, PA: The Beck Institute for Cognitive Therapy and Research.
   Google Scholar
• Beck, A., & Freeman, A. (1990). Cognitive therapy of personality disorders, 1990.New York, NY: Guilford Publications.
   Google Scholar
• Beck, A.T., Butler, A. C., Brown, G. K., Dahlsgaard, K. K., Newman, C. F., & Beck, J. S. (2001). Dysfunctional beliefs discriminate personality disorders. Behaviour Research & Therapy, 39(10), 1213–1225. doi:10.1016/S0005-7967(00)00099-1
   PubMed Web of Science ®Google Scholar
• Békés, V., Beaulieu-Prévost, D., Marchand, A., Guay, S., & Belleville, G. (2016). Women with PTSD benefit more from psychotherapy then men. Psychological Trauma: Theory, Research, Practice, and Policy, 8(6), 720. doi:10.1037/tra0000122
   PubMed Web of Science ®Google Scholar
• Békés, V., Beaulieu-Prévost, D., Marchand, A., Guay, S., & Belleville, G. (2018). The association between trauma-related cognitions and PTSD symptoms during cognitive behavior therapy. Unpublished manuscript.
   Google Scholar
• Bhar, S. S., Beck, A. T., & Butler, A. C. (2012). Beliefs and personality disorders: An overview of the personality beliefs questionnaire. Journal of Clinical Psychology, 68(1), 88–100. doi:10.1002/jclp.20856
   PubMed Web of Science ®Google Scholar
• Bhar, S. S., Brown, G. K., & Beck, A. T. (2008). Dysfunctional beliefs and psychopathology in borderline personality disorder. Journal of Personality Disorders, 22(2), 165–177.
   PubMed Web of Science ®Google Scholar
• Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8(1), 75–90.
   PubMed Web of Science ®Google Scholar
• Bollinger, A. R., Riggs, D. S., Blake, D. D., & Ruzek, J. I. (2000). Prevalence of personality disorders among combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 13(2), 255–270. doi:10.1023/A:1007706727869
   PubMed Web of Science ®Google Scholar
• Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23(3), 339–376. doi:10.1016/S0272-7358(03)00033-3
   PubMed Web of Science ®Google Scholar
• Butler, A. C., Brown, G. K., Beck, A. T., & Grisham, J. R. (2002). Assessment of dysfunctional beliefs in borderline personality disorder. Behaviour Research and Therapy, 40(10), 1231–1240. doi:10.1016/S0005-7967(02)00031-1
   PubMed Web of Science ®Google Scholar
• Cieslak, R., Benight, C. C., & Caden Lehman, V. (2008). Coping self-efficacy mediates the effects of negative cognitions on posttraumatic distress. Behaviour Research and Therapy, 46(7), 788–798. doi:10.1016/j.brat.2008.03.007
   PubMed Web of Science ®Google Scholar
• Connan, F., Dhokia, R., Haslam, M., Mordant, N., Morgan, G., Pandya, C., & Waller, G. (2009). Personality disorder cognitions in the eating disorders. Behaviour Research and Therapy, 47(1), 77–82. doi:10.1016/j.brat.2008.10.010
   PubMed Web of Science ®Google Scholar
• Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.
   PubMed Web of Science ®Google Scholar
• Feeny, N. C., Zoellner, L. A., & Foa, E. B. (2002). Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: A preliminary examination. Journal of Personality Disorders, 16(1), 30. doi:10.1521/pedi.16.1.30.22555
   PubMed Web of Science ®Google Scholar
• First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1998). Structured clinical interview for DSM-IV axis I disorders: patient edition (February 1996 final), SCID-I/P. Biometrics Research Department, New York State Psychiatric Institute.
   Google Scholar
• Foa, E. B. (2000). Psychosocial treatment of posttraumatic stress disorder. The Journal of Clinical Psychiatry, 61(Suppl 5), 43–51.
   PubMed Web of Science ®Google Scholar
• Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory (PTCI): Development and validation. Psychological Assessment, 11(3), 303. doi:10.1037/1040-3590.11.3.303
   Web of Science ®Google Scholar
• Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2008). Effective treatments for ptsd. practice guidelines from the International Society for Traumatic Stress Studies, Guilford Press.
   Google Scholar
• Foa, E. B., & Rauch, S. A. M. (2004). Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72(5), 879. doi:10.1037/0022-006X.72.5.879
   PubMed Web of Science ®Google Scholar
• Foa, E. B., & Riggs, D. S. (1993). Posttraumatic stress disorder and rape. Review of Psychiatry, 12, 273–303.
   Google Scholar
• Friborg, O., Martinussen, M., Kaiser, S., Øvergård, K. T., & Rosenvinge, J. H. (2013). Comorbidity of personality disorders in anxiety disorders: a meta-analysis of 30 years of research. Journal Of Affective Disorders, 145(2), 143–155. doi:10.1016/j.jad.2012.07.004
   PubMed Web of Science ®Google Scholar
• Garyfallos, G., Adamopoulou, A., Karastergiou, A., Voikli, M., Milis, V., Donias, S., … & Parashos, A. (1999). Psychiatric comorbidity in Greek patients with generalized anxiety disorder. Psychopathology, 32(6), 308–318.
   PubMed Web of Science ®Google Scholar
• Germain, V., Marchand, A., Bouchard, S., Drouin, M. S., & Guay, S. (2009). Effectiveness of cognitive behavioural therapy administered by videoconference for posttraumatic stress disorder. Cognitive Behaviour Therapy, 38(1), 42–53. doi:10.1080/16506070802473494
   PubMedGoogle Scholar
• Gratz, K. L., & Tull, M. T. (2012). Exploring the relationship between posttraumatic stress disorder and deliberate self-harm: The moderating roles of borderline and avoidant personality disorders. Psychiatry Research, 199(1), 19–23. doi:10.1016/j.psychres.2012.03.025
   PubMed Web of Science ®Google Scholar
• Hagenaars, M. A., Van Minnen, A., & de Rooij, M. (2010). Cognitions in prolonged exposure therapy for posttraumatic stress disorder. International Journal of Clinical and Health Psychology, 10(3), 421–434.
   Web of Science ®Google Scholar
• Harned, M. S. (2014). The combined treatment of PTSD with borderline personality disorder. Current Treatment Options in Psychiatry, 1(4), 335–344. doi:10.1007/s40501-014-0025-2
   Google Scholar
• Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014). A pilot randomized controlled trial of dialectical behavior therapy with and without the dialectical behavior therapy prolonged exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behaviour Research and Therapy, 55, 7–17. doi:10.1016/j.brat.2014.01.008
   PubMed Web of Science ®Google Scholar
• Hayes, A. F. (2008). SPSS Macro for Multiple Mediation. Retrieved from http://www.afhayes.com.
   Google Scholar
• Heffernan, K., & Cloitre, M. (2000). A comparison of PTSD with and without Borderline Personality Disorder among women with childhood sexual abuse: Etiology and clinical characteristics. Journal of Nervous and Mental Disease, 188, 589–595.
   PubMed Web of Science ®Google Scholar
• Hembree, E. A., Cahill, S. P., & Foa, E. B. (2004). Impact of personality disorders on treatment outcome for female assault survivors with chronic posttraumatic stress disorder. Journal of Personality Disorders, 18(1), 117. doi:10.1521/pedi.18.1.117.32767
   PubMed Web of Science ®Google Scholar
• Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
   Google Scholar
• Jones, S. H., Burrell-Hodgson, G., & Tate, G. (2007). Relationships between the personality beliefs questionnaire and self-rated personality disorders. British Journal Of Clinical Psychology, 46(2), 247–251. doi:10.1348/014466506X164791
   PubMedGoogle Scholar
• Karl, A., Rabe, S., Zöllner, T., Maercker, A., & Stopa, L. (2009). Negative self-appraisals in treatment-seeking survivors of motor vehicle accidents. Journal of Anxiety Disorders, 23(6), 775–781. doi:10.1016/j.janxdis.2009.03.001
   PubMed Web of Science ®Google Scholar
• Kleim, B., Ehlers, A., & Glucksman, E. (2007). Early predictors of chronic post-traumatic stress disorder in assault survivors. Psychological Medicine, 37(10), 1457–1467. doi:10.1017/S0033291707001006
   PubMed Web of Science ®Google Scholar
• Kolts, R. L., Robinson, A. M., & Tracy, J. J. (2004). The relationship of sociotropy and autonomy to posttraumatic cognitions and PTSD symptomatology in trauma survivors. Journal of Clinical Psychology, 60(1), 53–63. doi:10.1002/jclp.10193
   PubMed Web of Science ®Google Scholar
• Kuyken, W., Kurzer, N., DeRubeis, R. J., Beck, A. T., & Brown, G. K. (2001). Response to cognitive therapy in depression: The role of maladaptive beliefs and personality disorders. Journal Of Consulting and Clinical Psychology, 69(3), 560–566. doi:10.1037/0022-006X.69.3.560
   PubMed Web of Science ®Google Scholar
• Littleton, H., Horsley, S., John, S., & Nelson, D. V. (2007). Trauma coping strategies and psychological distress: A meta-analysis. Journal of Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies. 20(6), 977–988. doi:10.1002/(ISSN)1573-6598
   Google Scholar
• Marchand, A., Beaulieu-Prévost, D., Guay, S., Bouchard, S., Drouin, M. S., & Germain, V. (2011). Relative efficacy of cognitive-behavioral therapy administered by videoconference for posttraumatic stress disorder: A six-month follow-up. Journal of Aggression, Maltreatment & Trauma, 20(3), 304–321. doi:10.1080/10926771.2011.562479
   PubMedGoogle Scholar
• Massion, A. O., Dyck, I. R., Shea, M. T., Phillips, K. A., Warshaw, M. G., & Keller, M. B. (2002). Personality disorders and time to remission in generalized anxiety disorder, social phobia, and panic disorder. Archives Of General Psychiatry, 59(5), 434–440. doi:10.1001/archpsyc.59.5.434
   PubMedGoogle Scholar
• McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., … Stout, R. L. (2000). The collaborative longitudinal personality disorders study: Baseline axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102(4), 256–264.
   PubMed Web of Science ®Google Scholar
• Miller, M. W., & Resick, P. A. (2007). Internalizing and externalizing subtypes in female sexual assault survivors: Implications for the understanding of complex PTSD. Behavior Therapy, 38(1), 58–71. doi:10.1016/j.beth.2006.04.003
   PubMed Web of Science ®Google Scholar
• Moser, J. S., Cahill, S. P., & Foa, E. B. (2010). Evidence for poorer outcome in patients with severe negative trauma-related cognitions receiving prolonged exposure plus cognitive restructuring: Implications for treatment matching in posttraumatic stress disorder. The Journal of Nervous and Mental Disease, 198(1), 72–75. doi:10.1097/NMD.0b013e3181c81fac
   PubMed Web of Science ®Google Scholar
• Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi:10.3758/BRM.40.3.879
   PubMed Web of Science ®Google Scholar
• Pretzer, J. L., & Beck, A. T. (1996). A cognitive theory of personality disorders. Major Theories of Personality Disorder, 36–105.
   Google Scholar
• Schindel-Allon, I., Aderka, I. M., Shahar, G., Stein, M., & Gilboa-Schechtman, E. (2010). Longitudinal associations between post-traumatic distress and depressive symptoms following a traumatic event: A test of three models. Psychological Medicine, 40(10), 1669–1678. doi:10.1017/S0033291709992248
   PubMed Web of Science ®Google Scholar
• Southwick, S. M., Yehuda, R., & Giller, E. L., Jr. (1993). Combat veterans with posttraumatic stress disorder. American Journal of Psychiatry, 150, 1020–1023. doi:10.1176/ajp.150.7.1020
   PubMed Web of Science ®Google Scholar
• Turkcapar, M. H., Orsel, S., Ugurlu, M., Sargin, E., Turhan, M., Akkoyunlu, S., Hutiloglu, U., & Karakas, G. (2007). Reliability and validity of the turkish version of personality belief questionnaire. Klinik Psikiyatri, 10, 177–191.
   Google Scholar
• Weathers, F. W., Keane, T. M., & Davidson, J. R. T. (2001). Clinician-administered PTSD scale: A review of the first ten years of research. Depression and Anxiety, 13(3), 132–156.
   PubMed Web of Science ®Google Scholar
• Yen, S., Shea, M. T., Battle, C. L., Johnson, D. M., Zlotnick, C., Dolan-Sewell, R., … Sanislow, C. A. (2002). Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders: Fingings from the collaborative longitudinal personality disorders study. The Journal of Nervous and Mental Disease, 190(8), 510–518. doi:10.1097/01.NMD.0000026620.66764.78
   PubMed Web of Science ®Google Scholar
• Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., & Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry. doi:10.1176/ajp.155.12.1733
   PubMedGoogle Scholar
• Zlotnick, C., Johnson, D. M., Yen, S., Battle, C. L., Sanislow, C. A., Skodol, A. E., … Bender, D. S. (2003). Clinical features and impairment in women with borderline personality disorder (BPD) with posttraumatic stress disorder (PTSD), BPD without PTSD, and other personality disorders with PTSD. The Journal of Nervous and Mental Disease, 191(11), 706–713. doi:10.1097/01.nmd.0000095122.29476.ff
   PubMed Web of Science ®Google Scholar