Dysfunctional schema modes, childhood trauma and dissociation in borderline personality disorder

J Behav Ther Exp Psychiatry. 2009 Jun;40(2):248-55. doi: 10.1016/j.jbtep.2008.12.002. Epub 2008 Dec 10.

Abstract

Objective: To examine the relationship between dysfunctional schema modes, childhood trauma and dissociation in borderline personality disorder (BPD).

Method: 30 BPD patients completed the Wessex Dissociation Scale (WDS), Childhood Trauma Questionnaire (CTQ), General Health Questionnaire (GHQ), and Schema Mode Questionnaire (SMQ).

Results: The 'Angry and Impulsive Child' and 'Abandoned and Abused Child' modes uniquely predicted dissociation scores. Childhood trauma did not predict dissociation scores.

Conclusions: Findings support the schema mode model of BPD [Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioners guide. London: Guilford Press] and its emphasis on the role of dissociation. Clinically they support the emphasis on the identification and integration of dysfunctional parts of the personality in working with individuals diagnosed with BPD.

MeSH terms

  • Adult
  • Borderline Personality Disorder / complications*
  • Borderline Personality Disorder / psychology*
  • Child
  • Child Abuse / psychology
  • Child Abuse, Sexual / psychology
  • Data Interpretation, Statistical
  • Dissociative Disorders / etiology*
  • Dissociative Disorders / psychology*
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Surveys and Questionnaires
  • Wounds and Injuries / psychology*
  • Young Adult