Self-identified trauma study
Research type
Research Study
Full title
Experiences of therapeutic services for people with histories of complex trauma: a mixed-methods study.
IRAS ID
317599
Contact name
Jessica Atkinson
Contact email
Sponsor organisation
Queen Mary University of London
Duration of Study in the UK
1 years, 8 months, 0 days
Research summary
Complex PTSD (CPTSD) is a newly-identified disorder linked to adverse childhood experiences. CPTSD is categorised by traumatic memory in which the individual has difficulty organising their emotions, particularly around others after exposure to traumatic interpersonal victimisation. CPTSD symptomology includes affect dysregulation, identity dissociation and relational impairments, consistent negative self-image and risky behaviour. These difficulties are also displayed in individuals with a diagnosis of borderline personality disorder (BPD); a serious mental disorder characterised by a pervasive pattern of instability in interpersonal relationships, self-image, impulse control and affect regulation. Patients with BPD report high prevalence rates of negative childhood events such as neglect or childhood sexual abuse.
Similarities between these disorders have made them hard to distinguish, with this in mind, we will not try to differentiate between the disorders but focus on how the patient identifies with their diagnosis, and whether this influences their treatment. The stigma behind a BPD diagnosis could lead to individuals having a preference over diagnostic terms. Therefore, do individuals who have experienced trauma have a more beneficial treatment journey if they identify with their given diagnosis? And does stigma exists behind certain labels?
We will be recruiting adults through three personality disorder services, participants will be asked to complete a set of questionnaires investigating trauma, symptoms and functioning when they start their treatment and repeat some of these after 8 months. Additionally, some participants will be interviewed about their understanding of their diagnosis, their progress, how their identity has changed throughout therapy and any stigma they have faced. Clinicians will also be interviewed to gain an understanding on how both diagnoses fit within their values and remit of their service.
The study is funded by the ESRC through a LISS-DTP studentship.
REC name
Social Care REC
REC reference
23/IEC08/0002
Date of REC Opinion
31 Mar 2023
REC opinion
Further Information Favourable Opinion