The Effectiveness of Dialectical Behavior Therapy Skills Training Group vs. Cognitive Therapy Group on Reducing Depression and Suicide Attempts for Borderline Personality Disorder in Taiwan

2018 ◽  
Vol 23 (1) ◽  
pp. 82-99 ◽  
Author(s):  
Tsung-Jen Lin ◽  
Huei-Chen Ko ◽  
Jo Yung-Wei Wu ◽  
Tian Po Oei ◽  
Hsien-Yuan Lane ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicide Attempts ◽  
Therapy Group ◽  
Training Group ◽  
Skills Training ◽  
Borderline Personality ◽  
Skills Training Group

Predictors of Dropout From a 20-Week Dialectical Behavior Therapy Skills Group for Suicidal Behaviors and Borderline Personality Disorder

2020 ◽  
Vol 34 (2) ◽  
pp. 216-230 ◽  
Author(s):  
Natalie Stratton ◽  
Mariana Mendoza Alvarez ◽  
Cathy Labrish ◽  
Ryan Barnhart ◽  
Shelley McMain
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Training Group ◽  
Skills Training ◽  
Borderline Personality ◽  
Post Intervention ◽  
Skills Training Group ◽  
Post Hoc

Treatment dropout among individuals with borderline personality disorder (BPD) is associated with negative psychosocial outcomes. Identifying predictors of dropout among this population is critical to understanding how to improve treatment retention. The present study extends the current literature by examining both static and dynamic predictors of dropout. Chronically suicidal outpatients diagnosed with BPD (N = 42) were randomly assigned to a 20-week dialectical behavior therapy (DBT) skills training group. Static and dynamic predictors were assessed at baseline, 5, 10, 15, 20 weeks, and 3 months post-intervention. A post-hoc two-stage logistic regression analysis was conducted to predict dropout propensity. Receiving disability benefits at baseline and decreases in mindfulness were associated with significantly increased probability of dropout. Clinicians working with chronically self-harming outpatients diagnosed with BPD would benefit from prioritizing clinical interventions that enhance mindfulness in order to decrease dropout propensity.

Differential Change of Borderline Personality Disorder Traits During Dialectical Behavior Therapy for Adolescents

2019 ◽  
Vol 33 (1) ◽  
pp. 119-134 ◽  
Author(s):  
Arne Buerger ◽  
Gloria Fischer-Waldschmidt ◽  
Florian Hammerle ◽  
Kristin von Auer ◽  
Peter Parzer ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicide Attempts ◽  
Treatment Options ◽  
Skills Training ◽  
Borderline Personality ◽  
Secondary Outcomes ◽  
The Impact

Despite the expansion of treatment options for adults with borderline personality disorder (BPD), research on treatment options for adolescent BPD is scarce. The aim of this study was to investigate the impact of dialectical behavior therapy for adolescents (DBT-A) on the individual trait level as primary outcome; and the frequency of suicide attempts and nonsuicidal self-injury, self-reported BPD core pathology, and general psychopathology as secondary outcomes. Seventy-two adolescents (aged 12–17 years) with full- or subsyndromal BPD were treated with DBT-A (25 single sessions, 20 sessions of skills training), and 13 patients (18.1%) withdrew during treatment. From baseline to post-treatment, the number of BPD traits decreased significantly (p ≤ .001). All secondary outcomes decreased significantly as well (p ≤ .001). Results of this uncontrolled study suggest that beside self-harm, DBT-A may also have a beneficial impact on other features of BPD.

scholarly journals Delineating the unique contributions of mindfulness skills in predicting engagement in suicide attempts and non-suicidal self-injury among individuals with borderline personality disorder

2021 ◽  
Author(s):  
Lillian Krantz
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Suicide Attempts ◽  
Skills Training ◽  
Borderline Personality ◽  
Control Group ◽  
Treatment Change ◽  
Mindfulness Skills ◽  
Self Injury

The current research tested whether four dimensions of mindfulness – acceptance without judgment, observing, describing and acting with awareness – taught during 20 weeks of dialectical behavior therapy skills training (DBT-ST) predicted frequency of two forms of self-inflicted injury (SII), i.e. suicide attempts (SAs) and non-suicidal self-injury (NSSI), at baseline and mediated the relationship between pre-post treatment change in frequency of SAs/NSSI and DBT-ST. Eighty-four suicidal individuals with borderline personality disorder were enrolled in a single-blinded randomized trial comparing DBT-ST treatment to a waitlist control group. A series of regressions revealed no relationship between dimensions of mindfulness and self-inflicted injury at baseline. Although no significant effect of DBT-ST on SAs was found, a causal mediation analysis revealed acceptance without judgment significantly mediated the relation between DBT-ST and change in frequency of NSSI.

scholarly journals Dialectical behavior therapy as treatment for borderline personality disorder

2016 ◽  
Vol 6 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Jennifer M May ◽  
Toni M Richardi ◽  
Kelly S Barth
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Psychiatric Symptoms ◽  
Sense Of Self ◽  
Skills Training ◽  
Borderline Personality ◽  
Adjunctive Treatment ◽  
Telephone Consultation

Abstract Dialectical behavior therapy (DBT) is a structured outpatient treatment developed by Dr Marsha Linehan for the treatment of borderline personality disorder (BPD). Dialectical behavior therapy is based on cognitive-behavioral principles and is currently the only empirically supported treatment for BPD. Randomized controlled trials have shown the efficacy of DBT not only in BPD but also in other psychiatric disorders, such as substance use disorders, mood disorders, posttraumatic stress disorder, and eating disorders. Traditional DBT is structured into 4 components, including skills training group, individual psychotherapy, telephone consultation, and therapist consultation team. These components work together to teach behavioral skills that target common symptoms of BPD, including an unstable sense of self, chaotic relationships, fear of abandonment, emotional lability, and impulsivity such as self-injurious behaviors. The skills include mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Given the often comorbid psychiatric symptoms with BPD in patients participating in DBT, psychopharmacologic interventions are oftentimes considered appropriate adjunctive care. This article aims to outline the basic principles of DBT as well as comment on the role of pharmacotherapy as adjunctive treatment for the symptoms of BPD.

scholarly journals Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite

2019 ◽  
Vol 23 (3) ◽  
pp. 201
Author(s):  
María V. Navarro-Haro ◽  
Nuria Pérez-Hernández ◽  
Susana Serrat ◽  
Miquel Gasol-Colomina
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Family Environment ◽  
Family Members ◽  
Skills Training ◽  
Borderline Personality ◽  
Mindfulness Skills

 Abstract: Effectivity and acceptability of dialectical behavioral therapy skills training for family members of people with borderline personality disorder. Social and family environment is fundamental in the development and maintenance of Borderline Personality Disorder (BPD). Despite family members of people with BPD have more risk of suffering from psychological problems, there are not empirically-supported interventions for this population. Dialectical Behavior Therapy (DBT) has been adapted for families of people with BPD with encouraging results. The main goal of this study was to evaluate the effectiveness and acceptability of a 25-session intervention based on DBT in a sample of 7 family members of people with BPD and in a Spanish context. Pre-post treatment changes in the variables: emotional burden, depression, anxiety, difficulties in emotion regulation, and mindfulness skills, were measured. Preliminary results showed significant improvements in anxiety, emotion regulation and mindfulness and good implementation of the intervention. This study may benefit the implementation of family interventions for family members of people with BPD.Resumen: El ambiente social y familiar es fundamental en el desarrollo y mantenimiento del Trastorno Límite de la Personalidad (TLP). A pesar de que los familiares de personas con TLP tienen más riesgo de padecer problemas psicológicos, no existen intervenciones empíricamente validadas para esta población. La Terapia Dialéctica Comportamental (Dialectical Behavior Therapy, DBT) se ha adaptado para familiares de personas con TLP con resultados alentadores. El objetivo principal del estudio fue evaluar la efectividad y la aceptabilidad de una intervención de 25 sesiones basada en DBT en una muestra de 7 familiares de personas con TLP y en un contexto español. Se midieron los cambios pre-post tratamiento en las variables agotamiento emocional, depresión, ansiedad, desregulación emocional y atención plena. Los resultados mostraron mejoras significativas en ansiedad, regulación emocional y atención plena y una buena aceptación de la intervención. Este estudio podría favorecer la implantación de intervenciones para familiares de personas con TLP. 

scholarly journals Delineating the unique contributions of mindfulness skills in predicting engagement in suicide attempts and non-suicidal self-injury among individuals with borderline personality disorder

2021 ◽  
Author(s):  
Lillian Krantz
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Suicide Attempts ◽  
Skills Training ◽  
Borderline Personality ◽  
Control Group ◽  
Treatment Change ◽  
Mindfulness Skills ◽  
Self Injury

The current research tested whether four dimensions of mindfulness – acceptance without judgment, observing, describing and acting with awareness – taught during 20 weeks of dialectical behavior therapy skills training (DBT-ST) predicted frequency of two forms of self-inflicted injury (SII), i.e. suicide attempts (SAs) and non-suicidal self-injury (NSSI), at baseline and mediated the relationship between pre-post treatment change in frequency of SAs/NSSI and DBT-ST. Eighty-four suicidal individuals with borderline personality disorder were enrolled in a single-blinded randomized trial comparing DBT-ST treatment to a waitlist control group. A series of regressions revealed no relationship between dimensions of mindfulness and self-inflicted injury at baseline. Although no significant effect of DBT-ST on SAs was found, a causal mediation analysis revealed acceptance without judgment significantly mediated the relation between DBT-ST and change in frequency of NSSI.

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