scholarly journals Dialectical Behavior Therapy and Emotion Regulation Changes in Patients with Borderline Personality Disorder in Delta Region of Egypt

Author(s):  
Noha F. M. Fnoon ◽  
Mai A. Eissa ◽  
Ehab E. Ramadan ◽  
Hossam E. El-Sawy ◽  
Ahmed M. A. Abd El-Karim

Background: Researchers have proved the role of dialectical behavior therapy (DBT) in improving emotion regulation skills in patients with borderline personality disorder (BPD). Further researches for its effect in different cultures was needed. The current study aimed to examine the effectiveness of DBT relative to treatment as usual “TAU” in improving emotional regulation in BPD patients of the delta region of Egypt. Subjects and Methods: We conducted a prospective, comparative, non-randomized study. Eligible patients were assigned at their convenience or according to the immediate availability of treatment slots to a comprehensive DBT program integrating DBT skills into skills training schedule or treatment as usual (TAU). Patients were assessed at baseline, and follow up assessment at 4, 8, 12, and 16 months was done using the Arabic version of, Difficulties in Emotion Regulation Scale (DERS), Results: DBT patients showed better and lower scores of emotion regulation and distress tolerance scales in comparison to TAU. Overall, these positive outcomes were maintained in follow-up for four months post-treatment year. Conclusions: We provide the superior efficacy of DBT in improving emotion regulation in delta region's patients with BPD in comparison to TAU.

Author(s):  
María V. Navarro-Haro ◽  
Nuria Pérez-Hernández ◽  
Susana Serrat ◽  
Miquel Gasol-Colomina

 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. 


2019 ◽  
Vol 33 (1) ◽  
pp. 119-134 ◽  
Author(s):  
Arne Buerger ◽  
Gloria Fischer-Waldschmidt ◽  
Florian Hammerle ◽  
Kristin von Auer ◽  
Peter Parzer ◽  
...  

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.


Author(s):  
David Saunders ◽  
Erica Robinson ◽  
Sarah Fineberg

This chapter provides a summary of a landmark study on borderline personality disorder. Is dialectical behavior therapy more effective than treatment offered by nonbehavioral psychotherapy experts in reducing suicidal behaviors and treating borderline personality disorder? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.


Author(s):  
Eunice Chen ◽  
Angelina Yiu ◽  
Debra Safer

This chapter provides a description and review of the research evidence for the adaptation of dialectical behavior therapy (DBT) and emotion-focused therapies for eating disorders (EDs). First, the chapter briefly describes the standard DBT program as originally developed for women with borderline personality disorder (BPD) and the evidence for standard DBT with BPD. Second, the rationale for the adaptation of DBT for EDs is given and preliminary evidence for DBT and other emotion-focused treatments is described. Finally, the Stanford DBT program for EDs is outlined. Given the promise of alternative treatments for eating disorders, further development, adaptation, and testing of transdiagnostic emotion regulation treatments is warranted.


Author(s):  
Paul Crits-Christoph ◽  
Jacques P. Barber

For the treatment of borderline personality disorder, a meta-analysis found statistically significant effects indicating a beneficial effect of dialectical behavior therapy (DBT) over treatment as usual for reduction in anger, parasuicidality, and mental health. All of these effects were moderate to large. However, DBT is not uniquely effective for borderline personality disorder. Two type 1 randomized controlled trials found equal effects for versions of psychodynamic therapy. Single type 1 studies have also supported the efficacy, compared to treatment as usual, of cognitive therapy, schema therapy, and Systems Training for Emotional Predictability and Problem Solving (STEPPS, a therapy that combines cognitive-behavioral techniques and skills training with a systems component) as treatments for borderline personality disorder.


Sign in / Sign up

Export Citation Format

Share Document