Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial
| Autor: | Enrique Álvarez, Joaquim Soler, Anabel Cebrià, M. Josefa Campins, Ignasi Gich, Thais Tiana, J Barrachina, Juan C. Pascual, Víctor Pérez |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_treatment Controlled trial Experimental and Cognitive Psychology Irritability behavioral disciplines and activities law.invention Group psychotherapy Young Adult Randomized controlled trial Behavior Therapy Borderline Personality Disorder law mental disorders medicine Humans Single-Blind Method Borderline personality disorder medicine.disease Mental health Diagnostic and Statistical Manual of Mental Disorders Clinical trial Psychiatry and Mental health Clinical Psychology Treatment Outcome Mood Dialectical behaviour therapy Psychotherapy Group Patient Compliance Anxiety Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | BEHAVIOUR RESEARCH AND THERAPY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 0005-7967 |
| DOI: | 10.1016/j.brat.2009.01.013 |
| Popis: | Dialectical behaviour therapy (DBT) has proven to be an effective treatment in borderline personality disorder (BPD). However, the effectiveness in BPD of DBT skills training (DBT-ST) alone is not known. This study aimed at comparing the efficacy of DBT-ST and standard group therapy (SGT) for outpatients with BPD. Sixty patients meeting the DSM-IV diagnostic criteria for BPD, as assessed by two semi-structured diagnostic interviews, were included in a 3-month, single-blind randomised controlled trial. A total of 13 weekly group psychotherapy sessions of 120 min of either SGT or DBT-ST were conducted. Assessments were carried out every 2 weeks by two blinded evaluators. Observer-rater, self-report scales and behavioural reports were used as outcome measures. DBT-ST was associated with lower dropout rates, 34.5% compared to 63.4% with SGT. It was superior to SGT in improving several mood and emotion areas, such as: depression, anxiety, irritability. anger and affect instability. A reduction in general psychiatric symptoms was also observed. Three-months weekly DBT-ST proved useful. This therapy was associated with greater clinical improvements and lower dropout rates than SGT. DBT-ST seems to play a role in the overall improvement of BPD seen with standard DBT intervention. It allows straightforward implementation in a wide range of mental health settings and provides the additional advantage that it is cost effective. (C) 2009 Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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