Probst, Thomas and O'Rourke, Teresa and Decker, Verena and Kiessling, Eva and Meyer, Sascha and Bofinger, Christine and Niklewski, Guenter and Muehlberger, Andreas and Pieh, Christoph (2019) Effectiveness of a 5-Week Inpatient Dialectical Behavior Therapy for Borderline Personality Disorder. JOURNAL OF PSYCHIATRIC PRACTICE, 25 (3). pp. 192-198. ISSN 1527-4160, 1538-1145
Full text not available from this repository. (Request a copy)Abstract
Objective: The goal of this study was to evaluate whether symptoms are reduced and emotion regulation improves when patients with borderline personality disorder (BPD) receive a 5-week course of inpatient dialectical behavioral therapy (DBT) and if changes in emotion regulation are associated with changes in symptoms. Methods: Forty-four patients with BPD receiving a 5-week course of DBT in a German psychiatry clinic participated. The short version of the "Borderline Symptom List" (BSL-23) was the patient-reported outcome. To measure emotion regulation, the "Self-Report Measure for the Assessment of Emotion Regulation Skills" (SEK-27) was administered. Wilcoxon tests were performed to evaluate whether pre-post changes in the BSL-23 and SEK-27 reached statistical significance. Effect sizes (d) were calculated and correlations between the pre-post differences for both measures were computed to test associations between changes in emotion regulation and changes in symptoms. Completer (n=33) and intention-to-treat (n=43) analyses were performed. Results: Symptoms (BSL-23) were reduced and emotion regulation (SEK-27) improved during the 5-week inpatient DBT treatment (completer and intention-to-treat analysis: P<0.001). Effect sizes reached d=0.47 for the BSL-23 and d=0.84 for the SEK-27 in the completer analysis, and d=0.38 for the BSL-23 and d=0.68 for the SEK-27 in the intention-to-treat analysis. Improvements in emotion regulation (SEK-27) were correlated with reductions in symptoms (BSL-23) in both the completer (r=0.54; P=0.001) and the intention-to-treat (r=0.59; P<0.001) analyses. Conclusions: These findings indicate that a 5-week course of inpatient DBT can effectively reduce symptoms in patients with BPD and that the more patients' emotion regulation improves, the more the patients benefit from the therapy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DELIBERATE SELF-HARM; EMOTION REGULATION; DIFFICULTIES; DEPRESSION; VALIDATION; MECHANISMS; ANXIETY; WOMEN; dialectical behavior therapy; inpatient; borderline personality disorder; emotion regulation |
| Subjects: | 100 Philosophy & psychology > 150 Psychology |
| Divisions: | Human Sciences > Institut für Psychologie Human Sciences > Institut für Psychologie > Lehrstuhl für Klinische Psychologie und Psychotherapie - Lehrstuhl für Psychologie VIII - Prof. Dr. Andreas Mühlberger |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Apr 2020 06:26 |
| Last Modified: | 09 Apr 2020 06:26 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27069 |
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