Predictors of dialectical behavior therapy skills use in clients with borderline personality disorder
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Hittman, Alexandra Danielle.
Predictors of dialectical behavior therapy skills use in clients with borderline personality disorder. Retrieved from
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TitlePredictors of dialectical behavior therapy skills use in clients with borderline personality disorder
Date Created2019
Other Date2019-08 (degree)
Extent1 online resource (v, 39 pages) : illustrations
DescriptionBorderline Personality Disorder (BPD) is a severe psychological disorder associated with social, occupational, and educational impairment (American Psychiatric Association [APA], 2013; Bender, 2011; Ritschel & Kilpela, 2015; Zanarini, Frankenburg, Reich, Conkey, & Fitzmaurice, 2014), heavy healthy service utilization (Kroll, Sines, & Martin, 1981; Widiger & Frances, 1989), and suicidal behaviors (Oldham, 2006; Ritschel & Kilpela, 2015). Dialectical Behavior Therapy (DBT) has demonstrated efficacy for treating BPD in multiple randomized controlled trials (RCTs; Kliem, Kroger, & Kosfelder, 2010; Panos, Jackson, Hasan, & Panos, 2014) and was designed to address skills deficits in cognitive, behavioral, and emotion regulation (Linehan, 1993). Multiple studies have found that DBT skills use is a significant mediator of DBT treatment outcomes, including a decrease in: BPD symptoms (Stepp, Epler, Jahng, & Trull, 2008), suicide attempts and non-suicidal self-injury episodes (Neacsiu, Rizvi, & Linehan, 2010), and dropouts (Barnicot, Gonzalez, McCabe, & Priebe, 2016). However, there is a dearth of research examining baseline client characteristics that could predict subsequent DBT skills use. The current study explored the relationship between baseline predictors' treatment expectancy, social anxiety disorder diagnosis, baseline symptom severity, skills module order, baseline employment status' and change in DBT skills use between the beginning and end of treatment. Data was collected at baseline and post-treatment from 76 adult clients with BPD who participated in a 6-month comprehensive DBT program. Results indicated that higher baseline levels of emotion dysregulation predicted a greater magnitude of change in DBT skills; no other predictors were significantly related with change in skills use. Results have implications for predicting which clients are more or less likely to use DBT skills, which could allow clinicians to adjust interventions early in treatment to maximize skills learning.
NotePsy.D.
NoteIncludes bibliographical references
Genretheses, ETD doctoral
LanguageEnglish
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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