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Predictors of dialectical behavior therapy skills use in clients with borderline personality disorder

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TitleInfo
Title
Predictors of dialectical behavior therapy skills use in clients with borderline personality disorder
Name (type = personal)
NamePart (type = family)
Hittman
NamePart (type = given)
Alexandra Danielle
NamePart (type = date)
1990-
DisplayForm
Alexandra Danielle Hittman
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Rizvi
NamePart (type = given)
Shireen L.
DisplayForm
Shireen L. Rizvi
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Selby
NamePart (type = given)
Edward A.
DisplayForm
Edward A. Selby
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
co-chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School of Applied and Professional Psychology
Role
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school
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Text
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theses
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2019
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2019-08
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2019
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract
Borderline 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.
Subject (authority = local)
Topic
DBT
Subject (authority = RUETD)
Topic
Clinical Psychology
Subject (authority = ETD-LCSH)
Topic
Borderline personality disorder
Subject (authority = ETD-LCSH)
Topic
Dialectical behavior therapy
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_9554
PhysicalDescription
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application/pdf
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text/xml
Extent
1 online resource (v, 39 pages) : illustrations
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
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Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Identifier (type = local)
rucore10001800001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-xhj5-g144
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Hittman
GivenName
Alexandra
MiddleName
Danielle
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-02-05 13:26:37
AssociatedEntity
Name
Alexandra Danielle Hittman
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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2019-02-05T18:25:29
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2019-02-05T18:25:29
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