King, Alexandra Morgan Mouton. An examination of preferences and patterns of skills use in dialectical behavior therapy. Retrieved from https://doi.org/doi:10.7282/t3-rrpg-fz74
DescriptionDialectical Behavior Therapy (DBT) has the most empirical support for treating Borderline Personality Disorder (BPD), a disorder of pervasive dysregulation (Panos et al., 2014). A proposed core mechanism of the treatment is the teaching and generalization of skills for increasing regulation across domains (Linehan, 1993). Studies have examined broad indicators of skills use through retrospective self-report measures, but few have recorded clients’ patterns of skills use day-to-day. This study assessed reported skills use by n= 73 adult DBT clients from around the United States each night for three weeks using a digital diary. This study aimed to: 1) examine how baseline characteristics (e.g., demographics, psychopathology severity) related to frequency of skills use, 2) test how frequency of skills use related to perceived effectiveness, and 3) evaluate if the skill modules were differentially related to effectiveness ratings. It was expected that clients with higher functioning and lower problem severity would report more frequent skills use, and that higher self-efficacy and lower neuroticism would also relate to more frequent skills use. Results showed mixed support for the hypotheses. More frequent use of skills was associated with full-time employment, higher self-efficacy scores, lower neuroticism scores, and higher anger scores. The findings from this study indicate that the factors that relate to how DBT clients use skills in their daily lives outside of treatment may be more complex than expected, and further exploration is needed to determine targets that can increase skills use and improve treatment outcomes.