Dialectical behaviour therapy skills reconsidered: applying skills training to emotionally dysregulated individuals who do not engage in suicidal and self-harming behaviours.
Adults
Community settings
Dialectical behaviour therapy
Effectiveness
Skills training
Journal
Borderline personality disorder and emotion dysregulation
ISSN: 2051-6673
Titre abrégé: Borderline Personal Disord Emot Dysregul
Pays: England
ID NLM: 101650634
Informations de publication
Date de publication:
2020
2020
Historique:
received:
11
06
2019
accepted:
01
01
2020
entrez:
6
2
2020
pubmed:
6
2
2020
medline:
6
2
2020
Statut:
epublish
Résumé
Dialectical behaviour therapy (DBT) is an evidence-based intervention for borderline personality disorder (BPD) but is an intensive treatment with significant health service costs. Access to DBT can sometimes be restricted due to limited resources. Positive results have been reported for the use of DBT skills training (DBT-ST), one of the four modes of standard DBT, in the treatment of individuals with BPD who self-harm. This study evaluates DBT-ST for a subgroup of individuals attending community mental health services who may have a diagnosis of BPD (or emerging BPD traits) but who are not actively self-harming. Participants in this study were 100 adults attending community mental health services with a diagnosis of BPD, emerging BPD traits or emotion dysregulation who were not actively self-harming. The majority of participants were female (71%), aged 25-34 years (32%), single (48%) and unemployed (34%). Participants partook in a 24-week DBT-ST intervention delivered by DBT therapists. Outcome measures included the Difficulties in Emotion Regulation Scale (DERS), the DBT Ways of Coping Checklist (DBT-WCCL) and the Five Facet Mindfulness Questionnaire (FFMQ). Measures were administered at pre-intervention, at the end of each skills module, and at post-intervention. Significant reductions in emotion dysregulation (DERS) and dysfunctional coping (DBT-WCCL) scores were reported from pre- to post-intervention ( The results of this uncontrolled study suggest that a standalone 24-week DBT-ST intervention may have a beneficial impact in terms of a reduction in emotion dysregulation and dysfunctional coping, and an increase in mindfulness and DBT skills use in patients with BPD/ emerging BPD traits who are not currently engaging in self-harm. Adequately powered randomised controlled trials are required to determine treatment efficacy in comparison to standard DBT for this population.
Sections du résumé
BACKGROUND
BACKGROUND
Dialectical behaviour therapy (DBT) is an evidence-based intervention for borderline personality disorder (BPD) but is an intensive treatment with significant health service costs. Access to DBT can sometimes be restricted due to limited resources. Positive results have been reported for the use of DBT skills training (DBT-ST), one of the four modes of standard DBT, in the treatment of individuals with BPD who self-harm. This study evaluates DBT-ST for a subgroup of individuals attending community mental health services who may have a diagnosis of BPD (or emerging BPD traits) but who are not actively self-harming.
METHODS
METHODS
Participants in this study were 100 adults attending community mental health services with a diagnosis of BPD, emerging BPD traits or emotion dysregulation who were not actively self-harming. The majority of participants were female (71%), aged 25-34 years (32%), single (48%) and unemployed (34%). Participants partook in a 24-week DBT-ST intervention delivered by DBT therapists. Outcome measures included the Difficulties in Emotion Regulation Scale (DERS), the DBT Ways of Coping Checklist (DBT-WCCL) and the Five Facet Mindfulness Questionnaire (FFMQ). Measures were administered at pre-intervention, at the end of each skills module, and at post-intervention.
RESULTS
RESULTS
Significant reductions in emotion dysregulation (DERS) and dysfunctional coping (DBT-WCCL) scores were reported from pre- to post-intervention (
DISCUSSION
CONCLUSIONS
The results of this uncontrolled study suggest that a standalone 24-week DBT-ST intervention may have a beneficial impact in terms of a reduction in emotion dysregulation and dysfunctional coping, and an increase in mindfulness and DBT skills use in patients with BPD/ emerging BPD traits who are not currently engaging in self-harm. Adequately powered randomised controlled trials are required to determine treatment efficacy in comparison to standard DBT for this population.
Identifiants
pubmed: 32021690
doi: 10.1186/s40479-020-0119-y
pii: 119
pmc: PMC6993331
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3Informations de copyright
© The Author(s). 2020.
Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
Références
J Pers Disord. 2004 Jun;18(3):226-39
pubmed: 15237043
Assessment. 2011 Sep;18(3):308-20
pubmed: 21586480
Br J Psychiatry. 2006 May;188:423-31
pubmed: 16648528
J Clin Psychol. 2015 Jan;71(1):1-20
pubmed: 25042066
J Clin Psychol. 2010 Jun;66(6):563-82
pubmed: 20455249
Psychiatr Clin North Am. 2008 Sep;31(3):405-20, vi
pubmed: 18638643
Can J Psychiatry. 2015 Jul;60(7):303-8
pubmed: 26175388
J Pers Disord. 2010 Aug;24(4):412-26
pubmed: 20695803
Health Technol Assess. 2006 Sep;10(35):iii, ix-xii, 1-117
pubmed: 16959171
Acta Psychiatr Scand. 2017 Feb;135(2):138-148
pubmed: 27858962
Behav Res Ther. 2009 May;47(5):353-8
pubmed: 19246029
Am J Psychiatry. 2001 Oct;158(10 Suppl):1-52
pubmed: 11665545
Am J Psychiatry. 2005 Oct;162(10):1911-8
pubmed: 16199838
JAMA Psychiatry. 2015 May;72(5):475-82
pubmed: 25806661