Dialectical behavior therapy skills for borderline personality disorder features and related indices
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[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI-COLUMBIA AT AUTHOR'S REQUEST.] Dialectical behavior therapy (DBT) is an empirically supported treatment for borderline personality disorder (BPD). The four components of standard outpatient DBT function together to provide comprehensive treatment for individuals with BPD. The proposed study aims to extend recent research regarding the importance of the skills component of DBT, within the context of the full treatment. Participants were outpatients enrolled in the DBT program of a university-affiliated mental health clinic. Self-reported measures of their skills use were collected weekly, and self-reported outcome measures of BPD features, problems with emotion regulation, and mindfulness were collected several times throughout the course of treatment. Multilevel models were used to examine associations between skills use and outcome measures. Results partially supported hypotheses regarding the associations between skills use and BPD features. Skills use in general predicted improvements in BPD features, mindfulness skills specifically predicted improvements in BPD features as well as improvements in affective instability and identity disturbance, and emotion regulation skills predicted improvements in emotion regulation. Despite several limitations, this study provides additional evidence on the importance of skills training with particular emphasis on the unique contributions of specific categories of skills use in DBT.
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