Borderline Personality Disorders, BPD
Conditions
Keywords
borderline personality disorder, long-lasting symptoms, dialectical behavior therapy skills, contextual approach.
Brief summary
Although borderline personality disorder (BPD) tend to the clinical remission in long-term follow-up studies, a significant subgroup of patients continues to present long lasting symptoms such as low mood, emptiness and persistent impairment in psychosocial adjustment. The prevalence of this subsample of individuals is considerably increasing last years. New interventions addressed to these individuals are need, the aim of this study is to evaluate the efficacy of a novel intervention combining dialectical behavioral therapy skills training with self-compassion and contextual-based skills for patients with long-lasting BPD.
Detailed description
Sixty individuals with BPD and long lasting symptoms that have been received previously dialectical-behavioral therapy skills training (DBT-ST) will be included in a randomized clinical trial. They will be randomly assigned to receive an add-on skills training intervention involving the combination of DBT-ST, self-compassion, and contextual-based skills for long lasting symptoms versus treatment as usual during 12-weeks. Patients will be evaluated pre and post intervention and 3-month follow-up. The outcome measures are well-being indicators and clinical variables.
Interventions
BEHAVIORALCombination DBT, self-compassion and contextual-based skills
Psychotherapy combination. Skills of DBT plus self-compassion and contextual skills
Sponsors
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
Randomized clinical trial aims to test the efficacy of this expanded skills DBT-based intervention with self-compassion and contextual-based skills targeting long-lasting BPD compared with treatment as usual.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adults between 18 and 65 years of age * Primary diagnosis of BPD according to Diagnostic Statistical Manual IV criteria and by the structured interviews: Diagnosis Structured clinical interview for axis II personality disorders (SCID II; First et al. 1997) and Diagnostic Interview for Borderlines Revised (DIB-R) * Previous participation in DBT-ST intervention * Signed informed consent.
Exclusion criteria
* Presence of life-threatening behaviors in the last 12 months * PTSD or related symptoms * Diagnosis of drug-induced psychosis, organic brain syndrome, bipolar or psychotic disorder * Intellectual disability * Participation in any other psychotherapy treatment during the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pemberton Happiness Index (PHI) | 1 month | Happiness index (minimum 0- maximum 110) Higher scores better |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Remission from Depression Questionnaire (RDQ) | 1 week | Depression (minimum 0- maximum 84). Higher scores worse |
| Self Compassion Scale Short Form (SCS-SF) | 1 month | Compassion scale (12 items, minimum 12- maximum 60). Higher scores worse |
| Borderline Symptoms List-23 (BSL-23) | 1 week | Symptoms of Borderline (minimum 0- maximum 92). Higher scores worse |
| Satisfaction with life scale (SWLS) | 1 month | Well being (5 items, minimum 5 - maximum 25). Higher scores better |
| Quality of life scale (WHO-QOL_BREF) | 2 weeks | Quality of life OMS (26 items, minimum 26- maximum 130). Higher scores better |
| Forms of Self-Criticism/Self-Attacking and Self-Reassuring Scale (FSCRS) | 1 month | Self-criticism forms (14 items, minimum 0- maximum 56). Higher scores worse |
Countries
Spain
Contacts
Primary ContactJuan Carlos Pascual, PhD
Outcome results
None listed