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Dialectical behavior therapy and domains of functioning over two years.

Chelsey R Wilks1, Kathryn E Korslund1, Melanie S Harned1

  • 1Behavioral Research and Therapy Clinics, Department of Clinical Psychology, University of Washington, USA.

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Summary

Individuals with borderline personality disorder (BPD) showed improved functioning with treatment. High emotion dysregulation predicted poorer outcomes, emphasizing its role in BPD recovery and a life worth living.

Keywords:
Borderline personality disorderDialectical behavior therapyFunctional impairmentInterpersonal dysfunction

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) is associated with significant functional impairment in social and occupational areas.
  • Effective treatment aims to improve functioning beyond symptom remission for individuals with BPD.
  • Understanding predictors of functional outcomes is crucial for enhancing treatment efficacy.

Purpose of the Study:

  • To investigate the trajectories and predictors of functional outcomes in suicidal women with BPD undergoing Dialectical Behavior Therapy (DBT).
  • To identify factors associated with functional impairment to guide treatment beyond symptomatic recovery.

Main Methods:

  • A treatment outcome study involving 99 suicidal women diagnosed with BPD.
  • Longitudinal assessment of functional outcomes during Dialectical Behavior Therapy (DBT).
  • Analysis of emotion dysregulation and skills use as potential predictors of functioning.

Main Results:

  • Participants demonstrated statistically significant and clinically meaningful improvements in functioning.
  • Higher levels of emotion dysregulation were associated with poorer psychosocial functioning and slower improvement rates.
  • Skills use did not correlate with individual trajectories in functioning.

Conclusions:

  • Emotion dysregulation is a key factor impacting psychosocial functioning in suicidal women with BPD.
  • Treatment advancements should consider addressing emotion dysregulation to improve functional recovery.
  • Further research into multiple domains of functioning is essential for comprehensive BPD treatment.