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Phone coaching in Dialectical Behavior Therapy: frequency and relationship to client variables.
Pedro N Oliveira1, Shireen L Rizvi1
1a Graduate School of Applied and Professional Psychology , Rutgers University , Piscataway , NJ , USA.
Cognitive Behaviour Therapy
|February 23, 2018
Summary
Telephone coaching in Dialectical Behavior Therapy (DBT) is under-researched. Lower income was linked to more frequent phone coaching, but suicidal behaviors and therapeutic alliance were not associated with its use.
Area of Science:
- Psychiatry
- Psychology
- Behavioral Science
Background:
- Telephone coaching is a key component of Dialectical Behavior Therapy (DBT).
- It aims to improve skill generalization, prevent suicidal behaviors, and repair ruptures in therapy.
- Empirical investigation into phone coaching in DBT remains limited.
Purpose of the Study:
- To describe the frequency patterns of telephone and text message contacts in DBT.
- To examine associations between demographic factors, baseline severity, suicidal behaviors, therapeutic alliance, and phone/text frequency.
Main Methods:
- A study of 51 adults with borderline personality disorder (BPD) undergoing a six-month DBT program.
- Phone coaching frequency was recorded weekly by therapists.
- Data analyzed for associations with demographic factors and clinical variables.
Main Results:
- The average monthly contact frequency was 2.55 (SD = 4.49).
- A small subset of treatment completers accounted for a significant portion of contacts (56%).
- Lower income was significantly associated with higher phone coaching frequency; suicidal behaviors, baseline severity, and therapeutic alliance were not significant predictors.
Conclusions:
- These findings offer preliminary insights into phone coaching utilization in DBT for BPD.
- Results can inform clinical and administrative decisions regarding resource allocation for phone coaching.
- Further research is needed to clarify the role and impact of phone coaching in DBT.
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