DBT BPD long term - Dafni Katsampa and Francesca Payne summarise a qualitative study exploring the long-term benefits of dialectical behaviour therapy.
Open access. Time-limited psychotherapy for depression is effective. However, comorbid personality disorders affect therapy outcomes negatively. Studies of follow-up effects and results relating to the influence of comorbid personality disorder and treatment modality are scarce.
Transference-focused psychotherapy concepts and techniques have much to offer experienced psychiatrists and psychiatrists in training in their work with patients with borderline personality disorder and, as a consequence, help address the stigmatisation of this group of patients and improve their clinical care. . To read the full article, log in using your MPFT NHS OpenAthens details.
Personality Disorders: Theory, Research, and Treatment (May 30, 2019). DOI:10.1037/per0000343
Borderline personality disorder (BPD) is a diagnosis characterized by intense and labile emotion; dialectical behavior therapy, a common treatment for BPD, aims to reduce the intensity and lability of clients’ emotion through multiple methods, some of which occur in the therapy session, with the expectation that changes will generalize to the rest of clients’ lives. However, little research has examined how BPD clients’ affect presents and varies in session or whether affect in session reflects patients’ patterns of affect outside of treatment. To read the full article, log in using your NHS OpenAthens details.
Patients with borderline personality disorder (BPD) present dysfunctions of the default mode network (DMN). Mindfulness training has proven effective to improve the symptoms of BPD. The present study examines the effect of mindfulness training on BPD symptomatology and DMN activity during the performance of a working memory task in patients with BPD.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Journal of Psychotherapy Integration (Apr 15, 2019). DOI:10.1037/int0000170
The evidence base for the treatment of dependent personality disorder (DPD) is sparse and there are few credible evaluations of the effectiveness of integrative psychotherapies. This study therefore employed an A/B with extended follow-up quasi-Experimental single case design with a female patient meeting diagnostic criteria for DPD, treated with cognitive analytic therapy (CAT).. To read the full article, log in using your NHS OpenAthens details.
Treated on ward at Fulbourn Hospital that has significantly reduced using restraint, seclusion and rapid tranquillisation through mindfulness and other therapies.
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Psychotherapy (Mar 14, 2019). DOI:10.1037/pst0000211
Treatment guidelines for borderline personality disorder (BPD) recommend psychotherapy as an important, if not essential, component of patient care. The current study is a meta-analysis of randomized controlled trials comparing group psychotherapy for BPD with treatment as usual (TAU).. To read the full article, log in using your NHS OpenAthens details.
Alexithymia has been found to be modifiable through treatment, with associated clinical benefits. Recent studies have begun to test the potential of mindfulness-based interventions to reduce alexithymia, using skills-based, group training to improve non-judgemental, present-moment awareness. The objective of this review therefore was to conduct a systematic synthesis to assess the current state of knowledge about the effect of mindfulness-based interventions on alexithymia to inform clinical practice.. To read the full article, log in using your NHS OpenAthens details.
Psychology of Violence Vol. 9, Iss. 1, (Jan 2019): 1-17. DOI:10.1037/vio0000156
Objectives: This meta-analysis aimed to explore the relationship between mental health disorders and symptoms of mental health disorders (depression, anxiety, posttraumatic stress disorder [PTSD], antisocial personality disorder [PD], and borderline PD) and physical intimate partner violence (IPV) perpetration and victimization for males and females. To read the full article, log in using your NHS OpenAthens details.
Attachment characteristics play a key role in understanding borderline‐specific problems with respect to childhood maltreatment. The aim of this study was to investigate how attachment representations may influence the trajectory of change in a one‐year outpatient Dialectical Behavior Therapy (DBT) for patients with Borderline Personality Disorder (BPD). . To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Several types of psychotherapy have been proven successful in the treatment of personality disorders in younger age groups, however studies among older patients are lacking. We developed a group schema-focused therapy (SFT) enriched with psychomotor therapy (PMT) for older adults with cluster B and/or C personality disorders. This paper describes the design of a randomized controlled trial (RCT). We will evaluate the (cost-)effectiveness of this therapy protocol in specialized mental health care. We hypothesize that our treatment program is cost-effective and superior to treatment as usual (TAU) in reducing psychological distress and improving quality of life in older adults treated to specialized mental healthcare.
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Schema therapy conceptualizes personality disorders in terms of modes and underlying schemas. This article reviews the literature on schema therapy conceptualization of personality disorder functioning and traits, and proposes how these findings apply to novel personality disorder classification in ICD-11 and the DSM-5 Alternative Model of Personality Disorders (AMPD).. MPFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
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Research exploring nonpharmacological interventions for individuals with intellectual disability and personality disorder was reviewed. This should prove valuable to services and professionals contemplating how to offer interventions for these individuals.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Alexithymia has been found to be modifiable through treatment, with associated clinical benefits. Recent studies have begun to test the potential of mindfulness-based interventions to reduce alexithymia, using skills-based, group training to improve non-judgemental, present-moment awareness. The objective of this review therefore was to conduct a systematic synthesis to assess the current state of knowledge about the effect of mindfulness-based interventions on alexithymia to inform clinical practice.. To read the full article, log in using your NHS OpenAthens details.
Open access. Patients with comorbid depression and personality disorders suffer from a heavy disease burden while tailored treatment options are limited, accounting for a high psychological and economic burden. Little is known about the effect of treatment dosage and type of psychotherapy for this specific co-morbid patient population, in terms of treatment-effect and cost-effectiveness. This study aims to compare treatment outcome of 25 versus 50 individual therapy sessions in a year. We expect the 50-session condition to be more effective in treating depression and maintaining the effect. Secondary objectives will be addressed in order to find therapy-specific and non-specific mechanisms of change.
Journal of Psychotherapy Integration (Jul 26, 2018). DOI:10.1037/int0000129
Objectives: Reactance refers to an oppositional tendency, and may have the potential to interfere with patients’ engagement in intensive group psychotherapy. Using data from an integrative group treatment program for patients with personality dysfunction, the present study investigated reactance with regard to program attendance and premature termination, and with patients’ perceptions of the group therapy process.. To read the full article, log in using your NHS OpenAthens details.
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Although Dialectical Behaviour Therapy (DBT) is an evidence-based psychosocial treatment for borderline personality disorder (BPD), the demand for it exceeds available resources. The commonly researched 12-month version of DBT is lengthy; this can pose a barrier to its adoption in many health care settings. Further, there are no data on the optimal length of psychotherapy for BPD. The aim of this study is to examine the clinical and cost-effectiveness of 6 versus 12 months of DBT for chronically suicidal individuals with BPD. A second aim of this study is to determine which patients are as likely to benefit from shorter treatment as from longer treatment.
Although functional impairment typically improves during evidence-based psychotherapies (EBPs) for borderline personality disorder (BPD), functional levels often remain suboptimal after treatment. The present pilot study evaluated whether and how integrating PTSD treatment into an EBP for BPD would improve functional outcomes.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Dialectical behavioural therapy (DBT) is an empirically supported intervention for people with borderline personality disorder. There is an emerging body of research that suggests that using the skills group from DBT as a stand-alone intervention may have merit.
To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
In the Republic of Ireland, borderline personality disorder (BPD) is a feature of approximately 11–20% of clinical presentations to outpatient clinics within mental health services. These estimates are similar to other countries including the UK and USA. Dialectical behaviour therapy (DBT) is an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with BPD.
Journal of Consulting and Clinical Psychology Vol. 86, Iss. 2, (Feb 2018): 116-124.
Objective: Although previous research has suggested that people with a history of using psychiatric crisis services are at higher risk for suicide, it is unclear whether this link is attributable to individual risk factors or iatrogenic effects of service utilization. We examined this question by analyzing data from a randomized controlled trial of dialectical behavior therapy (DBT), a treatment for highly suicidal individuals in which patients took advantage of crisis services less than those in the comparison condition. . To read the full article, log in using your NHS OpenAthens details.
Compassion-focused therapy (CFT) has potential to benefit clients with a personality disorder (PD), given the inflated levels of shame and self-criticism in this population. However, clinical observation indicates that clients with PD may find techniques from this approach challenging.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To give an update on the most recent studies regarding the role of schema therapy in the treatment of emotion dysregulation related to personality disorders. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Psychoanalytic Psychology Vol. 34, Iss. 4, (Oct 2017): 381-396.
The authors outline the application of Transference-Focused Psychotherapy (TFP), a structured, twice-weekly psychoanalytic psychotherapy, to patients with narcissistic pathology. The operation of splitting-based defenses in the maintenance of the pathological grandiose self that is characteristic of individuals with narcissistic personality disorders is described, as are the obstacles posed by this structure to therapists attempting to establish a viable treatment frame and engage patients in the early treatment process. To read the full article, log in using your NHS OpenAthens details.
Psychotherapy54.3 (Sep 2017): 252-259.
Behavioral interventions are proposed as a critical treatment component in psychotherapy for personality disorders. The current study explores behavioral interventions as a mechanism of change in Metacognitive Interpersonal Therapy, an integrative psychotherapy for personality disorders. The goals and implementation of behavioral principles are illustrated through the single case study of Roger, a 57-year-old man diagnosed with avoidant personality disorder and depressive personality To read the full article, log in using your NHS OpenAthens details.
This article describes a clinical case where an Advanced Brief Strategic Therapy Model (Gibson and Boardman, 2016; Gibson et al., 2014; Nardone and Watzlawick, 2005) was used with a woman presenting with presumed Borderline Personality Disorder (BPD). In the world of therapy, the process of change can often be hard to predict at the best of times and extremely unpredictable during the worst. It can be difficult for the curious therapist to know how and what to look for as indicators of change when the larger picture may appear to remain unchanged in a client's life. I am curious about those therapy cases which present with great difficulties attached to them and which often drain much of our energy, vim and vigour as psychotherapists with often little apparent return on the investment we make. That is, if we measure that return in terms of reported change by the client, as opposed to privileging therapeutic disposition. To read the full article, log in using your SSSFT NHS OpenAthens details.
To ascertain the foundations for a schema-focused therapy model for the treatment of borderline personality disorder. To read the full article, log in using your SSSFT NHS OpenAthens details.
In Reply We thank Faltinsen and colleagues for their judicious comments on our meta-analysis and will hereby address each point. The authors underscore the lack....Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To the Editor We thank Cristea and colleagues for their compelling review on psychotherapy for borderline personality disorder (BPD). The authors found that .....Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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Journal of Consulting and Clinical Psychology85.5 (May 2017): 530-535.
Background: Difficulty in emotion regulation is a hallmark feature of patients with borderline personality disorder (BPD). Therefore, change in the frequency of certain patients' coping strategies—aiming at emotion regulation—are among the most promising mechanisms of change in treatments for BPD. In parallel, it was highlighted that therapist responsiveness significantly contributed to outcome across treatment approaches (Stiles, 2009). To read the full article, log in using your NHS OpenAthens details.
In this systematic review and meta-analysis of randomized clinical trials, outcomes of psychotherapies (most notably dialectical behavior therapy and psychodynamic approaches) significantly improved borderline-relevant outcomes (symptoms, self-harm, and suicide) compared with control interventions. However, differences dissipated in well-designed and implemented trials or if the control group was balanced for manualization of treatment or the involvement of the study team in treatment. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Editorial. Borderline personality disorder (BPD) is one of the most prevalent, and most disabling, personality disorders. There is increasing consensus that the disorder is characterized by 3 related core features: severe emotion dysregulation, strong impulsivity, and social-interpersonal dysfunction.1 Individuals diagnosed as having BPD were historically considered to be “hard to reach,” and pessimism with regard to treatment prevailed. This view has changed over the past 2 decades, mainly as a result of emerging evidence for the efficacy and cost-effectiveness of specialized psychotherapies for individuals with BPD.2,3 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Democratic therapeutic community (DTC) treatment has been used for many years in an effort to help people with personality disorder. High-quality evidence from randomised controlled trials (RCTs) is absent. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Psychotherapy53.4 (Dec 2016): 402-412.
This study provides an evaluation of group schema therapy (ST) for inpatient treatment of patients with personality pathology who did not respond to previous psychotherapeutic interventions. To read the full article, log in using your NHS OpenAthens details.
Evidence-based therapies for borderline personality disorder (BPD) are lengthy and scarce. Data on brief interventions are limited, and their role in the treatment of BPD is unclear. Our aim was therefore to evaluate the clinical effectiveness of brief dialectical behaviour therapy (DBT) skills training as an adjunctive intervention for high suicide risk in patients with BPD. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Antisocial personality disorder (ASPD) is an under-researched mental disorder. Systematic reviews and policy documents identify ASPD as a priority area for further treatment research because of the scarcity of available evidence to guide clinicians and policymakers; no intervention has been established as the treatment of choice for this disorder. Mentalization-based treatment (MBT) is a psychotherapeutic treatment which specifically targets the ability to recognise and understand the mental states of oneself and others, an ability shown to be compromised in people with ASPD. The aim of the study discussed in this paper is to investigate whether MBT can be an effective treatment for alleviating symptoms of ASPD.
Psychological Services (Aug 15, 2016).
Acquisition and generalization of specific behavioral skills is a key component of dialectical behavior therapy (DBT) for individuals with borderline personality disorder (BPD). We examined the feasibility, acceptability, usability, and immediate effects of the DBT Coach, a mobile phone application (app) designed specifically to augment skills generalization through interactive coaching in DBT skills. In this pilot study, we provided the DBT Coach installed on a mobile device as an adjunct to 6 months of standard DBT, among a sample of 16 individuals with BPD and a recent history of attempted suicide and/or nonsuicidal self-injury (NSSI). Results indicate good acceptability and usability of the DBT Coach with considerable between-person variability in the frequency of app use and a median use of only 11.5 times over the course of treatment and a 3-month follow-up period. To read the full article, log in using your NHS OpenAthens details.
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Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group treatment for individuals with a diagnosis of Borderline Personality Disorder (BPD) which has a growing evidence base, particularly in the US. Evidence is sparse for its use with UK populations, and this study seeks to assess the reliability of this evidence, whilst adding to existing knowledge through the use of additional measures. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Dialectical behaviour therapy (DBT) is recognised as a successful treatment for borderline personality disorder. There is a body of research suggesting it can be helpful for other diagnoses. A full DBT programme, however, is expensive. Emerging evidence suggests that using only the skills training part of DBT is an effective, less costly treatment option. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Difficulty in emotion regulation is a hallmark feature of patients with borderline personality disorder (BPD). Skills training concepts based on dialectical-behaviour therapy (DBT) are common and effective treatment options for specifically addressing lacking skills in emotion regulation. However, so far it is unclear which aspects of coping change over the course of DBT skills training and if these coping strategies predict symptom change. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
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