Dialectical behavior therapy and domains of functioning over two years

Behaviour Research and Therapy
Chelsey R WilksMarsha M Linehan

Abstract

Individuals diagnosed with borderline personality disorder (BPD) tend to have a significant degree of functional impairment across a range of social and occupational spheres including difficulty finding and maintaining satisfying employment, housing, or relationships. Understanding what factors are associated with functional impairment will enable treatment providers to move those diagnosed with BPD beyond symptomatic recovery and toward a life worth living. This paper investigated the trajectories and predictors of functional outcomes for suicidal women with BPD (N = 99) during a treatment outcome study of Dialectical Behavior Therapy (DBT). Results revealed that participants had statistical and clinical improvements in functioning. Individuals with high emotion dysregulation displayed poorer psychosocial functioning at the subsequent assessment period and slower rates of change, which was also seen in reverse for one psychosocial functioning variable. Skills use was not related to individual trajectories in functioning. This study highlights the relationship of emotion dysregulation to functioning within a sample of suicidal women with BPD as well as the importance researching multiple domains in functioning.

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Citations

Dec 4, 2019·Borderline Personality Disorder and Emotion Dysregulation·Nikolaus KleindienstStefanie Lis
Oct 11, 2017·Borderline Personality Disorder and Emotion Dysregulation·Daniel FlynnPadraig Cotter
May 3, 2019·The Journal of Nervous and Mental Disease·Yael Dagan, Joel Yager
Apr 23, 2021·The Cochrane Database of Systematic Reviews·Katrina G WittKeith Hawton
Sep 15, 2019·Journal of Psychopathology and Behavioral Assessment·Julie M SkutchAnthony Papa

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