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RESEARCH PRODUCT

Differential Change of Borderline Personality Disorder Traits During Dialectical Behavior Therapy for Adolescents

Arne BuergerKristin Von AuerGloria Fischer-waldschmidtGloria Fischer-waldschmidtFlorian HammerleMichael KaessMichael KaessPeter ParzerPeter Parzer

subject

MaleAdolescentmedicine.medical_treatmentUncontrolled StudyDialectical Behavior Therapybehavioral disciplines and activities03 medical and health sciencesSkills training0302 clinical medicinePrimary outcomeBorderline Personality Disordermental disordersmedicineHumans0501 psychology and cognitive sciencesChildBorderline personality disorder05 social sciencesTreatment optionsmedicine.diseaseDialectical behavior therapy030227 psychiatryPsychiatry and Mental healthClinical PsychologyGeneral psychopathologyTreatment OutcomeTraitFemalePsychology050104 developmental & child psychologyClinical psychology

description

Despite the expansion of treatment options for adults with borderline personality disorder (BPD), research on treatment options for adolescent BPD is scarce. The aim of this study was to investigate the impact of dialectical behavior therapy for adolescents (DBT-A) on the individual trait level as primary outcome; and the frequency of suicide attempts and nonsuicidal self-injury, self-reported BPD core pathology, and general psychopathology as secondary outcomes. Seventy-two adolescents (aged 12–17 years) with full- or subsyndromal BPD were treated with DBT-A (25 single sessions, 20 sessions of skills training), and 13 patients (18.1%) withdrew during treatment. From baseline to post-treatment, the number of BPD traits decreased significantly (p ≤ .001). All secondary outcomes decreased significantly as well (p ≤ .001). Results of this uncontrolled study suggest that beside self-harm, DBT-A may also have a beneficial impact on other features of BPD.

yearjournalcountryeditionlanguage
2019-02-01Journal of Personality Disorders
https://doi.org/10.1521/pedi_2018_32_334