Assertive Anger Mediates Effects of Dialectical Behaviour‐informed Skills Training for Borderline Personality Disorder: A Randomized Controlled Trial

Kramer, Uëli; Pascual‐Leone, Antonio; Berthoud, Laurent; Roten, Yves de; Marquet, Pierre; Kolly, Stéphane; Despland, Jean‐Nicolas; Page, Dominique Le

doi:10.1002/cpp.1956

Cited by 66 publications

(63 citation statements)

References 42 publications

(63 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The relevance of this dynamic conception of emotion processing to BPD was supported in terms of change in anger processing [48] and in terms of change in undifferentiated global distress [27]. It was shown to also be of relevance in narcissistic and histrionic PDs [49,50].…”

Section: Mechanisms Of Change In Treatments For Borderline Personalitmentioning

confidence: 85%

“…It appeared that the depressive persons presented more self-contemptuousness in their self-criticism, compared to controls and presented with higher levels of shame, sadness and emotional collapse, along with less pride [54]. This study was on 45 undergraduates presenting with or without anger problems, using the same paradigm [49]. What differentiated the two groups was the presence of self-contemptuousness, t (1, 43) = 1.91, p < .05) associated with the self-criticism, along with the absence of the existential need in the anger-prone individuals.…”

Section: Mechanisms Of Change In Treatments For Borderline Personalitmentioning

confidence: 99%

See 1 more Smart Citation

Mechanisms of change in brief treatments for borderline personality disorder: a protocol of a randomized controlled trial

Kramer

Grandjean

Beuchat

et al. 2020

Trials

Self Cite

View full text Add to dashboard Cite

Background: Borderline personality disorder (BPD) is one of the most frequent, most debilitating and lethal mental conditions and is associated with a serious burden of disease. Treatment for patients with BPD involves structured psychotherapy, and may involve brief psychiatric treatment as first-line intervention. No controlled study has assessed the effectiveness of such brief intervention. Whereas most psychotherapy studies in patients with BPD focus on the effectiveness of the intervention, we still lack an understanding of how and why these effects are produced from a patient process perspective. It is therefore of utmost importance to study the treatmentunderlying mechanisms of change. The present study plans to apply novel measurement methods for assessing change in two central psychobiological processes in BPD: emotion and socio-cognitive processing. The study uses theory-driven and ecologically valid experimental tasks, which take the patient's individual experience as the anchor, by integrating methodology from psychotherapy process and neurofunctional imagery research.Methods: The aim of this two-arm, randomized controlled study is to test the effects (i.e., symptom reduction) and the underlying mechanisms of change associated with a brief psychiatric treatment (10 sessions over 4 months), compared with treatment as usual. Participants (N = 80 patients with BPD) undergo assessments at four points (intake, 2 months, discharge, and 12-month follow up). In addition to symptom measures, individuals undergo a 2step assessment for the potential mechanisms of change (i.e., emotion and socio-cognitive processing): (1) behavioral and (2) (for a sub-sample) neurofunctional. We hypothesize that change in the mechanisms explains the treatment effects. Discussion: This study uses an easy-to-implement treatment of BPD, and a sophisticated assessment procedure to demonstrate the critical role of psychobiological change in emotion and socio-cognitive processing in brief treatments. It will help increase the effectiveness of brief treatment for BPD and help diminish the societal burden of disease related to BPD, in these early stages of treatment.(Continued on next page)

show abstract

Section: Mechanisms Of Change In Treatments For Borderline Personalitmentioning

confidence: 85%

Section: Mechanisms Of Change In Treatments For Borderline Personalitmentioning

confidence: 99%

Mechanisms of change in brief treatments for borderline personality disorder: a protocol of a randomized controlled trial

Kramer

Grandjean

Beuchat

et al. 2020

Trials

Self Cite

View full text Add to dashboard Cite

show abstract

“…The relevance of this dynamic conception of emotion processing for BPD was supported in terms of change in anger processing (48) and in terms of change in undifferentiated global distress (27). It was shown to also be of relevance in narcissistic and histrionic PDs (49,51).…”

mentioning

confidence: 85%

Mechanisms of change in brief treatments for borderline personality disorder: a randomized controlled trial

Kramer

Grandjean

Beuchat

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background Borderline Personality Disorder (BPD) is one of the most frequent, most debilitating and lethal mental conditions and is associated with a serious burden of disease. Treatment for patients with BPD involves structured psychotherapy, and may involve brief psychiatric treatment as first-line intervention. No controlled study has assessed the effectiveness of such brief intervention. Whereas most psychotherapy studies with patients with BPD focus on the effectiveness of the intervention, we still lack an understanding of how and why these effects are produced from a patient process perspective. It is therefore of utmost importance to study the treatment-underlying mechanisms of change . The present study plans to apply novel measurement methods for assessing change in two central psychobiological processes in BPD: emotion and socio-cognitive processing. The study uses theory-driven and ecologically valid experimental tasks which take as anchor the patient’s individual experience, by integrating methodology from psychotherapy process and neurofunctional imagery research. Methods and study design The present two-arm randomized controlled study aims at testing the effects (i.e., symptom reduction) and the underlying mechanisms of change associated with a brief psychiatric treatment (10 sessions over 4 months), compared with treatment as usual. Participants ( N = 80 patients with BPD) undergo assessments at four points (intake, 2 months, discharge, and 12 month follow-up). In addition to symptom measures, individuals undergo a two-step assessment for the potential mechanisms of change (i.e., emotion and socio-cognitive processing): a) behavioural and b) (for a sub-sample) neurofunctional. We hypothesize that change in the mechanisms explains the treatment effects. Discussion The present study uses an easy-to-implement treatment of BPD, as well as a sophisticated assessment procedure to demonstrate the critical role of psychobiological change in emotion and socio-cognitive processing in brief treatments. It will help increase the effectiveness of brief treatment for BPD and help diminish the societal burden of disease related with BPD, in these early stages of treatment. Trial registration : Clinical Trials NCT0317818 (date of registration of Abstract October 24 th , 2018). Protocol version number 2 from February 9 th , 2018.

show abstract

“…This research is based on data taken from a pool used for a main study, a randomized controlled trial that aimed at assessing the effectiveness of a 20-session short version of DBT group therapy (Kramer, Pascual-Leone et al, 2016). The research was accepted by the ethics committee in 2011.…”

Section: Methodsmentioning

confidence: 99%

Adaptation of the Motive-Oriented Therapeutic Relationship Scale to group setting in dialectical-behaviour therapy for borderline personality disorder.

Keller

Page

Roten

et al. 2017

Journal of Psychotherapy Integration

Self Cite

View full text Add to dashboard Cite

The therapeutic relationship as a process is usually studied in individual therapy, and less in group therapy. One reason for this paucity of research may be the complex methodology necessary to do process research on group therapy. One of the therapeutic approaches using the group as part of the therapy is Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder (BPD).The purpose of the present study is to develop a group version of a process measure which has been successfully used in individual therapy, the Motive-Oriented Therapeutic Relationship (MOTR) scale, based on individualised case conceptualisations using the Plan Analysis approach. To do this, ten sessions of a DBT skills group therapy were analysed from a comprehensive dataset within a randomized controlled trial. Included were therapy completers: 3 patients and 2 therapists. The therapists were unaware of MOTR.The results revealed that the adaptation of the MOTR to DBT skills group was feasible. Its adaptation showed differences of the therapists in their use of MOTR when comparing the different patients: Therapist presented with higher degrees of MOTR towards one patient, compared to another. Overall results suggest that effective therapists in DBT skills training intervene with rather low mean levels of MOTR, and great intra-session variability of MOTR.We conclude that the adaptation of the MOTR-instrument to group therapy is feasible and yields meaningful results. Therefore, this scale may be used in process research in group therapy, in particular when one wishes to have an individualized measure of the therapeutic relationship.

show abstract

Assertive Anger Mediates Effects of Dialectical Behaviour‐informed Skills Training for Borderline Personality Disorder: A Randomized Controlled Trial

Cited by 66 publications

References 42 publications

Mechanisms of change in brief treatments for borderline personality disorder: a protocol of a randomized controlled trial

Mechanisms of change in brief treatments for borderline personality disorder: a protocol of a randomized controlled trial

Mechanisms of change in brief treatments for borderline personality disorder: a randomized controlled trial

Adaptation of the Motive-Oriented Therapeutic Relationship Scale to group setting in dialectical-behaviour therapy for borderline personality disorder.

Contact Info

Product

Resources

About