Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder

Koons, Cedar R.; Robins, Clive J.; Tweed, James; Lynch, Thomas R.; González, Alicia; Morse, Jennifer Q.; Bishop, Gillian; Butterfield, Marian I.; Bastian, Lori A.

doi:10.1016/s0005-7894(01)80009-5

Cited by 544 publications

(409 citation statements)

References 21 publications

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“…Indeed, mindfulness-informed dialectical behavior therapy has been shown to be effective for individuals with bipolar and other serious mental health conditions [58][59][60][61]. These interventions may also be useful for individuals prone to negative affect, such as those with depression, anxiety, or difficulty controlling anger.…”

Section: Resultsmentioning

confidence: 99%

Decision Making, Mindfulness and Mood: How Mindfulness Techniques can Reduce the Impact of Biases and Heuristics through Improved Decision Making and Positive Affect

Raglan¹,

Schulkin²

2014

J Depress Anxiety

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The decision sciences and mindfulness theory both focus on attention to thought processes and the exploration of the roots of those cognitions. Historically, these two models of viewing thought have, however, diverged. The decision sciences focus on better understanding the patterns and impacts of human decision making, particularly in instances of flawed decision making. Within this literature, mood state has been repeatedly shown to influence decision making patterns, with negative affect and anxiety increasing a person's tendency toward decision making biases. Mindfulness emphasizes willingness to view one's thoughts and behaviors from an open standpoint and has also been shown to be a valuable tool in reducing negative affect and anxiety. In this paper, we briefly explore both the decision sciences and mindfulness, including aspects of decision making that may be affected by mood. We also look to future directions in which mindfulness and the decision sciences could inform each other and lead to more effective interventions for problematic decision making tendencies. Through greater coordination between these two theoretical areas, it is possible that practical mechanisms of change may be more accessible.

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Section: Resultsmentioning

confidence: 99%

Decision Making, Mindfulness and Mood: How Mindfulness Techniques can Reduce the Impact of Biases and Heuristics through Improved Decision Making and Positive Affect

Raglan¹,

Schulkin²

2014

J Depress Anxiety

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“…gía general McMain et al, 2009;Stigmayr et al, 2014), sintomatología límite (McMain et al, 2009;Stigmayr et al, 2014), funcionamiento global (Linehan, Heard & Armstrong 1993;Linehan et al, 1999;Bohus et al, 2004;McMain et al, 2009), disociaciones (Koons et al, 2001;Bohus et al, 2004;Harned et al, 2014;Stigmayr et al, 2014) y depresión (Koons et al, 2001;Bohus et al, 2004;McMain et al, 2009;Axelrod, Perepletchikova, Hotlzman & Sinha, 2011;Linehan, et al, 2015;Harned, Korsnlund & Linehan, 2014;Stigmayr et al, 2014). Sin embargo en el estudio de Linehan et al (1991) no se observó mejoría en depresión ni en las variables sentimientos de desesperación, ideación suicida y motivos para vivir.…”

Section: A R T í C U L O Sunclassified

Eficacia de la psicoterapia para el tratamiento del Trastorno Límite de la Personalidad: Una revisión

Juanmartí¹,

Lizeretti²

2017

Pap. Psicol.

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148l trastorno límite de la personalidad (TLP) supone un considerable sufrimiento tanto para la persona que lo padece como para su entorno, así como un elevado consumo de recursos sanitarios (Bender et al., 2001;Zanarini, Frankenburg, Hennen & Silk 2004), no solo por su prevalencia del 1-2% en población general (APA, 2000;Lieb, Zanarini, Schmahl, Linehan & Bohus, 2004) y del 10-20% en pacientes psiquiátricos (Torgersen, Kringlen, Cramer, 2001), sino también por su naturaleza (Linehan, Heidi, Heard, Hubert & Armstrong, 1993). Las características del comportamiento lí-mite y la resistencia a los tratamientos farmacológicos hacen de la psicoterapia el elemento clave para la mejoría de estos pacientes.Actualmente existen múltiples psicoterapias para el tratamiento del TLP con estudios que avalan su eficacia sobre los diferentes desórdenes que conforman el trastorno. A partir de aquí, una posible pregunta a plantear es saber qué psicoterapia es la más eficaz y por qué. Las más estudiadas y con mayor apoyo empírico son: la Terapia Dialectico-Conductual (TDC) (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991), la Terapia basada en la Mentalización (TBM) (Bateman & Fonagy, 2004), la Terapia basada en la Transferencia (TBT) (Clarkin, Kernberg, & Yeomans, 1999), la Terapia basada en Esquemas (TBE) (Ball & Young, 1999), la Terapia Cognitivo-Analítica (TCA) (Ryle, 1991), la Terapia Conversacional de Hobson (TCH) (Hobson, 1985) y la Terapia Cognitivo-Conductual (TCC) La TDC es una psicoterapia manualizada, que combina estrategias conductuales, cognitivas y de apoyo, basada en la dualidad de aceptar al otro en su condición presente a la vez que se promueve un cambio (Heard & Linehan, 1994). Por el contrario, la TBM y la TBT son psicoterapias psicoanalíticas que se centran en el afecto, la comprensión y la interpretación, aunque también hay importantes diferencias entre ellas. La TBT presta especial atención a la transferencia y centra su acción terapéutica en las externalizaciones del paciente en terapia. Sin embargo, la TBM

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“…The primary dialectic upon which the treatment rests in the balance on synthesis of acceptance of the client as he is currently using validation strategies with the attempt to get the client to change using behavior therapy strategies [24]. In this study, the treatment sessions period was 10 months, it was presented 18 sessions in two time stages, in the first stage the client got one session weekly and in the second stage she got one session for two weeks, that was because of reducing the client dependence and promote independence.…”

Section: Psychotherapy Intervention and Assessment Of Progressmentioning

confidence: 99%

The Effectiveness of Dialectical Behavior Therapy on Reducing Symptoms of Borderline Personality Disorder: Case Study

Gado¹

2016

IJSSH

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Abstract-This research aimed to examine individual dialectical behavior therapy with a female, she was 21 years old, suffered from borderline personality disorder symptoms. The assessment for the client depended on three tools, the first was clinical interviews, the second was indirect observation, and the third was scale of borderline personality disorder. The more reasons of borderline personality disorders to the client were frequent family problems, case of broken homes, and traumas which happen to the client like sexual harassment. The therapeutic program consisted of 18 sessions, it has been constructed on the principles, strategies, and techniques to Marsha Linehan's practice guide for dialectical behavior therapy, therapeutic program was effectiveness in reducing symptoms of borderline personality disorder.Index Terms-Dialectical behavior therapy, borderline personality disorder, case study. I. THEORITICAL AND RESEARCH BASISBorderline personality disorder is the most frequent and the most severe of all personality disorders in clinical practice [1], it's a serious mental disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image [2]. It's characterized by severe psychological impairment and high mortality rate due to suicide -up to 10 % of patients commit suicide, a rate almost 50 times higher than in the general population [3], [4], Links have been suggested between borderline personality disorder and criminal risk [5]. It affects about 1-2 % of the general population, up to 10 % of psychiatric outpatients, and 20 % of inpatients [6]. Finding of studies showed that the disorder was more common in women than in men, and in girls than boys, about 70 % for men and 30 % for women [7], the prevalence of borderline personality disorder was 11 % at age 9 -19 years, and 7.8 % at 11 -21 years [8].The cause of borderline personality disorder is complex with several factors, which interact in various ways with each other, genetic factors and adverse childhood experiences might cause emotional dysregulation and impulsivity leading to dysfunctional behaviors and psychological conflicts and deficits [9], current theories indicate that the etiology of borderline personality disorder may be related to genetic or neurobiological factors, family environment (including attachment , parental pathology and childhood abuse), and social factors [10], childhood sexual abuse has been particularly associated with diagnosis of borderline personality disorder [11], research in this field has focused mainly on the role of intrafamilial trauma, such as physical and sexual abuse, studies also have investigated the role of other traumatic conditions, such as intrafamilial violence, neglect, early separation and losses as possible risk factors in the development of borderline personality disorder [12], [13]. The American psychiatric Association [14] showed 9 criteria for borderline personality disorder and the individuals with it have 5 or more of t...

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Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder

Cited by 544 publications

References 21 publications

Decision Making, Mindfulness and Mood: How Mindfulness Techniques can Reduce the Impact of Biases and Heuristics through Improved Decision Making and Positive Affect

Decision Making, Mindfulness and Mood: How Mindfulness Techniques can Reduce the Impact of Biases and Heuristics through Improved Decision Making and Positive Affect

Eficacia de la psicoterapia para el tratamiento del Trastorno Límite de la Personalidad: Una revisión

The Effectiveness of Dialectical Behavior Therapy on Reducing Symptoms of Borderline Personality Disorder: Case Study

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