Skip to main content
Journal cover image

Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.

Publication ,  Journal Article
Neacsiu, AD; Rizvi, SL; Linehan, MM
Published in: Behav Res Ther
September 2010

A central component of Dialectical Behavior Therapy (DBT) is the teaching of specific behavioral skills with the aim of helping individuals with Borderline Personality Disorder (BPD) replace maladaptive behaviors with skillful behavior. Although existing evidence indirectly supports this proposed mechanism of action, no study to date has directly tested it. Therefore, we examined the skills use of 108 women with BPD participating in one of three randomized control trials throughout one year of treatment and four months of follow-up. Using a hierarchical linear modeling approach we found that although all participants reported using some DBT skills before treatment started, participants treated with DBT reported using three times more skills at the end of treatment than participants treated with a control treatment. Significant mediation effects also indicated that DBT skills use fully mediated the decrease in suicide attempts and depression and the increase in control of anger over time. DBT skills use also partially mediated the decrease of nonsuicidal self-injury over time. Anger suppression and expression were not mediated. This study is the first to clearly support the skills deficit model for BPD by indicating that increasing skills use is a mechanism of change for suicidal behavior, depression, and anger control.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Behav Res Ther

DOI

EISSN

1873-622X

Publication Date

September 2010

Volume

48

Issue

9

Start / End Page

832 / 839

Location

England

Related Subject Headings

  • Treatment Outcome
  • Suicide Prevention
  • Self-Injurious Behavior
  • Self Efficacy
  • Mind-Body Therapies
  • Linear Models
  • Humans
  • Follow-Up Studies
  • Female
  • Cognitive Behavioral Therapy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behav Res Ther, 48(9), 832–839. https://doi.org/10.1016/j.brat.2010.05.017
Neacsiu, Andrada D., Shireen L. Rizvi, and Marsha M. Linehan. “Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.Behav Res Ther 48, no. 9 (September 2010): 832–39. https://doi.org/10.1016/j.brat.2010.05.017.
Neacsiu, Andrada D., et al. “Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.Behav Res Ther, vol. 48, no. 9, Sept. 2010, pp. 832–39. Pubmed, doi:10.1016/j.brat.2010.05.017.
Journal cover image

Published In

Behav Res Ther

DOI

EISSN

1873-622X

Publication Date

September 2010

Volume

48

Issue

9

Start / End Page

832 / 839

Location

England

Related Subject Headings

  • Treatment Outcome
  • Suicide Prevention
  • Self-Injurious Behavior
  • Self Efficacy
  • Mind-Body Therapies
  • Linear Models
  • Humans
  • Follow-Up Studies
  • Female
  • Cognitive Behavioral Therapy