Journal
JOURNAL OF PERSONALITY DISORDERS
Volume 22, Issue 6, Pages 549-563Publisher
GUILFORD PUBLICATIONS INC
DOI: 10.1521/pedi.2008.22.6.549
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Funding
- NIMH NIH HHS [R01 MH056888, R01 MH056888-12, T32 MH018269] Funding Source: Medline
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We assessed the effect of DBT skills utilization on features of borderline personality disorder as measured by the Personality Assessment Inventory-Borderline Features Scale (PAI-BOR). Participants were outpatients (N = 27) enrolled in a dialectical behavior therapy (DBT) program in a university-affiliated community mental health clinic. Diary cards were collected each week to track self-reported skills use. At the beginning of each new skills training module, patients completed another PAI-BOR. Univariate and multilevel analyses indicated significant improvement on the total PAI-BOR score and on several PAI-BOR subscale scores. Results also revealed that overall DBT skills use increased significantly over time, as did individual skills related to mindfulness, inter-personal effectiveness, emotion regulation, and distress tolerance. Multilevel modeling results indicated that overall skills use showed a significant effect on PAI-BOR total scores, Affective Instability scores, Identity Problems scores, and Negative Relationships scores, even after controlling for initial levels of distress and diary card compliance.
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