Treatment of Suicidal Women With Borderline Personality Disorder
|Borderline Personality Disorder Suicide||Behavioral: Standard dialectical behavior therapy (SDBT) Behavioral: Individual DBT with no DBT group sessions (DBT-I) Behavioral: Group Skills DBT with no DBT individual sessions (DBT-S)||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Assessment and Treatment of Parasuicidal Patients|
- Suicidal thoughts or attempts [ Time Frame: Measured at Year 2 ]
- Coping skills [ Time Frame: Measured at Year 2 ]
|Study Start Date:||April 2004|
|Study Completion Date:||June 2010|
|Primary Completion Date:||September 2008 (Final data collection date for primary outcome measure)|
Participants receive standard dialectical behavior therapy
Behavioral: Standard dialectical behavior therapy (SDBT)
Standard DBT includes: 1) individual DBT therapy (1 hour per week), 2) DBT group skills training (2.5 hours per week), 3) telephone consultation (as needed), and 4) therapist consultation team (1 hour per week).
Other Name: DBT, SDBT
Active Comparator: DBT-I
Participants receive individual dialectical behavior therapy plus activities group
Behavioral: Individual DBT with no DBT group sessions (DBT-I)
Individual DBT (DBT-I) is 1 hour per week of individual therapy and 2.5 hours per week with the psychosocial activities group.
Other Name: DBT, DBT-I
Active Comparator: DBT-S
Participants receive dialectical behavior therapy group skills plus case management
Behavioral: Group Skills DBT with no DBT individual sessions (DBT-S)
DBT group skills training is 2.5 hours per week and includes individual case management.
Other Name: DBT, DBT-S
People with borderline personality disorder have limited behavioral skills and react abnormally to emotional stimulation. Standard dialectical behavior therapy (SDBT) has been shown to be an effective treatment for borderline personality disorder. This treatment combines weekly group sessions, at which patients learn new ways of dealing with their emotions, with weekly individual sessions with a therapist to discuss their emotions. The study compares SDBT to both individual DBT with no skills training and DBT skills training with no individual therapy. The study will determine whether efficacy of standard DBT is reduced when either DBT skills training or individual DBT therapy is removed.
Participants are randomly assigned to receive 1 year of SDBT, DBT with group sessions but no individual sessions, and DBT with individual sessions with no group sessions. Participants are monitored for 1 year after completing their assigned therapy. Throughout the 1-year study and during the 1-year follow-up period, self-report scales and questionnaires are used to assess participants every 4 months. These scales and questionnaires measure participants' suicidal thoughts and attempts, treatment compliance, emotional coping skills, social functioning, and overall well-being.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00183651
|United States, Washington|
|University of Washington, Department of Psychology, Behavior Research and Therapy Clinics|
|Seattle, Washington, United States, 98195-1525|
|Principal Investigator:||Marsha M. Linehan, PhD||Department of Psychology, University of Washington|