DBT Skills Expanded With Contextual Intervention for Long Lasting Symptoms in Borderline Personality Disorder (DBT+Context)

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Enrolling

Conditions: Borderline Personality Disorders; BPD

Treatments: Behavioral: Combination DBT, self-compassion and contextual-based skills

Study type: Interventional

Funder types: Other

Identifiers

NCT05972096

IIBSP-TLP-2020-104

Details and patient eligibility

About

Although borderline personality disorder (BPD) tend to the clinical remission in long-term follow-up studies, a significant subgroup of patients continues to present long lasting symptoms such as low mood, emptiness and persistent impairment in psychosocial adjustment. The prevalence of this subsample of individuals is considerably increasing last years. New interventions addressed to these individuals are need, the aim of this study is to evaluate the efficacy of a novel intervention combining dialectical behavioral therapy skills training with self-compassion and contextual-based skills for patients with long-lasting BPD.

Full description

Sixty individuals with BPD and long lasting symptoms that have been received previously dialectical-behavioral therapy skills training (DBT-ST) will be included in a randomized clinical trial. They will be randomly assigned to receive an add-on skills training intervention involving the combination of DBT-ST, self-compassion, and contextual-based skills for long lasting symptoms versus treatment as usual during 12-weeks. Patients will be evaluated pre and post intervention and 3-month follow-up. The outcome measures are well-being indicators and clinical variables.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults between 18 and 65 years of age
• Primary diagnosis of BPD according to Diagnostic Statistical Manual IV criteria and by the structured interviews: Diagnosis Structured clinical interview for axis II personality disorders (SCID II; First et al. 1997) and Diagnostic Interview for Borderlines Revised (DIB-R)
• Previous participation in DBT-ST intervention
• Signed informed consent.

Exclusion criteria

• Presence of life-threatening behaviors in the last 12 months
• PTSD or related symptoms
• Diagnosis of drug-induced psychosis, organic brain syndrome, bipolar or psychotic disorder
• Intellectual disability
• Participation in any other psychotherapy treatment during the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups, including a placebo group

Combination of DBT-ST, self-compassion, and contextual-based skills.

Experimental group

Description:

Combination of DBT-ST, self-compassion, and contextual-based skills.

Treatment:

Behavioral: Combination DBT, self-compassion and contextual-based skills

Control Group

Placebo Comparator group

Description:

Treatment as usual. Although these individuals did not receive any new specific psychotherapeutic intervention for BPD, they valued the higher frequency of psychiatric visits, attention in crisis, family care, and greater experience and sensitivity in the management of BPD.

Treatment:

Behavioral: Combination DBT, self-compassion and contextual-based skills