The research is designed to continue a clinical evaluation of the efficacy of Dialetical Behavior Therapy (DBT) with chronically suicidal women with Borderline Personality Disorder (BPD), and to examine the impact of therapist in-session behaviors on client compliance/cooperation, suicidal behaviors, and therapeutic alliance. In the treatment outcome study, 24 females with a history of multiple parasuicides and a diagnosis of Borderline Personality Disorder will be randomly assigned to DBT or a community treatment-as-usual control group. DBT subjects will be seen for one year by one of five therapist trained in DBT. The control group will be referred as usual to treatment in the community but will be assessed at the same intervals as the experimental subjects. To analyze the effects of DBT vs. the control condition, the subjects in this study will be combined with those in a prior pilot study conducted in an almost identical fashion. To examine the relationship of therapist in-session behavior on client behavior, the individual therapy tapes for the 24 subjects from this and the pilot study will will be subjected to sequential content analyses. We will examine therapist variables such as use of DBT strategies and other therapist behaviors characteristic of behavior therapy and client in-session behaviors such as resistance/cooperation and suicidal verbalizations as well as between session behaviors such as completion of homeword assignment and phone calls to the therapist.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH034486-10
Application #
3375558
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1987-01-01
Project End
1993-08-31
Budget Start
1991-02-01
Budget End
1993-08-31
Support Year
10
Fiscal Year
1991
Total Cost
Indirect Cost
Name
University of Washington
Department
Type
Schools of Arts and Sciences
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Harned, Melanie S; Lungu, Anita; Wilks, Chelsey R et al. (2017) Evaluating a Multimedia Tool for Suicide Risk Assessment and Management: The Linehan Suicide Safety Net. J Clin Psychol 73:308-318
Wilks, Chelsey R; Korslund, Kathryn E; Harned, Melanie S et al. (2016) Dialectical behavior therapy and domains of functioning over two years. Behav Res Ther 77:162-9
Linehan, Marsha M; Korslund, Kathryn E; Harned, Melanie S et al. (2015) Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA Psychiatry 72:475-82
Bedics, Jamie D; Atkins, David C; Harned, Melanie S et al. (2015) The therapeutic alliance as a predictor of outcome in dialectical behavior therapy versus nonbehavioral psychotherapy by experts for borderline personality disorder. Psychotherapy (Chic) 52:67-77
Neacsiu, Andrada D; Lungu, Anita; Harned, Melanie S et al. (2014) Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behav Res Ther 53:47-54
Bedics, Jamie D; Atkins, David C; Comtois, Katherine A et al. (2012) Treatment differences in the therapeutic relationship and introject during a 2-year randomized controlled trial of dialectical behavior therapy versus nonbehavioral psychotherapy experts for borderline personality disorder. J Consult Clin Psychol 80:66-77
Harned, Melanie S; Pantalone, David W; Ward-Ciesielski, Erin F et al. (2011) The prevalence and correlates of sexual risk behaviors and sexually transmitted infections in outpatients with borderline personality disorder. J Nerv Ment Dis 199:832-8
Harned, Melanie S; Rizvi, Shireen L; Linehan, Marsha M (2010) Impact of co-occurring posttraumatic stress disorder on suicidal women with borderline personality disorder. Am J Psychiatry 167:1210-7
Harned, Melanie S; Jackson, Safia C; Comtois, Katherine A et al. (2010) Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder. J Trauma Stress 23:421-9
Neacsiu, Andrada D; Rizvi, Shireen L; Linehan, Marsha M (2010) Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behav Res Ther 48:832-9

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