Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting

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dc.contributor.author Flynn, Daniel
dc.contributor.author Kells, Mary
dc.contributor.author Joyce, Mary
dc.contributor.author Corcoran, Paul
dc.contributor.author Gillespie, Conall
dc.contributor.author Suarez, Catalina
dc.contributor.author Weihrauch, Mareike
dc.contributor.author Cotter, Padraig
dc.date.accessioned 2019-10-31T16:40:45Z
dc.date.available 2019-10-31T16:40:45Z
dc.date.issued 2017-09-23
dc.identifier.citation Flynn, D., Kells, M., Joyce, M., Corcoran, P., Gillespie, C., Suarez, C., Weihrauch, M. and Cotter, P. (2017), 'Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting', Borderline Personality Disorder and Emotion Dysregulation, 4(1), 19. (11pp.) DOI: 10.1186/s40479-017-0070-8 en
dc.identifier.volume 4 en
dc.identifier.issued 1 en
dc.identifier.startpage 1 en
dc.identifier.endpage 11 en
dc.identifier.uri http://hdl.handle.net/10468/8930
dc.identifier.doi 10.1186/s40479-017-0070-8 en
dc.description.abstract Background: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points. The main objective of the current study was to determine if completion of a 12 month DBT programme is associated with improved outcomes in terms of borderline symptoms, anxiety, hopelessness, suicidal ideation, depression and quality of life. A secondary objective includes assessing client progress across multiple time-points throughout the treatment. Methods: Fifty-four adult participants with BPD completed the standard DBT programme across four sites in community mental health settings in the Republic of Ireland. Data was collected by the DBT therapists working with participants and took place at 8 week intervals across the 12 month programme. To explore the effects of the intervention for participants, linear mixed-effects models were used to estimate change utilising data available from all time-points. Results: At the end of the 12 month programme, significant reductions in borderline symptoms, anxiety, hopelessness, suicidal ideation and depression were observed. Increases in overall quality of life were also noted. In particular, gains were made during the first 6 months of the programme. There was a tendency for scores to slightly regress after the six-month mark which marks the start of the second delivery of the group skills cycles. Conclusions: The current study provides evidence for the effectiveness of standard DBT in publicly funded community mental health settings. As participants were assessed at the end of every module, it was possible to observe trends in symptom reduction during each stage of the intervention. Despite real-world limitations of applying DBT in community settings, the results of this study are comparable with more tightly controlled studies. Trial registration: ClinicalTrials.gov ID: NCT03166579; Registered May 24th 2017 ‘retrospectively registered’ en
dc.description.sponsorship HSE (National Office for Suicide Prevention) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMC en
dc.relation.uri https://bpded.biomedcentral.com/articles/10.1186/s40479-017-0070-8
dc.rights © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Borderline personality disorder en
dc.subject Dialectical behaviour therapy en
dc.subject Adults en
dc.subject Effectiveness en
dc.subject Public health service en
dc.subject Community settings en
dc.title Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Mary Joyce, National Suicide Research Foundation, Western Gateway Building, University College Cork, Cork, Ireland. +353-21-490-3000 Email:M.Joyce@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health and Safety Executive en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Borderline Personality Disorder and Emotion Dysregulation en
dc.internal.IRISemailaddress m.joyce@ucc.ie en
dc.identifier.articleid 19 en
dc.identifier.eissn 2051-6673


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© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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