Evaluation of a Modified Dialectical Behavior Therapy Program

NCT01635556 | Completed DMC

• 1 other identifier: H2012:128
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this pilot project is to offer outpatient Dialectical Behavior Therapy (DBT) treatment as described in Linehan's text (1993), which is considered an effective treatment of borderline personality disorder. This treatment consists of weekly individual psychotherapy, weekly group skills training, 24 hour telephone consultation, and weekly team consultation meetings for therapists. The investigators program is able to offer all of these components except the 24 hour phone consultation (which has been modified due to employment/union guidelines of interdisciplinary staff working within the investigators health care system). This project intends to offer the treatment for a period of 6 months. As such, this proposed research project seeks to assess the feasibility of implementing an outpatient DBT program within a public health care setting in Canada. This study also aims to evaluate this DBT program for clinical effectiveness in its modified format. Specifically, the investigators will examine relevant outcomes related to patient functioning (e.g., depression, self-harm and suicidal behaviors, and admissions to hospital/ER visits) and improvement (e.g., improved quality of life, meeting work/employment goals) pre and post completion of this 6 month treatment program. The investigators hypotheses are that each patient will show improvement in all outcome variables (e.g., improved mood and quality of life, decreased self-harm, decreased ER visits and hospitalization visits, etc). The investigators also hypothesize that the investigators modified program will produce comparable results to those from studies of standard outpatient DBT.

Conditions

Borderline Personality Disorder

Keywords

borderline personality disorder; dialectical behavior therapy; psychological treatment

Outcome Measures

Primary Outcomes (4)

• Quality of Life Enjoyment and Satisfaction Questionnaire

  This measure assesses the degree of enjoyment and satisfaction experienced during the past week in several areas: physical health, feelings, work, household duties, school, leisure time, and social relationships.

  Baseline

• Quality of Life Enjoyment and Satisfaction Questionnaire

  This measure assesses the degree of enjoyment and satisfaction experienced during the past week in several areas: physical health, feelings, work, household duties, school, leisure time, and social relationships.

  Change - baseline to 6 months

• Quality of Life Enjoyment and Satisfaction Questionnaire

  This measure assesses the degree of enjoyment and satisfaction experienced during the past week in several areas: physical health, feelings, work, household duties, school, leisure time, and social relationships.

  Change - 6 months to 12 months

• Quality of Life Enjoyment and Satisfaction Questionnaire

  This measure assesses the degree of enjoyment and satisfaction experienced during the past week in several areas: physical health, feelings, work, household duties, school, leisure time, and social relationships.

  Change - 12 months to 18 months

Secondary Outcomes (4)

• Borderline Symptom List 23

  Baseline

• Borderline Symptom List 23

  Change - baseline to 6 months

• Borderline Symptom List 23

  Change - 6 months to 12 months

• Borderline Symptom List 23

  Chabge - 12 months to 18 months

Interventions

Dialectical Behavior therapy BEHAVIORAL

Weekly psychotherapy of both individual and group sessions

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The participants will be selected from the community.

You may qualify if:

• Diagnosis of Borderline Personality Disorder
• Chronic suicidal ideation or parasuicidal acts, or other self-destructive, impulsive behaviors
• Must be enrolled in dialectical behavior therapy program

You may not qualify if:

• Active psychosis
• Severe developmental delays, cognitive impairment or learning disabilities
• History of or current violent/aggressive behaviors

Sponsors & Collaborators

• University of Manitoba: lead

Study Sites (1)

Victoria General Hospital

Winnipeg, Manitoba, R3T 2E8, Canada

Location

MeSH Terms

Conditions

Borderline Personality Disorder

Interventions

Dialectical Behavior Therapy

Condition Hierarchy (Ancestors)

Personality Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Valerie Krysanski, PHD

  University of Manitoba

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 23, 2012
• First Posted: July 9, 2012
• Study Start: September 1, 2012
• Primary Completion: January 1, 2016
• Study Completion: January 1, 2016
• Last Updated: May 8, 2017

Record last verified: 2014-11

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)