Impact of Therapeutic Alliance on Dropout in a Naturalistic Sample of Patients With Borderline Pathology Receiving Residential DBT

NCT05289583 | Completed

• 1 other identifier: DBT_dropout2
• Study Type: observational
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Participants with Borderline pathology (≥ 3 DSM-IV-criteria) receiving an inpatient Dialectical Behavior Therapy (DBT) program completed a quality assurance questionnaire set assessing demographic information and pretreatment psychopathology during the days of their inpatient stay. Beyond that, changes of therapists were documented.

Conditions

Borderline Personality Disorder; Psychotherapy; Dropout

Outcome Measures

Primary Outcomes (1)

• Rate of Dropout

  premature termination of treatment

  8-10 weeks

Study Arms (1)

Dialectical Behavior Therapy

The program's purpose is to help patients achieve the following therapeutic goals: (1) reduction of suicidal behaviors, (2) reduction of therapy-interfering behaviors, and (3) other risky or destabilizing behaviors. Standard DBT aims to achieve these goals by (1) conveying behavioral capabilities (skills), (2) motivation for applying these skills, (3) generalization of learned skills to the patient's natural environment, (4) structuring the treatment environment to reinforce functional behavior, and (5) conveying therapeutic resources and motivation to effectively treat patients with BPD.

Behavioral: Dialectical Behavior Therapy

Interventions

Dialectical Behavior Therapy BEHAVIORAL

DBT is a cognitive-behavioral treatment program that was developed to treat suicidal Patients with BPD (Linehan, 1993).

Dialectical Behavior Therapy

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

For this study, all patients aged from 18 to 65, discharged from our personality disorder inpatient unit between January 2019 and December 2021, and fulfilling three or more criteria for BPD as defined by DSM-IV (Borderline Personality characteristics; BPC) were considered (n = 44).

You may qualify if:

• three or more criteria for BPD as defined by DSM-5 (Borderline Personality characteristics; BPC)

You may not qualify if:

• inability to contract and consent,
• other severe mental disorders (bipolar disorder, acute psychosis),
• current alcohol,
• illicit or not prescribed drug use,
• simultaneous participation in other treatment studies,
• pregnancy or breastfeeding,
• an inability to negotiate a non-suicide agreement,
• ongoing traumatic contact with the perpetrator, and
• a Body Mass Index \< 16.5.

Sponsors & Collaborators

• Evangelisches Krankenhaus Bielefeld gGmbH: lead

Study Sites (1)

Research Department

Bielefeld, Germany

Location

Related Publications (1)

• Steuwe C, Berg M, Driessen M, Beblo T. Therapeutic alliance and dropout in patients with borderline pathology receiving residential dialectical behavior therapy. BMC Psychiatry. 2023 Aug 18;23(1):605. doi: 10.1186/s12888-023-05061-8.

  PMID: 37596568 DERIVED

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 Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Psych. Psychotherapist

Study Record Dates

• First Submitted: March 11, 2022
• First Posted: March 21, 2022
• Study Start: January 1, 2019
• Primary Completion: December 31, 2021
• Study Completion: February 28, 2022
• Last Updated: April 1, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)