DBT Skills Expanded With Contextual Intervention for Long Lasting Symptoms in Borderline Personality Disorder

NCT05972096 | Unknown

• 1 other identifier: IIBSP-TLP-2020-104
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Borderline Personality Disorders; BPD

Keywords

borderline personality disorder; long-lasting symptoms; dialectical behavior therapy skills; contextual approach.

Outcome Measures

Primary Outcomes (1)

• Pemberton Happiness Index (PHI)

  Happiness index (minimum 0- maximum 110) Higher scores better

  1 month

Secondary Outcomes (6)

• Borderline Symptoms List-23 (BSL-23)

  1 week

• Remission from Depression Questionnaire (RDQ)

  1 week

• Self Compassion Scale Short Form (SCS-SF)

  1 month

• Forms of Self-Criticism/Self-Attacking and Self-Reassuring Scale (FSCRS)

  1 month

• Satisfaction with life scale (SWLS)

  1 month

Study Arms (2)

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

EXPERIMENTAL

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

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

Control Group

PLACEBO COMPARATOR

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.

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

Interventions

Combination DBT, self-compassion and contextual-based skills BEHAVIORAL

Psychotherapy combination. Skills of DBT plus self-compassion and contextual skills

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

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

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

Study Sites (1)

Juan Carlos Pascual Mateos

Barcelona, 08041, Spain

RECRUITING

MeSH Terms

Conditions

Borderline Personality Disorder

Condition Hierarchy (Ancestors)

Personality Disorders; Mental Disorders

Study Officials

• Joaquim Soler, PhD

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

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Juan Carlos Pascual, PhD

CONTACT

34935537840; jpascual@santpau.cat

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized clinical trial aims to test the efficacy of this expanded skills DBT-based intervention with self-compassion and contextual-based skills targeting long-lasting BPD compared with treatment as usual.

Study Record Dates

• First Submitted: July 17, 2023
• First Posted: August 2, 2023
• Study Start: March 1, 2022
• Primary Completion: October 1, 2023
• Study Completion: October 1, 2023
• Last Updated: August 2, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)