Ethics code: IR.SBMU.MSP.REC.1395.449
Safarzadeh A, Bakhtiari M, Shaeiri M R, Ahmadvand Z, Kheradmand A, Saberihaji M et al . Comparing Dialectical-behavioral Skills Training Based on the Soler Model vs Family Education for Borderline Personality Disorder. Iranian Rehabilitation Journal 2024; 22 (2) :255-264
URL:
http://irj.uswr.ac.ir/article-1-1855-en.html
1- Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Psychology, Faculty of Psychology, Shahed University, Tehran, Iran.
3- Department of Clinical Psychology, School of Behavioral Sciences and Mental Health, Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Psychiatry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Department of Student Mental Health & Counseling Services, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (1682 Views)
Objectives: The high prevalence of borderline personality disorder, along with comorbid psychiatric disorders and impulsive reactions (suicide attempts, self-mutilation, substance use, and impulsive behaviors) increase the need for effective psychological interventions. In this study, the effectiveness of dialectical behavior skills training based on the Soler method and family education with individual therapies are compared in this group of patients.
Methods: In this single-blind case study, eight cases were selected through a targeted sampling method based on the inclusion and exclusion criteria. The participants were divided into two groups: Intervention individually and individual intervention with family education. Both group members and the family members of the second group received dialectical behavior skills training based on the Soler model. The participants completed the borderline personality inventory, self-harm inventory, and Barratt impulsivity scale in four stages: At the beginning of the sessions, in the middle of the treatment, at the end of the treatment, and three months after treatment.
Results: The data were analyzed using the Wilcoxon test, Friedman test, and Mann-Whitney U test. The results indicate the effectiveness of the dialectical behavior skills training method based on the Soler model in reducing symptoms of borderline personality disorder and self-mutilation, as well as emotion regulation improvement at the significant level of P=0.05.
Discussion: This treatment is recommended as an effective and short-term method for controlling symptoms of borderline personality disorder. Family education, in addition to dialectical behavior therapy, has been shown to have a positive effect on reducing symptoms in patients.
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● A reduction in psychiatric symptoms associated with borderline personality disorder was observed among clients who received treatment with dialectical behavior therapy skills training. Greater clinical benefits and lower rates of dropout are important points of this treatment.
● Although family education can be an effective treatment for reducing borderline personality disorder symptoms, it is not typically considered the first-line treatment for this disorder. It should be used as an adjunct to another treatment.
● This intervention can be particularly effective in the Iranian population, especially when used as a group therapy to improve psychological well-being in individuals with borderline personality disorder.
Plain Language Summary
BPD has problems in all areas of self-regulation, regulation of behavior, emotional regulation, interpersonal regulation, and regulation of thought. Dialectical behavior therapy is considered an effective treatment that helps individuals focus on a goal, retain information, tolerate stress, and solve problems. The limitation of efficient treatment is a basic factor for dysfunctional life for this group of people. This study’s results indicate that when dialectical behavior therapy is used as a short-form treatment, they learn the skills in a short time; therefore, they do not miss the treatment and trigger positive emotions and better relationships. In addition, their family also will be able to communicate correctly due to paying closer attention to their signs and symptoms.
Article type:
Original Research Articles |
Subject:
Psychology Received: 2023/01/1 | Accepted: 2023/05/29 | Published: 2024/06/1
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