Dialectical behavior therapy skills training affects defense mechanisms in borderline personality disorder: An integrative approach of mechanisms in psychotherapy.

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Serval ID
serval:BIB_76402F1DF247
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Dialectical behavior therapy skills training affects defense mechanisms in borderline personality disorder: An integrative approach of mechanisms in psychotherapy.
Journal
Psychotherapy research
Author(s)
Euler S., Stalujanis E., Allenbach G., Kolly S., de Roten Y., Despland J.N., Kramer U.
ISSN
1468-4381 (Electronic)
ISSN-L
1050-3307
Publication state
Published
Issued date
11/2019
Peer-reviewed
Oui
Volume
29
Number
8
Pages
1074-1085
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Objective: Borderline personality disorder (BPD) is characterized by immature defense mechanisms. Dialectical behavior therapy (DBT) is an effective treatment for BPD. However, understanding the underlying mechanisms of change is still limited. Using a transtheoretical framework, we investigated the effect of DBT skills training on defense mechanisms. Method: In this randomized controlled trial, 16 of 31 BPD outpatients received DBT skills training adjunctive to individual treatment as usual (TAU), while the remaining 15 received only individual TAU. Pre-post changes of defense mechanisms, assessed with the Defense Mechanism Rating Scale, were compared between treatment conditions using ANCOVAs. Partial correlations and linear regressions were conducted to explore associations between defenses and symptom outcome. Results: Overall defense function improved significantly more in the skills training condition (F(1, 28) = 4.57, p = .041). Borderline defenses decreased throughout skills training, but not throughout TAU only (F(1, 28) = 5.09, p = .032). In the skills training condition, an increase in narcissistic defenses was associated with higher symptom scores at discharge (β = 0.58, p = .02). Conclusions: Although DBT does not explicitly target defense mechanisms, skills training may have favorable effects on defense function in BPD. Our findings contribute to an integrative understanding of mechanisms of change in BPD psychotherapy.
Keywords
borderline personality disorder, defense mechanisms, dialectical behavior therapy, model integration, psychotherapy research
Pubmed
Web of science
Create date
05/07/2018 16:09
Last modification date
12/08/2021 6:40
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