Dialectical Behavior Therapy for Adolescents at Rutgers University
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Borderline Personality Disorder in Adolescence
- Sponsor
- Rutgers, The State University of New Jersey
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- Self-Injurious Thoughts and Behaviors Inventory (SITBI)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This project expands our existing psychological services clinic (the Dialectical Behavior Therapy Clinic at Rutgers University; DBT-RU) to include an adolescent treatment arm. Adolescents aged 13-20 and at least one caregiver will be recruited to participate in a six-month treatment study. Adolescents will be eligible to participate if they meet at least 3 criteria for borderline personality disorder, with one of those criteria being either impulsive behavior or recurrent self-harm behavior. Participants will be assessed at baseline, three-months (mid-treatment), six-months (post-treatment, and three-month follow-up.
Investigators
Shireen L. Rizvi, PhD, ABPP
Associate Professor
Rutgers, The State University of New Jersey
Eligibility Criteria
Inclusion Criteria
- •Age 13-17 years or 18-20 if still living at home with parent.
- •Agreement of at least one responsible adult parent/caregiver to participate in treatment.
- •Agreement to take part in assessments, videotaping/audiotaping and coding of their sessions by research personnel.
- •Agreement to pay for mental health services at the DBT- RU on a sliding scale, and to participate in research assessments as volunteers.
- •Residence within commuting distance of clinic (\< 45 minutes).
- •Agreement to discontinue other forms of talk therapy for duration of DBT program (does not refer to AA/NA programs or psychotropic medication management).
- •Exhibits dysregulation within the past six months as evidenced by 1) intentional self-injury and/or suicide attempt and/or 2) substance use disorder.
- •Meets two additional criteria for borderline personality disorder (BPD).
Exclusion Criteria
- •Clients who need mental health services not available at the DBT- RU, such as treatment for schizophrenia or life-threatening anorexia, or who are currently obtaining optimum professional treatment that should not be ended.
- •Non-English speaking.
- •Unable to understand research consent forms.
- •Court-ordered to participate in treatment.
Outcomes
Primary Outcomes
Self-Injurious Thoughts and Behaviors Inventory (SITBI)
Time Frame: six months
semi-structured interview designed to assess presence of suicide ideation, suicide attempts, self-injurious behaviors
Work and Social Adjustment Scale
Time Frame: six months
WSAS items are rated on a scale of 0 (No Impairment) to 8 (Severe Impairment). Total scores are calculated by adding the scores of all 5 items. The minimum score of the WSAS is 0 and the maximum score of the WSAS is 40. Scores below 10 are associated with subclinical populations. Scores between 10 and 20 are associated with significant impairment, but less severe clinical symptomology. Scores above 20 are associated with moderately severe or worse psychopathology.
Secondary Outcomes
- Borderline Symptom List (BSL-23)(six months)
- Difficulties in Emotion Regulation Scale (DERS)(six months)
- Brief Symptom Inventory (BSI)(six months)