跳至主要内容
临床试验/NCT03123198
NCT03123198已完成不适用

Dialectical Behavior Therapy Rutgers University Research Program

Rutgers, The State University of New Jersey2 个研究点 分布在 1 个国家目标入组 145 人开始时间: 2010年3月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
145
试验地点
2
主要终点
Self-Injurious Thoughts and Behaviors Interview

研究概览

简要总结

This protocol establishes a research oriented psychological treatment clinic within the Graduate School of Applied and Professional Psychology (GSAPP), called the Dialectical Behavior Therapy Rutgers University Research Program (DBT-RU). The overall aim of the proposed research is to find ways to improve therapist training in existing treatments for complex and difficult-to-treat problems (e.g., DBT, prolonged exposure), develop new and more effective treatments, and improve understanding of severe psychopathology. Consequently, this proposed research will have four branches: (1) training of research clinicians and evaluation of training methods; (2) training of clinical evaluators for the research studies and evaluation of assessment training methods; (3) assessment of treatment outcome, including assessment of mediators and moderators of change (both clinician and client data); (4) assessment and analyses of psychopathology of subject populations who participate in the DBT-RU.

详细描述

DBT is an evidence-based and empirically supported treatment for borderline personality disorder (BPD), suicide, and self-injury. DBT is traditionally administered for a minimum of 6 months in an outpatient setting but has been adapted to be used in other treatment settings (e.g., intensive outpatient). DBT consists of multiple key components, including weekly individual therapy, group skills training, and option to engage in out-of-session contact with their provider via telephone to receive coaching on how to use DBT skills to manage real-life issues (e.g., urges to harm self). To date, more than a dozen randomized control trials (RCTs) and quasi-experimental studies have been conducted, and compared to 12 months of treatment as usual (TAU), DBT has been shown to result in significantly greater reduction in frequency and severity of self-injurious behaviors, inpatient hospitalizations, suicidal ideation, and substance abuse (see Panos, Jackson, Hasan, & Panos, 2014 ). This research aims to (1) advance our understanding of underlying mechanisms driving treatment outcomes; (2) isolate the effects of particular components and strategies employed in DBT on various outcomes (e.g., suicide), (3) enhance training and evaluation methods for research clinicians; (4) test to see if benefits in DBT are sustained over a period of time beyond follow-up; and (5) advance our knowledge of how DBT operates in everyday life to reduce day-to-day emotion dysregulation and related target behaviors (e.g., suicidal behavior).

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • A. Age 18 years or older. B. Agreement to take part in assessments, videotaping/audiotaping and coding of their sessions by research personnel.
  • C. Agreement to pay for mental health services at the DBT-RU, and to participate in research assessments as volunteers.
  • D. Residence within commuting distance of clinic (< 45 minutes) E. Agreement to discontinue other forms of therapy F. Meets criteria for borderline personality disorder (BPD)

排除标准

  • A. 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.
  • B. Non-English speaking. C. Present DSM-IV diagnosis of Mental Retardation. D. Unable to understand research consent forms.

结局指标

主要结局

Self-Injurious Thoughts and Behaviors Interview

时间窗: Past six months

Interview to assess prevalence rates of suicidal and self-injurious thoughts and behaviors

Structured Clinical Interview for DSM-5

时间窗: At baseline, lifetime history is assessed. At 3-months and 6-months, changes to diagnostic status are assessed.

Interview to assess lifetime and current rates of psychological disorders

次要结局

  • Borderline Symptom List (BSL-23)(Past 1 month)
  • Brief Symptom Inventory (BSI)(Past 1 week)
  • Difficulties in Emotion Regulation Scale(Past two weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Shireen L. Rizvi, PhD, ABPP

Associate Professor of Clinical Psychology

Rutgers, The State University of New Jersey

研究点 (2)

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