Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial

Journal of Consulting and Clinical Psychology

Volumn 80, Issue 6, 2012, Pages 982-994

  Pistorello, Jacqueline ^a   Fruzzetti, Alan E ^a   MacLane, Chelsea ^a   Gallop, Robert ^b   Iverson, Katherine M ^a  

^a UNIVERSITY OF NEVADA   (United States)

^b WEST CHESTER UNIVERSITY   (United States)

Author keywords

borderline personality disorder; college students; DBT; suicidality

Indexed keywords

PSYCHOTROPIC AGENT;

ADULT; ARTICLE; AUTOMUTILATION; BEHAVIOR THERAPY; BORDERLINE STATE; CLINICAL EFFECTIVENESS; CLINICAL SUPERVISION; COLLEGE STUDENT; CONTROLLED STUDY; DEPRESSION; DIAGNOSTIC TEST ACCURACY STUDY; DIALECTICAL BEHAVIOR THERAPY; DRUG EFFICACY; FEMALE; FOLLOW UP; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EXPERT; MENTAL PATIENT; NONSUICIDAL SELF INJURIOUS ACT; OPTIMIZED TREATMENT AS USUAL; PATIENT CARE; SENSITIVITY AND SPECIFICITY; SOCIAL ADAPTATION; SUICIDE; SUICIDE ATTEMPT; THERAPY EFFECT; TREATMENT DURATION; TREATMENT OUTCOME; ADOLESCENT; BORDERLINE PERSONALITY DISORDER; PROCEDURES; PSYCHOLOGY; RANDOMIZED CONTROLLED TRIAL; SELF-INJURIOUS BEHAVIOR; STUDENT; SUICIDAL IDEATION; UNIVERSITY;

ADOLESCENT; ADULT; BEHAVIOR THERAPY; BORDERLINE PERSONALITY DISORDER; FEMALE; HUMANS; MALE; SELF-INJURIOUS BEHAVIOR; SOCIAL ADJUSTMENT; STUDENTS; SUICIDAL IDEATION; SUICIDE, ATTEMPTED; TREATMENT OUTCOME; UNIVERSITIES;

EID: 84874036665     PISSN: 0022006X     EISSN: 19392117     Source Type: Journal    
DOI: 10.1037/a0029096     Document Type: Article

References (52)

1. American College Health Association. (2011). ACHA-National College Health Assessment II: Reference group executive summary Spring 2011. Hanover, MD: Author.
2. Beck, A. T., Steer, R. A., & Brown, K. G. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
3. Benton, S. A., Robertson, J. M., Tseng, W., Newton, F. B., & Benton, S. L. (2003). Changes in counseling center client problems across 13 years. Professional Psychology, Research and Practice, 34, 66-72. doi: 10.1037/0735-7028.34.1.66
4. Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S. M., & Olfson, M. (2008). Mental health of college students and their non-college-attending peers: Results from the national epidemiologic study on alcohol and related conditions. Archives of General Psychiatry, 65, 1429-1437. doi:10.1001/archpsyc.65.12.1429
5. Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257-260. doi:10.1016/0005-7916(72)90045-6
6. Center for Collegiate Mental Health. (2012). 2011 annual report (Publication No. STA 12-59). Retrieved from http://ccmh.squarespace.com
7. Chatham, P. M. (1985). Treatment of the borderline personality. New York, NY: Jason Aronson.
8. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159. doi:10.1037/0033-2909.112.1.155
9. Cooper, S. E. (2005). Evidence-based psychotherapy practice in college mental health. Journal of College Student Psychotherapy, 20, 1-6. doi:10.1300/J035v20n01-01
10. Drum, D. J., Brownson, C., Denmark, A., & Smith, S. E. (2009). New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psychology, Research and Practice, 40, 213-222. doi:10.1037/a0014465
11. Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale: A procedure for measuring overall severity psychiatric disturbance. Archives of General Psychiatry, 33, 766-771. doi:10.1001/archpsyc. 1976.01770060086012
12. Feigenbaum, J. (2007). Dialectical behaviour therapy: An increasing evidence base. Journal of Mental Health, 16, 51-68. doi:10.1080/ 09638230601182094
13. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II). Washington, DC: American Psychiatric Press.
14. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Non-Patient Edition (SCID-I/NP). New York, NY: Biometrics Research, New York State Psychiatric Institute.
15. Fruzzetti, A. E., Santisteban, D. A., & Hoffman, P. D. (2007). Dialectical behavior therapy with families. In L. A. Dimeff & K. Koerner (Eds.), Dialectical behavior therapy in clinical practice: Applications across disorders and settings (pp. 222-244). New York, NY: Guilford Press.
16. Gallagher, R. P. (2011). National survey of counseling center directors. Alexandria, VA: International Association of Counseling Services.
17. Groves, S. S., Backer, H. S., van den Bosch, L. M. C., & Miller, A. L. (in press). Dialectical behavior therapy with adolescents: A review. Child and Adolescent Mental Health.
18. Hedeker, D., & Gibbons, R. D. (1997). Application of random-effects pattern-mixture models for missing data in longitudinal studies. Psychological Methods, 2, 64-78. doi:10.1037/1082-989X.2.1.64
19. Iverson, K., Shenk, C., & Fruzzetti, A. E. (2009). Dialectical behavior therapy for women victims of domestic abuse: A pilot study. Professional Psychology: Research and Practice, 40, 242-248. doi:10.1037/a0013476
20. Jacobson, N. S., Follette, W. C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15, 336-352. doi:10.1016/S0005- 7894(84)80002-7
21. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. doi:10.1037/0022-006X. 59.1.12
22. Jobes, D. A., Jacoby, A. M., Cimbolic, P., & Hustead, L. A. T. (1997). Assessment and treatment of suicidal clients in a university counseling center. Journal of Counseling Psychology, 44, 368-377. doi:10.1037/0022-0167.44. 4.368
23. Kadison, R., & DiGeronimo, T. F. (2004). College of the overwhelmed: The campus mental health crisis and what to do about it. San Francisco, CA: Jossey-Bass.
24. Kenward, M. G., & Roger, J. H. (1997). Small sample inference for fixed effects from restricted maximum likelihood. Biometrics, 53, 983-997. doi:10.2307/2533558
25. Kitzrow, M. A. (2003). The mental health needs of today's college students: Challenges and recommendations. The National Association of Student Personnel Administrators Journal, 41, 167-181.
26. Kliem, S., Kröger, C., & Kosfelder, J. (2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed effects modeling. Journal of Consulting and Clinical Psychology, 78, 936-951. doi:10.1037/a0021015
27. Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., . . . Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy, 32, 371-390. doi:10.1016/S0005-7894(01)80009-5
28. Linehan, M. M. (1981). Suicidal behaviors questionnaire. Unpublished manuscript, University of Washington, Seattle, WA.
29. Linehan, M. M. (1993a). Cognitive behavioral therapy of borderline personality disorder. New York, NY: Guilford Press.
30. Linehan, M. M. (1993b). Skills training manual for borderline personality disorder. New York, NY: Guilford Press.
31. Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060-1064. doi: 10.1001/archpsyc.1991.01810360024003
32. Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., & Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment, 18, 303-312. doi:10.1037/1040-3590.18.3. 303
33. Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., . . . Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757-766. doi:10.1001/archpsyc.63.7.757
34. Linehan, M. M., Lockard, J. S., Wagner, A. W., & Tutek, D. (1996). DBT Expert Rating Scale. Unpublished manuscript, University of Washington, Seattle, WA.
35. Minami, T., Davies, D. R., Callan Tierney, S., Bettman, J. E., McAward, S. M., Averill, L. A, . . . Wampold, B. E. (2009). Preliminary evidence on the effectiveness of psychological treatments delivered at a university counseling center. Journal of Counseling Psychology, 56, 309-320. doi:10.1037/a0015398
36. Raudenbush, S., & Bryk, A. (2001). Hierarchical linear modeling: Applications and data analysis methods. Newbury Park, CA: Sage.
37. Raudenbush, S. W., & Liu, X. (2001). Effects of study duration, frequency of observation, and sample size on power in studies of group differences in polynomial change. Psychological Methods, 6, 387-401. doi: 10.1037/1082-989X.6.4.387
38. Rosenthal, R., & Rosnow, R. L. (1991). Essentials of behavioral research, methods, and data analysis. San Francisco, CA: McGraw-Hill.
39. Ryder, A. G., Costa, P. T., & Bagby, R. (2007). Evaluation of the SCID-II personality disorder traits for DSM-IV: Coherence, discrimination, relations with general personality traits, and functional impairment. Journal of Personality Disorders, 21, 626-637. doi:10.1521/pedi.2007 .21.6.626
40. Schwartz, V., & Kay, J. (2009). The crisis in college and university mental health. Psychiatric Times, 26, 32-34.
41. Schwarz, C. J. (1993). The mixed-model ANOVA: The truth, the computer packages, the books. American Statistician, 47, 48-59.
42. Steer, R. A., & Clark, D. A. (1997). Psychometric characteristics of the Beck Depression Inventory-II with college students. Measurement and Evaluation in Counseling and Development, 30, 128-136.
43. Stoops, N. (2004). Educational attainment in the United States: 2003. Population characteristics (Publication No. P20-550). Washington, DC: U.S. Census Bureau.
44. Stout, R. L., Wirtz, P. W., Carbonari, J. P., & Del Bocca, F. K. (1994). Ensuring balance distribution of prognostic factors in treatment outcome research. Journal of Studies on Alcohol, 12, 70-75.
45. Suicide Prevention Resource Center. (2004). Promoting mental health and preventing suicide in college and university settings. Newton, MA: Education Development Center.
46. Taylor, J. (2005). Substance use disorders and Cluster B personality disorders: Physiological, cognitive, and environmental correlates in a college sample. American Journal of Drug and Alcohol Abuse, 31, 515-535. doi:10.1081/ADA-200068107
47. Trull, T. J. (1995). Borderline personality disorder features in nonclinical young adults: Identification and validation. Psychological Assessment, 7, 33-41. doi:10.1037/1040-3590.7.1.33
48. Turner, R. M. (2000). Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cognitive and Behavioral Practice, 7, 413-419. doi:10.1016/S1077-7229(00) 80052-8
49. Verbeke, G., & Molenberghs, G. (2000). Linear mixed models for longitudinal data. New York, NY: Spinger-Verlag.
50. Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 1111-1115. doi:10.1001/archpsyc.1976.01770090101010
51. Whitlock, J, Muehlenkamp, J., Purington, A., Eckenrode, J., Barreira, J., Abrams, G. B., . . . Knox, K. (2011). Non-suicidal self-injury in a college population: General trends and sex differences. Journal of American College Health, 58, 691-698.
52. Zivin, K., Eisenberg, D., Gollust, S. E., & Golberstein, E. (2009). Persistence of mental health problems and needs in a college student population. Journal of Affective Disorders, 117, 180-185. doi:10.1016/j.jad.2009.01.001