Borderline Personality Disorder Clinical Trial
Official title:
Emotional Dysregulation in Para-suicidal Behavior: Effects of Dialectical Behavioral Therapy on Emotional Processing, a Triangulation Approach
This is a naturalistic cohort pre-post study investigating aspects of emotional processing and how possible changes in emotional processing is related to the successful treatment of non-suicidal self-injury and suicidal ideation in a program of Dialectical Behavior Therapy. In addition we wish to identify to what extent the intensity and frequency of non-suicidal self-injury and suicidal ideation is related to difficulty in emotion regulation, as indicated by self-report measures and psychophysiological measures.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | January 2, 2028 |
Est. primary completion date | January 2, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria Patients: - Patients with non-suicidal self-injury and/or suicidal ideation that undergo standard clinical outpatient DBT treatment will be recruited. Exclusion Criteria Patients: - Lack of informed consent Exclusion Criteria Healthy Controls: - Lack of informed consent - former or current neurological conditions - severe psychiatric illness - cardiac conditions. |
Country | Name | City | State |
---|---|---|---|
Norway | Haukeland University Hospital, Bjørgvin DPS | Bergen |
Lead Sponsor | Collaborator |
---|---|
Haukeland University Hospital | University of Bergen |
Norway,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | International Neuropsychiatric Interview. | The International Neuropsychiatric Interview is a semi-structured diagnostic interview is a structured interview to evaluate the presence of current psychiatric disorders in children, based on 10th revision of the International Statistical Classification of Diseases and Related Health Problems and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). The results will be combined to one binary total score 0 (no disorder) and 1 (current disorder). | Time points will be baseline and at completion of the DBT program, an average of 1 year. | |
Other | Change in the presence of personality disorders through the Structured Clinical Interview for DSM-IV Axis II. | A semi-structured diagnostic interview used to assess personality disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). The interview covers all ten DSM-IV personality disorders (antisocial, avoidant, borderline, dependent, histrionic, narcissistic, obsessive-compulsive, paranoid, schizoid and schizotypal), personality disorder not otherwise specified, and is used to make personality disorder diagnoses either dimensionally or categorically (present-absent). The instrument will applied dimensionally with scores ranging from 0 to 9. Higher score indicate the presence of personality traits. | Time points will be baseline and at completion of the DBT program, an average of 1 year. | |
Other | Change in every day functioning through the Global Assessment of Functioning. | Global Assessment of Functioning is a numeric scale used to rate subjectively the social, occupational, and psychological functioning of an individual his or her day-to-day life on a scale of 0 to 100. High score indicate high functioning. | Time points will be baseline and at completion of the DBT program, an average of 1 year. | |
Primary | Change in intensity of Suicidal thoughts. | Intensity of suicidal thoughts on a likert scale from 0 - 5 the last week. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Primary | Change in frequency of suicidal thoughts. | Frequency of suicidal thoughts, that is the number of suicidal thoughts the last week. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Primary | Change in frequency of non-suicidal self-injury. | The frequency of non-suicidal self-injury the last week. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Primary | Change in the intensity of impulse to non-suicidal self-injury. | The intensity in the impulse to non-suicidal self-injury on a likert scale from 0 - 5, the last week. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Primary | Change in Heart rate variability . | Heart rate variability is considered an index of the nervous system's ability to flexibly adapt to changing environmental demands and is considered a biological index of emotion regulation. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Primary | Change in self reported emotion regulation ability through Difficulties in Emotion Regulation Scale. | It is a 36 item questionnaire designed for measuring six facets of difficulties in emotion regulation. The response is give in the from of a rating of 5 point likert scale from 1 ("almost never" to 5 ("almost always). Total score range: 36- 180. It includes the following sub-scales: 1. Nonacceptance of emotional responses, 2. Difficulties engaging in goal directed behavior, 3. Impulse control difficulties, 4. Lack of emotional awareness, 5. Limited access to emotion regulation strategies, 6. Lack of emotional clarity. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in self reported ability to be mindful through the Five Facet Mindfulness Questionnaire. | The Five Facet Mindfulness Questionnaire is a 39-item self-report questionnaire that assesses various components of mindfulness. Each item is rated on a 1 to 5 scale with 1=never or very rarely true and 5=very often or always true; responses are summed and then divided by 39 (the number of items). The higher score represents a more mindful attitude in daily life.The total score is a aggregate of the following sub-scales: (1) "observe" (the ability to ve aware of the surroundings and inner experiences, (2) describe (the ability to describe inner experiences, (3) act aware ( being aware and present, (4) non-judge (ability to experience with acceptance, and (5) non-react (being non-reactive excessively to inner experience). | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in self reported self-compassion through the Self-compassion Scale. | The Self-compassion Scale questionnaire consists of 26 items. Items are rated on a five-point Likert-type scale from 1 ("almost never") to 5 ("almost always"). Highest possible score is 130. High score indicate ability to be self-compassionate. |
Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in ability to experience and verbalise emotions through Toronto Alexithymia Scale 20. | The Toronto Alexithymia Scale 20 is a 20-item self-report questionnaire consisting of three sub-scales; 1) Difficulty Identifying feelings, 2) Difficulty Describing Feelings, and 3) Externally-oriented Thinking. The full scale range is 20-100, higher scores indicate higher problems in experiencing and verbalizing emotions, i.g. alexithymia. Subscales are summed to compute a total score Scores between 52 and 60 indicate moderate alexithymia; scores 61 and higher indicate high alexithymia. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in anxiety symptoms through the Beck Anxiety Inventory. | The Beck Anxiety Inventory is a 21-item self-report inventory that measures level of anxiety during the past week. Answer being scored on a scale value of 0 (not at all) to 3 (severely). Above 30 indicate severe anxiety, below 21 indication of low og no anxiety. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in depressive symptoms through the Beck Depression Inventory. | Beck Depression Inventory is a 21-item self-report inventory that measures level of depression and is a widely applied measure of depression. Highest possible score is 64. Above 25 indicates severe depressive symptoms, below 9 no depressive symptoms. | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. | |
Secondary | Change in impulsivity through The Barratt Impulsiveness Scale. | The Barratt Impulsiveness Scale is a questionnaire designed to assess the personality / behavioral construct of impulsiveness is composed of 30 items describing common impulsive or non-impulsive (for reversed scored items) behaviors and preferences . | Time points will be baseline, week 16, week 32 and at completion of the DBT program, an average of 1 year. |
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