title: Dialectical behavior therapy and domains of functioning over two years.
abstract: Individuals diagnosed with borderline personality disorder (BPD) tend to have a significant degree of functional impairment across a range of social and occupational spheres including difficulty finding and maintaining satisfying employment, housing, or relationships. Understanding what factors are associated with functional impairment will enable treatment providers to move those diagnosed with BPD beyond symptomatic recovery and toward a life worth living. This paper investigated the trajectories and predictors of functional outcomes for suicidal women with BPD (N = 99) during a treatment outcome study of Dialectical Behavior Therapy (DBT). Results revealed that participants had statistical and clinical improvements in functioning. Individuals with high emotion dysregulation displayed poorer psychosocial functioning at the subsequent assessment period and slower rates of change, which was also seen in reverse for one psychosocial functioning variable. Skills use was not related to individual trajectories in functioning. This study highlights the relationship of emotion dysregulation to functioning within a sample of suicidal women with BPD as well as the importance researching multiple domains in functioning.
authors.affiliation: Behavioral Research and Therapy Clinics, Department of Clinical Psychology, University of Washington, USA. Electronic address: wilksc@u.washington.edu.
authors.forename: Chelsey R
authors.initials: CR
authors.lastname: Wilks
authors.affiliation: Behavioral Research and Therapy Clinics, Department of Clinical Psychology, University of Washington, USA.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Korslund
authors.affiliation: Behavioral Research and Therapy Clinics, Department of Clinical Psychology, University of Washington, USA.
authors.forename: Melanie S
authors.initials: MS
authors.lastname: Harned
authors.affiliation: Behavioral Research and Therapy Clinics, Department of Clinical Psychology, University of Washington, USA.
authors.forename: Marsha M
authors.initials: MM
authors.lastname: Linehan
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000628:therapy; D004644:Emotions; D005260:Female; D006801:Humans; D008875:Middle Aged; D000068356:Self-Control / Q000523:psychology*; D066107:Social Skills; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D016896:Treatment Outcome
keywords: Borderline personality disorder; Dialectical behavior therapy; Functional impairment; Interpersonal dysfunction