title: [Influence and Change of Self-Directedness in Dialectical Behavior Therapy].
abstract: ObjectiveInvestigate influence and change of self-directedness (SD) in Dialectical-Behavior Therapy (DBT) for 26 female outpatients with borderline personality disorder (BPS).MethodVariance analyses are used to evaluate psychopathology and interpersonal problems in 2 subgroups (low vs. high SD) with questionnaires at 3 measuring times over the period of 1 year.ResultsLow SD was associated with higher psychopathology, more interpersonal problems and lower symptomreduction. Over time of intervention the SD of all patients improved significantly.ConclusionDBT strengthens the SD of patients with BPD. A screening of SD before intervention, and systematic support should be considered.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität Greifswald.|Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universität Ulm.
authors.forename: Dorothee
authors.initials: D
authors.lastname: Bernheim
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Helios-Klinikum Stralsund.
authors.forename: Mathias
authors.initials: M
authors.lastname: Becker
authors.affiliation: Institut für Psychologie, Universität Innsbruck.
authors.forename: Manuela
authors.initials: M
authors.lastname: Gander
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität Greifswald.|Institut für Psychologie, Universität Greifswald.
authors.forename: Alexander
authors.initials: A
authors.lastname: Lischke
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität Greifswald.
authors.forename: Renate
authors.initials: R
authors.lastname: Mentel
authors.affiliation: Institut für Psychologie, Universität Innsbruck.
authors.forename: Anna
authors.initials: A
authors.lastname: Buchheim
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität Greifswald.|Klinik für Psychiatrie und Psychotherapie, Helios-Klinikum Stralsund.
authors.forename: Harald J
authors.initials: HJ
authors.lastname: Freyberger
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D009042:Motivation; D010555:Personality Inventory; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D060685:Sense of Coherence; D013694:Temperament; D055815:Young Adult