The Comparison of Effectiveness of Dialectical Behavioral Therapy (DBT) and Schema Therapy(ST)in Reducing the Severity of Clinical Symptoms (Disruptive Communication, Emotional Deregulation.....in Iran
Najmeh Hamid, Rasoul Rezaei Molajegh, Kiomars Bashlideh, Manijeh Shehniyailagh
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ABSTRACT
Borderline personality disorder is one of the complex
mental disorders. It also features impulsivity and self – harming behaviors.
The objective of this research was to investigate and compare the effectiveness
of DBT with that of ST in reducing the severity of clinical symptoms (i.e.,
disruptive communication, emotional deregulation and behavioral deregulation)
of borderline personality disorder patients.The sample consisted of 45
borderline personality disorder patients selected based on diagnostic and
statistical manual of mental disorder-fifth edition(DSM-5),
clinical interview and
borderline personality disorder severity index(BPDSI).Moreover,
they were matched concerning age, educational status, sex, not suffering from
acute physical, mental disorder and other criterion considered in this
research. Then, they were randomly divided into threegroups (i.e., 2
experimental groups and one control group). The instrumentswere included
clinical interview and
borderline personality disorder severity index (BPDSI).
After pre testing, the first experimental group received12 sessions of DBT and
the second experimental group (ST) was administered 12 sessions of (ST), but
the control group did not receive any intervention,then, post - test was taken
from both groups. After 6 months, a follow-up test was administered.The results
revealed that (ST) and (DBT)
reduced the symptoms of borderline personality disorderincomparison with
pre-test and control group(P<0.001).
The effectiveness of (DBT) in
disrupted communication was significantly higher than (ST)in
post-test and follow-up periods.However, there was no significant difference
between (DBT) and (ST)in
terms of both emotional and behavioral deregulations. In
addition, (ST)was more effective than (DBT)in
reducing emotional deregulation, but there was no significant difference
between them.Moreover,in follow-up period, the (DBT)
was significantly more effective in reducing unstable interpersonal
relationships and suicidal symptoms than(ST).However, the
(ST)was more effective in reducing unstable
emotional behaviors.
Keywords:
Dialectical behavior therapy(DBT), schema therapy(ST), borderline
personality disorder, disruptive communication, emotional deregulation,
behavioral deregulation