A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder

Abstract: Dialectical behavior therapy (DBT) has received strong empirical support and is practiced widely as a treatment for borderline personality disorder (BPD) and BPD with comorbid substance use disorders (BPD-SUD). Therapeutic success in DBT requires that individuals generalize newly acquired...

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Publicado en:Behavior Therapy Vol. 42; no. 4; pp. 589 - 601
Autores principales: Rizvi, Shireen L., Dimeff, Linda A., Skutch, Julie, Carroll, David, Linehan, Marsha M.
Formato: Artículo
Publicado: Elsevier B.V. Dec2011
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2011
      vid: 42
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      pub: Elsevier B.V.
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        66947356
        10.1016/j.beth.2011.01.003
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        atl: A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder
      aug:
        au:
          Rizvi, Shireen L.
          Dimeff, Linda A.
          Skutch, Julie
          Carroll, David
          Linehan, Marsha M.
        affil:
          Rutgers University
          BTECH Research, Inc.
          University of Washington
          Parsons, The New School for Design
      su:
        Treatment of borderline personality disorder
        Substance abuse treatment
        Pilot projects
        Dialectical behavior therapy
        Smartphones
        Application software
      sug:
        subj:
          Treatment of borderline personality disorder
          Substance abuse treatment
          Software publishers (except video game publishers)
          Custom Computer Programming Services
          Software Publishers
          Outpatient Mental Health and Substance Abuse Centers
          Psychiatric and Substance Abuse Hospitals
          Pilot projects
          Dialectical behavior therapy
          Smartphones
          Application software
      ab: Abstract: Dialectical behavior therapy (DBT) has received strong empirical support and is practiced widely as a treatment for borderline personality disorder (BPD) and BPD with comorbid substance use disorders (BPD-SUD). Therapeutic success in DBT requires that individuals generalize newly acquired skills to their natural environment. However, there have been only a limited number of options available to achieve this end. The primary goal of this research was to develop and test the feasibility of the DBT Coach, a software application for a smartphone, designed specifically to enhance generalization of a specific DBT skill (opposite action) among individuals with BPD-SUD. We conducted a quasiexperimental study in which 22 individuals who were enrolled in DBT treatment programs received a smartphone with the DBT Coach for 10 to 14days and were instructed to use it as needed. Participants used the DBT Coach an average of nearly 15 times and gave high ratings of helpfulness and usability. Results indicate that both emotion intensity and urges to use substances significantly decreased within each coaching session. Furthermore, over the trial period, participants reported a decrease in depression and general distress. Mobile technology offering in vivo skills coaching may be a useful tool for reducing urges to use substances and engage in other maladaptive behavior by directly teaching and coaching in alternative, adaptive coping behavior.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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