https://doi.org/10.4081/ripppo.2023.694
Effectiveness of internet-delivered dialectical behavior therapy skills training on executive functions among college students with borderline personality traits: a non-randomized controlled trial
Submitted: April 27, 2023
Accepted: September 29, 2023
Published: October 30, 2023
Accepted: September 29, 2023
Abstract Views: 1712
PDF: 708
HTML: 91
HTML: 91
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Given the enormous influence of emotions on cognitive processes, individuals with borderline personality disorder (BPD) suffer from marked deficits in higher-order thinking abilities. Considering the prevalence of BPD among college students, this study aimed to investigate the changes in perceived executive functioning among college students with traits/presence of BPD undergoing internet-delivered dialectical behavior therapy skills training (DBT-ST) that included the mindfulness and emotion regulation modules. An internet-delivered version of DBT-ST was opted for, as technological advancements in the present era promote the use of online platforms for psychotherapy. This non-randomized controlled trial consisted of 36 college students with traits/presence of BPD. The intervention group attended 13 sessions of DBT-ST, and the control group attended 13 sessions of behavioral activation. Perceived executive functioning was assessed using the Behavior Rating Inventory of Executive Functions for Adults. A 2-way repeated measures analysis of variance was used to evaluate the treatment impact on the outcome variable. Results showed that the DBT-ST group had larger improvements in their abilities to initiate, plan, and organize current and future-oriented task demands and to organize their everyday environment, compared to the control group. Both, the DBT-ST group and the control group demonstrated improvements in emotional control, working memory, and their abilities to shift and task monitor. Findings suggest that the internet-delivered version of DBT-ST, consisting of the mindfulness and emotion regulation modules, can foster notable improvements in executive functions among college students with traits/presence of BPD. Improved executive functioning is one of the several multifaceted outcomes of dialectical behavior therapy.
Abdolghaddri, M., Narimani, M., Atadokht, A., Abolghasemi, A., & Hamidrezahatamian. (2019). Comparing the effect of positive psychotherapy and dialectical behavior therapy on memory and attention in multiple sclerosis patients. NeuroQuantology, 17(12), 01-08. doi:10.14704/nq.2019.17.12.nq1910.
DOI: https://doi.org/10.14704/nq.2019.17.12.NQ19106
Afshari, B., Jafarian Dehkordi, F., Asgharnejad Farid, A. A., Aramfar, B., Balagabri, Z., Mohebi, M., Mardi, N., & Amiri, P. (2022). Study of the effects of cognitive behavioral therapy versus dialectical behavior therapy on executive function and reduction of symptoms in generalized anxiety disorder. Trends in Psychiatry and Psychotherapy, 44, e20200156. doi: 10.47626/2237-6089-2020-0156.
DOI: https://doi.org/10.47626/2237-6089-2020-0156
Afshari, B., Omidi, A., & Ahmadvand, A. (2019). Effects of dialectical behavior therapy on executive functions, emotion regulation, and mindfulness in bipolar disorder. Journal of Contemporary Psychotherapy, 50(2), 123-131. doi: 10.1007/s10879-019-09442-7.
DOI: https://doi.org/10.1007/s10879-019-09442-7
American Psychological Association. APA dictionary of psychology. Available from: https://dictionary.apa.org/ego-functions.
Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K., Krakauer, K., Gluud, C., Thomsen, R. R., Randers, L., & Nordentoft, M. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder-a randomized observer-blinded clinical trial. Depression and Anxiety, 33(6), 520-530. doi: 10.1002/da.22472.
DOI: https://doi.org/10.1002/da.22472
Ayanyemi, T. (2021). Selection bias in research: types, examples & impact. Available from: https://www.formpl.us/blog/selection-bias.
Ayanyemi, T. (2022). Hawthorne effect: definition, implications & examples. Available from: https://www.formpl.us/blog/hawthorne-effect#:~:text=The%20best%20way%20to%20reduce,testing%20or%20double-blind%20testing.
Bagge, C., Nickell, A., Stepp, S., Durrett, C., Jackson, K., & Trull, T. J. (2004). Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology, 113(2), 279-288. doi: 10.1037/0021-843X.113.2.279.
DOI: https://doi.org/10.1037/0021-843X.113.2.279
Beblo, T., Mensebach, C., Wingenfeld, K., Rullkoetter, N., Schlosser, N., & Driessen, M. (2014). Subjective memory complaints and memory performance in patients with borderline personality disorder. BMC Psychiatry, 14, 255. doi: 10.1186/s12888-014-0255-2.
DOI: https://doi.org/10.1186/s12888-014-0255-2
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. doi: 10.1037//0022-006x.47.2.343.
DOI: https://doi.org/10.1037/0022-006X.47.2.343
Becker, H., Roberts, G., & Voelmeck, W. (2003). Explanations for improvement in both experimental and control groups. Western Journal of Nursing Research, 25(6), 746-755. doi: 10.1177/0193945903253002.
DOI: https://doi.org/10.1177/0193945903253002
Bellak, L., Hurvich, M., & Gediman, H. K. (1973). Ego functions in schizophrenics, neurotics, and normals: a systematic study of conceptual, diagnostic, and therapeutic aspects. Hoboken, John Wiley & Sons.
Berzins, L. G., & Trestman, R. L. (2004). The development and implementation of dialectical behavior therapy in forensic settings. International Journal of Forensic Mental Health, 3(1), 93-103. doi: 10.1080/14999013.2004.10471199.
DOI: https://doi.org/10.1080/14999013.2004.10471199
Blanchette, I., & Richards, A. (2010). The influence of affect on higher level cognition: a review of research on interpretation, judgement, decision making and reasoning. Cognition & Emotion, 24(4), 561-595. doi: 10.1080/02699930903132496.
DOI: https://doi.org/10.1080/02699930903132496
Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., Lieb, K., & Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial. Behaviour Research and Therapy, 42(5), 487-499. doi: 10.1016/S0005-7967(03)00174-8.
DOI: https://doi.org/10.1016/S0005-7967(03)00174-8
Braver, M. W., & Braver, S. L. (1988). Statistical treatment of the Solomon four-group design: a meta-analytic approach. Psychological Bulletin, 104(1), 150-154. doi: 10.1037/0033-2909.104.1.150.
DOI: https://doi.org/10.1037/0033-2909.104.1.150
Carvalho, J. O., & Ready, R. E. (2009). Emotion and executive functioning: the effect of normal mood states on fluency tasks. Journal of Clinical and Experimental Neuropsychology, 32(3), 225-230. doi: 10.1080/13803390902902458.
DOI: https://doi.org/10.1080/13803390902902458
Cavicchioli, M., Movalli, M., Vassena, G., Ramella, P., Prudenziati, F., & Maffei, C. (2019). The therapeutic role of emotion regulation and coping strategies during a stand-alone DBT skills training program for alcohol use disorder and concurrent substance use disorders. Addictive Behaviors, 98, 106035. doi: 10.1016/j.addbeh.2019.106035.
DOI: https://doi.org/10.1016/j.addbeh.2019.106035
Chapman, A. L., & Gratz, K. L. (2015). The dialectical behavior therapy skills workbook for anger: using DBT mindfulness and emotion regulation skills to manage anger. Oakland, New Harbinger Publications.
Chatoor, I., & Kurpnick, J. (2001). The role of non-specific factors in treatment outcome of psychotherapy studies. European Child & Adolescent Psychiatry, 10(S1), 19-25. doi: 10.1007/s007870170004.
DOI: https://doi.org/10.1007/s007870170004
Costello, B. J., & Zozula, C. (2016). Peer influence: mechanisms and motivations. Deviant Behavior, 39(1), 94-110. doi: 10.1080/01639625.2016.1260387.
DOI: https://doi.org/10.1080/01639625.2016.1260387
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: elaborating and extending Linehan’s theory. Psychological Bulletin, 135(3), 495-510. doi: 10.1037/a0015616.
DOI: https://doi.org/10.1037/a0015616
CTRI. Clinical trials registry-India. Available from: https://www.ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=49976.
Cuijpers, P., Cristea, I. A., Ebert, D. D., Koot, H. M., Auerbach, R. P., Bruffaerts, R., & Kessler, R. C. (2015). Psychological treatment of depression in college students: a metaanalysis. Depression and Anxiety, 33(5), 400-414. doi: 10.1002/da.22461.
DOI: https://doi.org/10.1002/da.22461
Davidson, R. J. (2000). Dysfunction in the neural circuitry of emotion regulation--a possible prelude to violence. Science, 289(5479), 591-594. doi: 10.1126/science.289.5479.591.
DOI: https://doi.org/10.1126/science.289.5479.591
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64(1), 135-168. doi: 10.1146/annurev-psych-113011-143750.
DOI: https://doi.org/10.1146/annurev-psych-113011-143750
Dinn, W. M., Harris, C. L., Aycicegi, A., Greene, P. B., Kerkley, S. M., & Reilly, C. (2004). Neurocognitive function in borderline personality disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 28(2), 329-341. doi: 10.1016/j.pnpbp.2003.10.012.
DOI: https://doi.org/10.1016/j.pnpbp.2003.10.012
Dixon-Gordon, K. L., Chapman, A. L., & Turner, B. J. (2015). A preliminary pilot study comparing dialectical behavior therapy emotion regulation skills with interpersonal effectiveness skills and a control group treatment. Journal of Experimental Psychopathology, 6(4), 369-388. doi: 10.5127/jep.041714.
DOI: https://doi.org/10.5127/jep.041714
Dyer, F. J. (1997). Application of the Millon inventories in forensic psychology. In Millon, T. The Millon inventories: clinical and personality assessment. New York, The Guilford Press.
Dyer, F. J., & McCann, J. T. (2000). The Millon clinical inventories, research critical of their forensic application, and Daubert criteria. Law and Human Behavior, 24(4), 487-497. doi: 10.1023/a:1005500615111.
DOI: https://doi.org/10.1023/A:1005500615111
Fabre, L., & Lemaire, P. (2019). How emotions modulate arithmetic performance. Experimental Psychology, 66(5), 368-376. doi: 10.1027/1618-3169/a000460.
DOI: https://doi.org/10.1027/1618-3169/a000460
Finch, A. P., McMahon, R. J., Moran, L. R., Peterson, A. P., & Dreessen, A. (2015). Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college students. Journal of Attention Disorders, 19(3), 260-271. doi: 10.1177/1087054714535951.
DOI: https://doi.org/10.1177/1087054714535951
Finch, E. F., Iliakis, E. A., Masland, S. R., & Choi-Kain, L. W. (2019). A meta-analysis of treatment as usual for borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 10(6), 491-499. doi: 10.1037/per0000353.
DOI: https://doi.org/10.1037/per0000353
French, D. P., Miles, L. M., Elbourne, D., Farmer, A., Gulliford, M., Locock, L., Sutton, S., McCambridge, J., on behalf of the MERIT Collaborative Group. (2021). Reducing bias in trials due to reactions to measurement: experts produced recommendations informed by evidence. Journal of Clinical Epidemiology, 139, 130-139. doi: 10.1016/j.jclinepi.2021.06.028.
DOI: https://doi.org/10.1016/j.jclinepi.2021.06.028
Gravetter, F. J., & Forzano, L. B. (2015). Research methods for the behavioral sciences (5th ed.). Boston, Cengage Learning.
Green, C. S., Bavelier, D., Kramer, A. F., Vinogradov, S., Ansorge, U., Ball, K. K., Bingel, U., Chein, J. M., Colzato, L. S., Edwards, J. D., Facoetti, A., Gazzaley, A., Gathercole, S. E., Ghisletta, P., Gori, S., Granic, I., Hillman, C. H., Hommel, B., Jaeggi, S. M., Kanske, P., Karbach, J., Kingstone, A., Kliegel, M., Klingberg, T., Kühn, S., Levi, D. M., Mayer, R. E., Collins McLaughlin, A., McNamara, D. S., Clare Morris, M., Nahum, M., Newcombe, N. S., Panizzutti, R., Shaurya Prakash, R., Rizzo, A., Schubert, T., Seitz, A. R., Short, S. J., Singh, I., Slotta, J. D., Strobach, T., Thomas, M. S. C., Tipton, E., Tong, X., Vlach, H. A., Loebach Wetherell, J., Wexler, A. & Witt, C. M. (2019). Improving methodological standards in behavioral interventions for cognitive enhancement. Journal of Cognitive Enhancement, 3(1), 2-29. doi: 10.1007/s41465-018-0115-y.
DOI: https://doi.org/10.1007/s41465-018-0115-y
Hagenhoff, M., Franzen, N., Koppe, G., Baer, N., Scheibel, N., Sammer, G., Gallhofer, B., & Lis, S. (2013). Executive functions in borderline personality disorder. Psychiatry Research, 210(1), 224-231. doi: 10.1016/j.psychres.2013.05.016.
DOI: https://doi.org/10.1016/j.psychres.2013.05.016
Halmoy, A., Ring, A. E., Gjestad, R., Møller, M., Ubostad, B., Lien, T., Munkhaugen, E. K., & Fredriksen, M. (2022). Dialectical behavioral therapy-based group treatment versus treatment as usual for adults with attention-deficit hyperactivity disorder: a multicenter randomized controlled trial. BMC Psychiatry, 22(1). doi: 10.1186/s12888-022-04356-6.
DOI: https://doi.org/10.1186/s12888-022-04356-6
Halvorsen, M. S., Benum, K., Oddli, H. W., Stanicke, E., & McLeod, J. (2017). How usual is treatment as usual? Experienced therapists’ reflections on participation in practice-based research. Counselling Psychology Quarterly, 33(1), 8-24. doi: 10.1080/09515070.2017.1397502.
DOI: https://doi.org/10.1080/09515070.2017.1397502
Harvey, P. D. (2012). Clinical applications of neuropsychological assessment. Dialogues in Clinical Neuroscience, 14(1), 91-99. doi: 10.31887/dcns.2012.14.1/pharvey.
DOI: https://doi.org/10.31887/DCNS.2012.14.1/pharvey
Hoermann, S., Clarkin, J. F., Hull, J. W., & Levy, K. N. (2005). The construct of effortful control: An approach to borderline personality disorder heterogeneity. Psychopathology, 38(2), 82-86. doi: 10.1159/000084815.
DOI: https://doi.org/10.1159/000084815
Hyland, K. A., McDonald, J. B., Verzijl, C., Faraci, D., Calixte-Civil, P. F., Gorey, C. M., & Verona, E. (2022). Telehealth for dialectical behavioral therapy: a commentary on the experience of a rapid transition to virtual delivery of DBT. Cognitive and Behavioral Practice, 29(2), 367-380. doi: 10.31234/osf.io/jrygd.
DOI: https://doi.org/10.1016/j.cbpra.2021.02.006
Iskric, A., & Barkley-Levenson, E. (2021). Neural changes in borderline personality disorder after dialectical behavior therapy-a review. Frontiers in Psychiatry, 12. doi: 10.3389/fpsyt.2021.772081.
DOI: https://doi.org/10.3389/fpsyt.2021.772081
Jain, A. T. (2022). Evaluating the feasibility, acceptability, and efficacy of a brief virtual dialectical behavioral therapy skills group for college students during Covid-19. Available from: https://etd.ohiolink.edu/acprod/odb_etd/ws/send_file/send?accession=miami1657729561395679&disposition=inline.
Jankowski, T., & Holas, P. (2014). Metacognitive model of mindfulness. Consciousness and Cognition, 28, 64-80. doi: 10.1016/j.concog.2014.06.005.
DOI: https://doi.org/10.1016/j.concog.2014.06.005
Jia, X., Li, W., & Cao, L. (2019). The role of metacognitive components in creative thinking. Frontiers in Psychology, 10. doi: 10.3389/fpsyg.2019.02404.
DOI: https://doi.org/10.3389/fpsyg.2019.02404
Johnstone, O. K., Marshall, J. J., & McIntosh, L. G. (2021). A review comparing dialectical behavior therapy and mentalization for adolescents with borderline personality traits, suicide and self-harming behavior. Adolescent Research Review, 7(2), 187-209. doi: 10.1007/s40894-020-00147-w.
DOI: https://doi.org/10.1007/s40894-020-00147-w
Kells, M., Joyce, M., Flynn, D., Spillane, A., & Hayes, A. (2020). Dialectical behaviour therapy skills reconsidered: applying skills training to emotionally dysregulated individuals who do not engage in suicidal and self-harming behaviours. Borderline Personality Disorder and Emotion Dysregulation, 7(1). doi: 10.1186/s40479-020-0119-y.
DOI: https://doi.org/10.1186/s40479-020-0119-y
Klodnick, V. V., Kissane, B., Johnson, R. P., Malina, C., Ewing, A., & Fagan, M. A. (2020). Adapting dialectical behavior therapy for young adults diagnosed with serious mental health conditions in residential care: a feasibility study. Residential Treatment for Children & Youth, 38(3), 269-288. doi: 10.1080/0886571x.2020.1751017.
DOI: https://doi.org/10.1080/0886571X.2020.1751017
Knight, R. P. (1953). Borderline states. In Loewenstein, R. M. (ed.). Drives, affects, behavior, (pp. 203-215). doi: 10.1037/10633-012.
DOI: https://doi.org/10.1037/10633-012
Kudesia, R. S. (2019). Mindfulness as metacognitive practice. Academy of Management Review, 44(2), 405-423. doi: 10.5465/amr.2015.0333.
DOI: https://doi.org/10.5465/amr.2015.0333
Lecrubier, Y., Sheehan, D., Hergueta, T., & Weiller, E. (1998). The mini international neuropsychiatric interview. European Psychiatry, 13(S4), 198S. doi: 10.1016/s0924-9338(99)80239-9.
DOI: https://doi.org/10.1016/S0924-9338(99)80239-9
Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Sheehan, K. H., Janavs, J., & Dunbar, G. (1997). The mini international neuropsychiatric interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry, 12(5), 224-231. doi: 10.1016/s0924-9338(97)83296-8.
DOI: https://doi.org/10.1016/S0924-9338(97)83296-8
LeGris, J., Toplak, M., & Links, P. S. (2014). Affective decision making in women with borderline personality disorder. Journal of Personality Disorders, 28(5), 698-719. doi: 10.1521/pedi_2014_28_140.
DOI: https://doi.org/10.1521/pedi_2014_28_140
Lejuez, C. W., & Hopko, D. R. (2013). Behavioral activation (BA) program treatment manual. Available from: https://www.div12.org/treatment/behavioral-activation-for-depression/.
Lenzenweger, M. F. (1997). Detecting personality disorders in a nonclinical population. Archives of General Psychiatry, 54(4), 345-351. doi: 10.1001/archpsyc.1997.01830160073010.
DOI: https://doi.org/10.1001/archpsyc.1997.01830160073010
Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, Guilford Press.
Linehan, M. M. (2015). DBT skills training manual (2nd ed.). New York, Guilford Publications.
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757. doi: 10.1001/archpsyc.63.7.757.
DOI: https://doi.org/10.1001/archpsyc.63.7.757
Mancke, F., Schmitt, R., Winter, D., Niedtfeld, I., Herpertz, S. C., & Schmahl, C. (2018). Assessing the marks of change: how psychotherapy alters the brain structure in women with borderline personality disorder. Journal of Psychiatry & Neuroscience, 43(3), 171-181. doi: 10.1503/jpn.170132.
DOI: https://doi.org/10.1503/jpn.170132
Marceau, E. M., Kelly, P. J., & Solowij, N. (2018). The relationship between executive functions and emotion regulation in females attending therapeutic community treatment for substance use disorder. Drug and Alcohol Dependence, 182, 58-66. doi: 10.1016/j.drugalcdep.2017.10.008.
DOI: https://doi.org/10.1016/j.drugalcdep.2017.10.008
Meaney-Tavares, R., & Hasking, P. (2013). Coping and regulating emotions: a pilot study of a modified dialectical behavior therapy group delivered in a college counseling service. Journal of American College Health, 61(5), 303-309. doi: 10.1080/07448481.2013.791827.
DOI: https://doi.org/10.1080/07448481.2013.791827
Meaney-Tavares, R., Hasking, P., & Reupert, A. (2016). Borderline personality disorder symptoms in college students: the complex interplay between alexithymia, emotional dysregulation and rumination. Plos One, 11(6), e0157294. doi: 10.1371/journal.pone.0157294.
DOI: https://doi.org/10.1371/journal.pone.0157294
Miller, A. L., Rathus, J. H., Linehan, M. M., Wetzler, S., & Leigh, E. (1997). Dialectical behavior therapy adapted for suicidal adolescents. Journal of Psychiatric Practice, 3(2), 78-86. doi: 10.1097/00131746-199703000-00002.
DOI: https://doi.org/10.1097/00131746-199703000-00002
Millon, T., Millon, C., Davis, R. D., & Grossman, S. (2009). Millon clinical multiaxial inventory-III (MCMI-III): manual (4th ed.). London, Pearson Education, Inc.
Millon, T., Millon, C. M., Meagher, S. E., Grossman, S. D., & Ramnath, R. (2004). Personality disorders in modern life. Hoboken, John Wiley & Sons.
Miotto, E. C., Savage, C. R., Evans, J. J., Wilson, B. A., Martins, M., Iaki, S., & Amaro, E. (2006). Bilateral activation of the prefrontal cortex after strategic semantic cognitive training. Human Brain Mapping, 27(4), 288-295. doi: 10.1002/hbm.20184.
DOI: https://doi.org/10.1002/hbm.20184
Mitsea, E., Drigas, A., & Skianis, C. (2022). Mindfulness strategies for metacognitive skills training in special education: the role of virtual reality. Technium Social Sciences Journal, 35, 232-262. doi: 10.47577/tssj.v35i1.7275.
DOI: https://doi.org/10.47577/tssj.v35i1.7275
Mochrie, K. D., Lothes II, J., Guendner, E., & St. John, J. (2020). DBT-informed treatment in a partial hospital and intensive outpatient program: the role of step-down care. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(2), 461. doi: 10.4081/ripppo.2020.461.
DOI: https://doi.org/10.4081/ripppo.2020.461
Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158(11), 1783-1793. doi: 10.1176/appi.ajp.158.11.1783.
DOI: https://doi.org/10.1176/appi.ajp.158.11.1783
Muhomba, M., Chugani, C. D., Uliaszek, A. A., & Kannan, D. (2017). Distress tolerance skills for college students: a pilot investigation of a brief DBT group skills training program. Journal of College Student Psychotherapy, 31(3), 247-256. doi: 10.1080/87568225.2017.1294469.
DOI: https://doi.org/10.1080/87568225.2017.1294469
Neacsiu, A. D., Lungu, A., Harned, M. S., Rizvi, S. L., & Linehan, M. M. (2014). Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behaviour Research and Therapy, 53, 47-54. doi: 10.1016/j.brat.2013.12.004.
DOI: https://doi.org/10.1016/j.brat.2013.12.004
Pressman, M. D. (1969). The cognitive function of the ego in psychoanalysis. I. The search for insight. International Journal of Psychoanalysis, 50(2), 187-196.
Rabinovitz, S., & Nagar, M. (2018). The effects of craving on implicit cognitive mechanisms involved in risk behavior: can dialectical behavior therapy in therapeutic communities make a difference? A pilot study. Therapeutic Communities: the International Journal of Therapeutic Communities, 39(2), 83-92. doi: 10.1108/TC-12-2017-0034.
DOI: https://doi.org/10.1108/TC-12-2017-0034
Riva, G., Teruzzi, T., & Anolli, L. (2003). The use of the internet in psychological research: comparison of online and offline questionnaires. CyberPsychology & Behavior, 6(1), 73-80. doi: 10.1089/109493103321167983.
DOI: https://doi.org/10.1089/109493103321167983
Robins, T. G., Roberts, R. M., & Sarris, A. (2019). The effectiveness, feasibility, and acceptability of a dialectical behaviour therapy skills training group in reducing burnout and psychological distress in psychology trainees: a pilot study. Australian Psychologist, 54(4), 292-301. doi: 10.1111/ap.12389.
DOI: https://doi.org/10.1111/ap.12389
Rodrigo, A. H. (2015). Changes in neural systems underlying response inhibition in patients with BPD after six months of dialectical behaviour therapy. Available from: https://tspace.library.utoronto.ca/bitstream/1807/79806/1/Rodrigo_Achala_H_201111_MA_thesis.pdf.
Roth, R. M., Isquith, P. K., & Gioia, G. A. (2005). BRIEF-A: behavior rating inventory of executive function - adult version. Lutz, Psychological Assessment Resources.
DOI: https://doi.org/10.1037/t86244-000
Sanger, K. L., & Dorjee, D. (2016). Mindfulness training with adolescents enhances metacognition and the inhibition of irrelevant stimuli: evidence from event-related brain potentials. Trends in Neuroscience and Education, 5(1), 1-11. doi: 10.1016/j.tine.2016.01.001.
DOI: https://doi.org/10.1016/j.tine.2016.01.001
Schuermann, B., Kathmann, N., Stiglmayr, C., Renneberg, B., & Endrass, T. (2011). Impaired decision making and feedback evaluation in borderline personality disorder. Psychological Medicine, 41(9), 1917-1927. doi: 10.1017/S003329171000262X.
DOI: https://doi.org/10.1017/S003329171000262X
Secrist, C. D. (2014). The role of executive functioning in the treatment of borderline personality disorder. Seattle, University of Washington Libraries.
Shields, G. S., Moons, W. G., Tewell, C. A., & Yonelinas, A. P. (2016). The effect of negative affect on cognition: anxiety, not anger, impairs executive function. Emotion, 16(6), 792-797. doi: 10.1037/emo0000151.
DOI: https://doi.org/10.1037/emo0000151
Shin, G., Feng, Y., Jarrahi, M. H., & Gafinowitz, N. (2018). Beyond novelty effect: a mixed-methods exploration into the motivation for long-term activity tracker use. JAMIA Open, 2(1), 62-72. doi: 10.1093/jamiaopen/ooy048.
DOI: https://doi.org/10.1093/jamiaopen/ooy048
Siste, K., Hanafi, E., Adrian, Sen, L. T., Alison, P., & Beatrice, E. (2022). Online dialectical behavioral therapy for adults with internet addiction: a quasi-experimental trial during the COVID-19 pandemic. Psychiatry Research, 315, 114698. doi: 10.1016/j.psychres.2022.114698.
DOI: https://doi.org/10.1016/j.psychres.2022.114698
Smith, A., Freeman, K., Montgomery, S., Vermeersch, D., & James, S. (2018). Executive functioning outcomes among adolescents receiving dialectical behavior therapy. Child and Adolescent Social Work Journal, 36(5), 495-506. doi: 10.1007/s10560-018-0578-9.
DOI: https://doi.org/10.1007/s10560-018-0578-9
Soler, J., Elices, M., Pascual, J. C., Martín-Blanco, A., Feliu-Soler, A., Carmona, C., & Portella, M. J. (2016). Effects of mindfulness training on different components of impulsivity in borderline personality disorder: results from a pilot randomized study. Borderline Personality Disorder and Emotion Dysregulation, 3, 1. doi: 10.1186/s40479-015-0035-8.
DOI: https://doi.org/10.1186/s40479-015-0035-8
Soler, J., Valdepérez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martín-Blanco, A., Alvarez, E., & Pérez, V. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behaviour Research and Therapy, 50(2), 150-157. doi: 10.1016/j.brat.2011.12.002.
DOI: https://doi.org/10.1016/j.brat.2011.12.002
Storbeck, J., & Maswood, R. (2015). Happiness increases verbal and spatial working memory capacity where sadness does not: Emotion, working memory and executive control. Cognition and Emotion, 30(5), 925-938. doi: 10.1080/02699931.2015.1034091.
DOI: https://doi.org/10.1080/02699931.2015.1034091
The Decision Lab. Why do we change our behavior when we’re being watched? Observer expectancy effect, explained. Available from: https://thedecisionlab.com/biases/observer-expectancy-effect.
Thomsen, M. S., Ruocco, A. C., Carcone, D., Mathiesen, B. B., & Simonsen, E. (2017). Neurocognitive deficits in borderline personality disorder: associations with childhood trauma and dimensions of personality psychopathology. Journal of Personality Disorders, 31(4), 503-521. doi: 10.1521/pedi_2016_30_265.
DOI: https://doi.org/10.1521/pedi_2016_30_265
University of Virginia. (2020). Protecting privacy. Available from: https://research.virginia.edu/irb-sbs/protecting-privacy.
Vijayapriya, C., & Tamarana, R. (2023). Effectiveness of dialectical behavior therapy as a transdiagnostic treatment for improving cognitive functions: a systematic review. Research in Psychotherapy: Psychopathology, Process and Outcome, 26(2), 662. doi: 10.4081/ripppo.2023.662.
DOI: https://doi.org/10.4081/ripppo.2023.662
Wilks, C., Yin, Q., Ang, S. Y., Matsumiya, B., Lungu, A., & Linehan, M. (2017). Internet-delivered dialectical behavioral therapy skills training for suicidal and heavy episodic drinkers: Protocol and preliminary results of a randomized controlled trial. JMIR Research Protocols, 6(10), e207. doi: 10.2196/resprot.7767.
DOI: https://doi.org/10.2196/resprot.7767
Williams, G. E., Daros, A. R., Graves, B., McMain, S. F., Links, P. S., & Ruocco, A. C. (2015). Executive functions and social cognition in highly lethal self-injuring patients with borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 6(2), 107-116. doi: 10.1037/per0000105.
DOI: https://doi.org/10.1037/per0000105
World Health Organization. (2016). International statistical classification of diseases and related health problems (10th ed.). Available from: https://icd.who.int/browse10/2016/en.
Zargar, F., Haghshenas, N., Rajabi, F., & Tarrahi, M. (2019). Effectiveness of dialectical behavioral therapy on executive function, emotional control and severity of symptoms in patients with bipolar I disorder. Advanced Biomedical Research, 8(1), 59. doi: 10.4103/abr.abr_42_19.
DOI: https://doi.org/10.4103/abr.abr_42_19
Zhang, J., Cai, L., Zhu, X., Yi, J., Yao, S., Hu, M., Bai, M., Li, L., & Wang, Y. (2014). Neurological soft signs in adolescents with borderline personality traits. International Journal of Psychiatry in Clinical Practice, 19(1), 40-44. doi: 10.3109/13651501.2014.981544.
DOI: https://doi.org/10.3109/13651501.2014.981544
Zimmerman, M., & Mattia, J. I. (1999). Axis I diagnostic comorbidity and borderline personality disorder. Comprehensive Psychiatry, 40(4), 245-252. doi: 10.1016/s0010-440x(99)90123-2.
DOI: https://doi.org/10.1016/S0010-440X(99)90123-2
How to Cite
Vijayapriya, C., & Tamarana, R. (2023). Effectiveness of internet-delivered dialectical behavior therapy skills training on executive functions among college students with borderline personality traits: a non-randomized controlled trial. Research in Psychotherapy: Psychopathology, Process and Outcome, 26(3). https://doi.org/10.4081/ripppo.2023.694
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Rosaleen McElvaney, Andrina Monaghan, Christina Treacy, Naoise Delaney, Adolescents’ experiences of psychotherapy following child sexual abuse , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 26 No. 2 (2023)
- Lucia Nuñez, Sofía Fernández, Nicolle Alamo, Nick Midgley, Claudia Capella, Mariane Krause, The therapeutic relationship and change processes in child psychotherapy: a qualitative, longitudinal study of the views of children, parents and therapists , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 1 (2022)
- Annalisa Tanzilli, Antonello Colli, Laura Muzi, Vittorio Lingiardi, Clinician Emotional Response Toward Narcissistic Patients: A Preliminary Report , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 18 No. 1 (2015)
- Salvatore Gullo, Gianluca Lo Coco, Laura Salerno, Federica La Pietra, Vincenzo Bruno, A study of personality subtypes in treatment seeking obese patients , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 16 No. 2 (2013)
- Linnea Nissling, Sandra Weineland, Kristofer Vernmark, Ella Radvogin, Anna-Karin Engström, Sara Schmidt, Eva Nieto Granberg, Elin Larsson, Timo Hursti, Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 26 No. 2 (2023)
- Alberto Stefana, Paolo Fusar-Poli, Joshua Langfus, Eduard Vieta, Eric Youngstrom, Development and preliminary validation of the Clinician Affective REsponse (CARE) scale , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 27 No. 1 (2024)
- Chiara Rossi, Osmano Oasi, Barbara Colombo, Personality characteristics, music-listening, and well-being: a systematic and scoping review , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 27 No. 1 (2024)
- Ana Nunes da Silva, Antònio Branco Vasco, Jeanne C. Watson, Alexithymia and emotional processing: a longitudinal mixed methods research , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 21 No. 1 (2018)
- Guillermo de la Parra, Paula Dagnino, Camila Valdés, Mariane Krause, Beyond self-criticism and dependency: structural functioning of depressive patients and its treatment , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 20 No. 1 (2017)
- Gonca Soygüt, İsmail Volkan Gülüm, A thematic analysis of therapists' perspectives on therapeutic alliance rupture moments , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 19 No. 2 (2016)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
