Article

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

School of Applied and Professional Psychology, Rutgers University, Piscataway, NJ 08854, USA.
Behavior therapy (Impact Factor: 3.69). 12/2011; 42(4):589-600. DOI: 10.1016/j.beth.2011.01.003
Source: PubMed

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 14 days 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.

Download full-text

Full-text

Available from: Marsha M Linehan, Feb 25, 2014
  • Source
    • "These are: (i) reduction which states that tasks should be as simple as possible, (ii) tunneling in which users should be led through a series of steps to achieve their goals, (iii) tailoring in which users are provided with specific design and information, (iv) suggestions which describe interventions at the right moment to suggest action, (v) self-monitoring which empowers users to monitor their own progress toward achieving a desired attitude or behavior, (vi) surveillance which allows an external party to monitor user behavior with the intent to motivate change, and (vii) conditioning which employs principles of operant conditioning to bring about change. The principles of PSD have been successfully applied to various domains including obesity (Toscos et al., 2006; Tsai et al., 2007), Borderline Personality Disorder (Rizvi et al., 2011), smoking cessation (Lehto and Oinas-Kukkonen, 2009), and alcoholism (Lehto and Oinas-Kukkonen, 2009; Cohn et al., 2011). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Over the last few years, online gambling has become a more common leisure time activity. However, for a small minority, the activity can become problematic. Consequently, the gambling industry has started to acknowledge their role in player protection and harm minimization and some gambling companies have introduced responsible gambling tools as a way of helping players stay in control. The present study evaluated the effectiveness of mentor (a responsible gambling tool that provides personalized feedback to players) among 1,015 online gamblers at a European online gambling site, and compared their behavior with matched controls (n = 15,216) on the basis of age, gender, playing duration, and theoretical loss (i.e., the amount of money wagered multiplied by the payout percentage of a specific game played). The results showed that online gamblers receiving personalized feedback spent significantly less time and money gambling compared to controls that did not receive personalized feedback. The results suggest that responsible gambling tools providing personalized feedback may help the clientele of gambling companies gamble more responsibly, and may be of help those who gamble excessively to stay within their personal time and money spending limits.
    Full-text · Article · Sep 2015 · Frontiers in Psychology
  • Source
    • "Det er hittil ikke publisert noen studier som har vist at det å tilby bare enkelte deler gir like god effekt som standard DBT i den populasjonen metoden opprinnelig ble utviklet for. Bruk av elementer av DBT i behandling av ulike populasjoner og settinger er studert i flere RCT'er og andre typer studier (Safer, Robinson, & Jo, 2010;Lynch et al., 2007;Safer et al., 2001;Telch et al., 2001; Eric Trupin, David Stewart, Brad Beach, & Lisa Boesky, 2002;Bradley & Follingstad, 2003;Chen, Matthews, Allen, Kuo, & Linehan, 2008;T Wasser, Tyler R, McIlhaney, Taplin R, &Henderson L, 2008;Feldman, Harley, Kerrigan, Jacobo, & Fava, 2009;Iverson, Shenk, & Fruzzetti, 2009;Shelton, Sampl, Kesten, Zhang, & Trestman, 2009;Soler et al., 2009;Sakdalan, Shaw, & Collier, 2010;Waltz, Landes, & Collier, 2010;Williams, Hartstone, & Denson, 2010;Hill et al., 2011;Hirvikoski et al., 2011;Rizvi, Dimeff, Skutch, Carroll, & Linehan, 2011;Neacsiu et al., 2014;James, Winmill, Anderson, & Alfoadari, 2011). En sammenstilling av resultatene tilsier at ferdighetstrening uten individualterapi (der ferdighetstrenerne bruker DBTs terapeutstrategier, deltar i team og det tilbys telefonveiledning) kan ha god effekt for pasienter med diverse psykiske lidelser, vansker med følelsesregulering og relasjonsproblemer. "

    Full-text · Article · Jun 2015
  • Source
    • "These are: (i) reduction which states that tasks should be as simple as possible, (ii) tunneling in which users should be led through a series of steps to achieve their goals, (iii) tailoring in which users are provided with specific design and information, (iv) suggestions which describe interventions at the right moment to suggest action, (v) self-monitoring which empowers users to monitor their own progress toward achieving a desired attitude or behavior, (vi) surveillance which allows an external party to monitor user behavior with the intent to motivate change, and (vii) conditioning which employs principles of operant conditioning to bring about change. The principles of PSD have been successfully applied to various domains including obesity (Toscos et al., 2006; Tsai et al., 2007), Borderline Personality Disorder (Rizvi et al., 2011), smoking cessation (Lehto and Oinas-Kukkonen, 2009), and alcoholism (Lehto and Oinas-Kukkonen, 2009; Cohn et al., 2011). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Over the last few years, online gambling has become a more common leisure time activity. However, for a small minority, the activity can become problematic. Consequently, the gambling industry has started to acknowledge their role in player protection and harm minimization and some gambling companies have introduced responsible gambling tools as a way of helping players stay in control. The present study evaluated the effectiveness of mentor (a responsible gambling tool that provides personalized feedback to players) among 1,015 online gamblers at a European online gambling site, and compared their behavior with matched controls (n=15,216) on the basis of age, gender, playing duration, and theoretical loss (i.e., the amount of money wagered multiplied by the payout percentage of a specific game played). The results showed that online gamblers receiving personalized feedback spent significantly less time and money gambling compared to controls that did not receive personalized feedback. The results suggest that responsible gambling tools providing personalized feedback may help the clientele of gambling companies gamble more responsibly, and may be of help those who gamble excessively to stay within their personal time and money spending limits.
    Full-text · Article · Jan 2015 · Frontiers in Psychology
Show more