Self-efficacy as a predictor of skills use and as a treatment outcome measure for Dialectical Behavior Therapy skills training modules
Year: 2004
Type: dissertation
Study design: Clinical Trial
Abstract: Self-efficacy as a Predictor of Skills Use and as a Treatment Outcome Measure for Dialectical Behavior Therapy Skills Training Modules Dialectical Behavior Therapy (DBT) is a manual-based treatment for individuals with Borderline Personality Disorder (BPD) that includes a skills training component.The development and utilization of new skills to regulate emotions more adaptively is a central component of the treatment.Past research in the area of health behaviors has found that a person's sense of self-efficacy influences the initiation, adoption, and maintenance of health behaviors (Bandura, 1977).The current study addresses the role of self-efficacy in the process of learning behavioral skills in DBT.The purposes of the study were to examine 1) if a skills training intervention can increase skill self-efficacy, and 2) if self-efficacy predicts subsequent skills use.Additionally, the relationship between self-efficacy and symptoms of psychopathology, such as depressed mood and addictive behaviors, was examined.The study included 34 subjects, ages 23 to 67 years old, who met criteria for BPD.Subjects were randomly assigned to either a treatment or a control group.All subjects completed the DBT Skills Self-Efficacy Scale (SSES) as a pretest and post-test measure.At each experimental session the treatment group viewed one of three videotapes that demonstrated specific DBT skills: one video explained reality acceptance skills and two videos explained crisis survival skills.Subjects in the control group viewed a series of psychoeducational videotapes.At the end of each experimental session, subjects again completed the subscale of the DBT SSES that was associated with the video that was viewed.Experimental subjects were given a homework assignment to engage in the skills they had learned that session.Skills behaviors used during the week were assessed at the subsequent session.The results generally supported the hypothesis that the skills training intervention would increase skills self-efficacy, with the exception of the first crisis survival skills module.Level of self-efficacy did not predict skill utilization.Discussion of the findings provides insight into the complex relationship between selfefficacy for skill use and treatment outcome in DBT skills training.
Source: The Mathematics Enthusiast
Author: Christopher S. Miller
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2465464890