The objective of the study is to find out the possible effects of the DBT program for antisocial patients and the best instruments to measure these effects. It is a try-out of the program and it will be modified if necessary. The longer term aim is…
ID
Source
Brief title
Condition
- Personality disorders and disturbances in behaviour
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. Impulsivity: operationalised as a impairment in response-inhibition, will
be measured with a neuropsychological test, the Stop-task (Bekker et al. 2005)
and with the BIS-part of the BIS-Bas self-report Scale (Montagne et al 2005);
operationalised als level of selfcontrol impulsivity will be measured by
assessing cortisol levels in sputum. (Loney et al. 2006 ).
2. Emotional sensitivity: heightened emotional sensitivity should improve
achievement on a test for recognition of emotional facial expressions (Montagne
et al. 2005, Blair 2004), especially recognition of fearful and sad
expressions.
3. Hostile and dominant behavior will be measured in four ways:
1. Self report: BDHI-D, SCL-90, and the BAS-part of the BIS/BAS - scale.
(Montagne et al. 2005).
2. (only for clinical patients:) Observation of hostile behavior by
sociotherapists with the Atascadero Skills Profile (Vess 2001) and registration
of violent incidents with the SOAS-r (Nijman, Muris & Merkelbach 2004).
3. Neuropsychologically with the Masked Emotional Stroop Test (Putman, Hermans
en Van Honk 2004).
4. Level of testosteron in the sputum (Dabbs 1992)
Secondary outcome
Patient-therapist relationship will be measured with the WAV (Working Alliance
Inventory) client and therapist version, and the Feeling Word Checklist (De
Ruiter & De Vogel 2003).
The adequacy of the procedure, drop-out of patients and the evaluation of the
program by therapists and patients will be studied and the necessity of
improvements in the program will be considered.
Background summary
This is a pilot study into the effects of a program of Dialectical Behavior
Therapy (DBT) for antisocial patients. In forensic psychiatry en addiction care
many patients with antisocial problems can be found. This kind of problems form
a important risk factor for violent behavior. For antisocial patients there are
no effective treatment programs available. DBT has been developed bij prof.
M.Linehan in the US. The program has been proven affective for patients with a
borderline personality disorder (BPD). It has been used now for two years in
Oldenkotte.
Study objective
The objective of the study is to find out the possible effects of the DBT
program for antisocial patients and the best instruments to measure these
effects. It is a try-out of the program and it will be modified if necessary.
The longer term aim is to make implementation possible in other tbs- and
addiction clinics and to carry out a randomized clinical trial.
Study design
The design is a randomized repeated measurements design. The experimental group
consists of two therapygroups of 6-8 patients. The controlgroup consists of the
same number of patients getting treatment as usual.
Intervention
The intervention consist of 14 weeks of DBT.
Study burden and risks
The burden for the patients is not high, and there are no risks connected at
participating in the study. We expect that they can benefit from the
treatment. Assessments have a total duration of 2 x 2 hours, and besides that 2
- 3 hours for the outpatients. In session one they complete the self-report
questionnaires, in session two the neuropsychological and the physiological
tests. These tests consist of three, rapidly to carry out, computer-directed
tasks and a non-evasive physiological test.
postbus 13
7150 AA Rekken
Nederland
postbus 13
7150 AA Rekken
Nederland
Listed location countries
Age
Inclusion criteria
Patients with antisocial personality disorder or a personality disorder otherwise with antisocial features and impulsivity problems.
Exclusion criteria
Chronic psychotic symptoms, IQ <80, primary diagnosis of a borderline personality disorder.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL11441.097.06 |