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Forgiveness in the Treatment of Borderline Personality Disorder: A Quasi-Experimental Study. | LitMetric

AI Article Synopsis

  • - The pilot study assessed the effectiveness of a group forgiveness module integrated into dialectical behavior therapy (DBT) for adults with borderline personality disorder, involving 40 participants primarily female.
  • - Participants reported significant increases in forgiveness and decreases in attachment insecurities and psychiatric symptoms during the forgiveness module, with improvements sustained to a 6-week follow-up, especially compared to an earlier distress tolerance module.
  • - Results indicated that changes in attachment style mediated the relationship between forgiveness motivations and reductions in psychiatric symptoms, leading to recommendations for further development and the need for a randomized controlled trial.

Article Abstract

Objective: This pilot study evaluated a manualized group forgiveness module within dialectical behavior therapy (DBT).

Method: The study utilized a quasi-experimental double pretest design with adults (N = 40; 88.1% female, 11.9% male) diagnosed with borderline personality disorder in outpatient DBT. Measures of forgiveness, attachment, and psychiatric symptoms were completed at 4 time points.

Results: Participants showed increases in all measures of forgiveness and decreases in attachment insecurity and psychiatric symptoms during the forgiveness module and maintained to the 6-week follow-up. These effects were not observed during the prior distress tolerance module. Latent change score modeling showed reductions in anxious attachment mediated the effect of changes in benevolent motivations to forgive and trait forgiveness scores on reductions in psychiatric symptoms.

Conclusions: Effect sizes were similar to meta-analytic findings on (a) forgiveness interventions and (b) reductions in psychiatric symptoms in DBT. Participant feedback suggested elements for further development. A randomized controlled trial is needed.

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Source
http://dx.doi.org/10.1002/jclp.22185DOI Listing

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