Theory Around three: Increased specialist association could well be regarding the enhanced introject association in DBT

To sample the next theory i used picture 2 to look at this new association anywhere between sensed counselor affiliation and you will introject affiliation across the weeks inside cures and you will procedures class. All of our first details provided: 1) new dimensional recommendations regarding counselor affiliation that have introject affiliation and you can dos) the latest SASB group reviews of affiliative choices including therapist affirm which have introject self-affirm, therapist productive like which have introject active notice-like, and you will counselor manage with introject thinking-manage. The newest four HLM analyses exploring the association between this type of variables into the DBT, when ranked at the same review period, weren’t high neither was basically this new separate aftereffects of therapist affiliation to your introject association.

DBT people who stated greater reviews away from specialist energetic love advertised so much more introject thinking-love in the after the evaluation period, B = 0

Using the same variables, we ran a series of four lagged HLM analyses examining the association between ratings of the therapist behavior and next period ratings of introject. Dimensional ratings of therapist affiliation on next period introject affiliation in DBT were not significant nor were the independent effects of therapist affiliation on next period introject affiliation. Analysis of the lagged association between the SASB clusters revealed two significant findings. 23, SE = 0.08, t(97) = 2.99, p < 0.00, CI = 0.08, 0.39. Similarly DBT patients who reported greater ratings of therapist protect reported an increase in introject self-protect in the following assessment period, B = 0.18, SE = 0.09, t(97) = 2.11, p < 0.04, CI = 0.01, 0.35. Results were not significant for an increased association between therapist affirm and next period ratings of introject self-affirm in DBT.

In comparison to CTBE, DBT patients reported a stronger, positive association between therapist affirm and next period ratings of introject self-affirm, B = -0.37, SE = 0.21, t(96) = -2.25, p < 0.03, CI = -0.69, -0.04. In contrast, CTBE patients reported a tendency for the opposite pattern where higher ratings of therapist affirm predicted less introject self-affirm in the following assessment period. DBT patients also reported a stronger, more positive association between therapist active love and next period ratings of introject self-love compared to CTBE, B = -0.26, SE = 0.11, t(97) = -2.32, p < 0.03, CI = -0.47, -0.04 (See Figure 5 ). Results were not significant when comparing treatment differences in the lagged association between therapist protect and introject self-protect or dimensional ratings of therapist affiliation and introject affiliation.

Theory Five: Improved specialist association might possibly be in the less frequent NSSI during the DBT

The fourth hypothesis examined the association between SASB rated therapist affiliation and NSSI during DBT. Poisson HLM models showed no significant effect for the dimensional rating of therapist affiliation on NSSI apart from treatment. In the DBT condition, patients who perceived their therapists as more affiliative also reported less NSSI, B = -0.87, SE = 0.45 http://www.datingranking.net/fr/rencontres-de-voyage/, z = -1.94, p < 0.05, regardless of time in treatment. In comparison to CTBE, DBT therapists reported a significantly greater association between increased therapist affiliation and less NSSI, B = 0.01, SE = 0.00, z = 2.36, p < 0.02.

Supplementary analyses examined the specific SASB therapist clusters contributing to this overall effect. Analyses resulted in three significant effects where higher levels of therapist affirm, B = -0.01, SE = 0.00, z = -2.37, p < 0.05, higher levels of therapist active love, B = -0.01, SE = 0.00, z = -2.56, p < 0.05, and higher levels of therapist protect, B = -0.01, SE = 0.00, z = -2.70, p < 0.05, were associated with fewer occurrences of NSSI for DBT patients. In comparison to CTBE, results showed a significant treatment interaction for therapist affirm and therapist protect where DBT patients reported a stronger association between increased affirmation and protection with decreased NSSI. In contrast, CTBE showed the opposite pattern where patients who reported higher levels of therapist affirm showed more frequent NSSI while therapist protect showed little association with NSSI. Lagged analyses examining the order of change between patient perception of therapist behavior and next period ratings of NSSI were not significant.