Abstract
Evidence-based assessment (EBA) involves using empirically validated psychological assessment measures to inform case conceptualization and treatment planning. EBA can improve clinical care by providing information relevant for treatment targets and expectations and can clarify how specific client characteristics may be associated with treatment outcomes. Research on EBA practices in relation to particularly challenging clinical problems (e.g., borderline personality disorder) can be especially useful for practitioners. The current study examines Personality Assessment Inventory-Adolescent (PAI-A) predictors of treatment completion, therapeutic alliance, and symptom change in a sample of 44 adolescent boys (Mage = 16.70, SD = 0.56; 75.0% White) in a residential boot camp program for at-risk youths. Participants completed Dialectical Behavior Therapy for Adolescents-informed skills training groups. PAI-A scales related to somatic complaints, depression, antisocial traits, aggression, borderline traits, problematic alcohol use, and interpersonal dominance, as well as an index measuring overall clinical severity, distinguished adolescents who completed the intervention from those who discontinued the intervention. Adolescents with more borderline personality features reported more modest improvements in emotion dysregulation. Additionally, interpersonal warmth was positively related to therapeutic alliance suggesting that client interpersonal style is an important contributor to client-rated therapeutic alliance.
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Data are stored in the Open Science Framework: doi: https://doi.org/10.17605/OSF.IO/CE7QS
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Acknowledgements
The authors are grateful to the following non-author students who served as therapists and/or research assistants for this project: Lovina Bater, Margaret Bullerjahn, Victoria Gilbert, Christopher Gillen, Laura Hansen, Tiffany Harrop, Lauren Lee-Rowland, Olivia Preston, and David Schultz. We also thank Laura Meyers, Ph.D., ABPP, who provided consultation services and facilitated training of the therapists and Jacqueline Wright Holland, LICSW, who co-facilitated training. Finally, the authors are grateful to the staff of the participating Youth Challenge Academy for their partnership and collaboration.
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Funding for the intervention project was provided by the Society for a Science of Clinical Psychology and the University of Southern Mississippi Proposal Development Grant Program (both awarded to NEC & JCA).
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Charles, N.E., Floyd, P.N., Bulla, B.A. et al. PAI-A Predictors of Treatment Response in a DBT-A-Informed Intervention for Adolescent Boys. J Psychopathol Behav Assess 43, 840–853 (2021). https://doi.org/10.1007/s10862-021-09886-z
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DOI: https://doi.org/10.1007/s10862-021-09886-z