Publications
42 results found
Barnicot K, Couldrey L, Sandhu S, et al., 2015, Overcoming Barriers to Skills Training in Borderline Personality Disorder: A Qualitative Interview Study, PLOS One, Vol: 10, ISSN: 1932-6203
Despite evidence suggesting that skills training is an important mechanism of change in dialecticalbehaviour therapy, little research exploring facilitators and barriers to this processhas been conducted. The study aimed to explore clients’ experiences of barriers to dialecticalbehaviour therapy skills training and how they felt they overcame these barriers, and tocompare experiences between treatment completers and dropouts. In-depth qualitativeinterviews were conducted with 40 clients with borderline personality disorder who hadattended a dialectical behaviour therapy programme. A thematic analysis of participants’reported experiences found that key barriers to learning the skills were anxiety during theskills groups and difficulty understanding the material. Key barriers to using the skills wereoverwhelming emotions which left participants feeling unable or unwilling to use them. Keyways in which participants reported overcoming barriers to skills training were by sustainingtheir commitment to attending therapy and practising the skills, personalising the way theyused them, and practising them so often that they became an integral part of their behaviouralrepertoire. Participants also highlighted a number of key ways in which they weresupported with their skills training by other skills group members, the group therapists, theirindividual therapist, friends and family. Treatment dropouts were more likely than completersto describe anxiety during the skills groups as a barrier to learning, and were less likelyto report overcoming barriers to skills training via the key processes outlined above. Thefindings of this qualitative study require replication, but could be used to generate hypothesesfor testing in further research on barriers to skills training, how these relate to dropout,and how they can be overcome. The paper outlines several such suggestions for furtherresearch.
Highton-Williamson E, Barnicot K, Kareem T, et al., 2015, Offering Financial Incentives to Increase Adherence to Antipsychotic Medication <i>The Clinician Experience</i>, JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, Vol: 35, Pages: 120-127, ISSN: 0271-0749
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- Citations: 13
Barnicot K, Wampold B, Priebe S, 2014, The effect of core clinician interpersonal behaviours on depression, JOURNAL OF AFFECTIVE DISORDERS, Vol: 167, Pages: 112-117, ISSN: 0165-0327
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- Citations: 15
Barnicot K, Savill M, Bhatti N, et al., 2014, A Pragmatic Randomised Controlled Trial of Dialectical Behaviour Therapy: Effects on Hospitalisation and Post-Treatment Follow-Up, PSYCHOTHERAPY AND PSYCHOSOMATICS, Vol: 83, Pages: 192-193, ISSN: 0033-3190
Gaglia A, Essletzbichler J, Barnicot K, et al., 2013, Dropping out of dialectical behaviour therapy in the NHS: the role of care coordination, The Psychiatrist, Vol: 37, Pages: 267-271, ISSN: 1758-3209
<jats:sec><jats:title>Aims and method</jats:title><jats:p>Dialectical behaviour therapy (DBT) is associated with particularly high drop-out rates in the National Health Service (NHS). This paper seeks to investigate the characteristics of patients with borderline personality disorder dropping out from DBT and the role of care coordination in this phenomenon. Data for the 102 patients receiving DBT in east London, 58% of whom had dropped out of treatment prematurely, were analysed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>In a multivariable analysis, a history of care coordination was the only variable significantly correlated with drop out: 88% of patients with a history of care coordination dropped out prematurely compared with 52% of patients without such history.</jats:p></jats:sec><jats:sec><jats:title>Clinical implications</jats:title><jats:p>The experience of comprehensive care within the care programme approach, particularly care coordination at the start of DBT, affects the retention of patients in DBT. Further qualitative research is required to understand how care coordination and DBT drop out are related, which could lead to changes in how the therapy is delivered in the UK and influence decisions regarding the use of care coordination with patients with borderline personality disorder.</jats:p></jats:sec>
Barnicot K, Priebe S, 2013, Post-traumatic stress disorder and the outcome of dialectical behaviour therapy for borderline personality disorder, PERSONALITY AND MENTAL HEALTH, Vol: 7, Pages: 181-190, ISSN: 1932-8621
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- Citations: 19
Yiend J, Barnicot K, Koster E, 2013, Attention and Emotion., Handbook of Cognition and Emotion, Editors: Robinson, Watkins, Harmon-Jones, Publisher: Guilford Press, ISBN: 9781462509997
Comprehensively examining the relationship between cognition and emotion, this authoritative handbook brings together leading investigators from multiple psychological subdisciplines.
Barnicot K, Katsakou C, Bhatti N, et al., 2012, Factors predicting the outcome of psychotherapy for borderline personality disorder: A systematic review, CLINICAL PSYCHOLOGY REVIEW, Vol: 32, Pages: 400-412, ISSN: 0272-7358
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- Citations: 88
Katsakou C, Marougka S, Barnicot K, et al., 2012, Recovery in borderline personality disorder (BPD): a qualitative study of service users' perspectives, PLOS One, Vol: 7, ISSN: 1932-6203
Priebe S, Bhatti N, Barnicot K, et al., 2012, Effectiveness and Cost-Effectiveness of Dialectical Behaviour Therapy for Self-Harming Patients with Personality Disorder: A Pragmatic Randomised Controlled Trial, PSYCHOTHERAPY AND PSYCHOSOMATICS, Vol: 81, Pages: 356-365, ISSN: 0033-3190
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- Citations: 98
Priebe S, Barnicot K, McCabe R, et al., 2011, Patients' subjective initial response and the outcome of inpatient and day hospital treatment, EUROPEAN PSYCHIATRY, Vol: 26, Pages: 408-413, ISSN: 0924-9338
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- Citations: 16
Barnicot K, Katsakou C, Marougka S, et al., 2011, Treatment completion in psychotherapy for borderline personality disorder - a systematic review and meta-analysis, ACTA PSYCHIATRICA SCANDINAVICA, Vol: 123, Pages: 327-338, ISSN: 0001-690X
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- Citations: 128
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