To help you test the next theory i applied picture dos to look at the latest organization between seen therapist association and you will introject affiliation around the months in medication and you may cures category. Our no. 1 parameters provided: 1) the fresh dimensional studies regarding specialist affiliation with introject affiliation and you may 2) the fresh SASB cluster product reviews away from affiliative choices as well as specialist affirm having introject worry about-affirm, counselor active love which have introject productive thinking-like, and you will counselor manage with introject care about-manage. The newest five HLM analyses exploring the relationship anywhere between this type of details inside DBT, when ranked at the same assessment period, weren’t tall nor had been new independent results of therapist affiliation to the introject association.
DBT customers whom said better feedback off specialist active love stated a whole lot more introject care about-love regarding the adopting the comparison months, 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.
Hypothesis Five: Improved counselor association could well be of this less common NSSI within 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, 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.