Cited by 98Personality Disorders and PsychopathologyVirtual Reality Applications and ImpactsDigital Mental Health Interventions

The Use of Virtual Reality to Facilitate Mindfulness Skills Training in Dialectical Behavioral Therapy for Borderline Personality Disorder: A Case Study

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Nararro-Haro, Maria V., Hoffman, Hunter G., Garcia-Palacios, Azucena, Sampaio, Mariana, Alhalabi, Wadee, Hall, Karyn, Linehan, Marsha·2016·Frontiers in Psychology

Abstract

Borderline personality disorder (BPD) is a severe mental disorder characterized by a dysfunctional pattern of affective instability, impulsivity, and disturbed interpersonal relationships. Dialectical Behavior Therapy (DBT®) is the most effective treatment for Borderline Personality Disorder, but demand for DBT® far exceeds existing clinical resources. Most patients with BPD never receive DBT®. Incorporating computer technology into the DBT® could help increase dissemination. Immersive Virtual Reality technology (VR) is becoming widely available to mainstream consumers. This case study explored the feasibility/clinical potential of using immersive virtual reality technology to enhance DBT® mindfulness skills training of a 32 year old female diagnosed with BPD. Prior to using VR, the patient experienced difficulty practicing DBT® mindfulness due to her emotional reactivity, and difficulty concentrating. To help the patient focus her attention, and to facilitate DBT® mindfulness skills learning, the patient looked into virtual reality goggles, and had the illusion of slowly "floating down" a 3D computer-generated river while listening to DBT® mindfulness training audios. Urges to commit suicide, urges to self harm, urges to quit therapy, urges to use substances, and negative emotions were all reduced after each VR mindfulness session and VR mindfulness was well accepted/liked by the patient. Although case studies are scientifically inconclusive by nature, results from this feasibility study were encouraging. Future controlled studies are needed to quantify whether VR-enhanced mindfulness training has long term benefits e.g., increasing patient acceptance and/or improving therapeutic outcome. Computerizing some of the DBT® skills treatment modules would reduce cost and increase dissemination.

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  1. Linehan M. M. (2015). DBT® Skills Training Manual, 2nd Edn. New York, NY: Guilford Press.

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Authors
Nararro-Haro, M. V., Hoffman, H. G., Garcia-Palacios, A., Sampaio, M., Alhalabi, W., Hall, K., & Linehan, M.
Affiliations
  • Effat University (SA)
  • University of Washington (US)
Corresponding author
Hoffman, Hunter G.
Venue
Frontiers in Psychology
Published
2016-11-02
Volume
7
Pages
1573-1573
ISSN
1664-1078 (ISSN-L)
OpenAlex
W2546061328
Cited by
98
References
45
Citations by year
2026: 3 · 2025: 4 · 2024: 7 · 2023: 13 · 2022: 13 · 2021: 24 · 2020: 13 · 2019: 6 · 2018: 10 · 2017: 5
FWCI
9.37
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Zaguan (Universidad de Zaragoza) (publishedVersion, cc-by)
  • Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Effat University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
borderline personality disorder, dialectical behavior therapy, immersive virtual reality, treatment dissemination, emotional reactivity, attentional focus, patient acceptance

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