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Dialectical Behavioral Therapy

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https://www.readbyqxmd.com/read/27918168/the-effect-of-therapist-use-of-validation-strategies-on-change-in-client-emotion-in-individual-dbt-treatment-sessions
#1
Amanda Carson-Wong, Christopher D Hughes, Shireen L Rizvi
Dialectical behavior therapy (DBT) is a treatment for borderline personality disorder, a disorder for which emotion dysregulation is central. Within DBT, there are 6 explicitly defined validation strategies that range hierarchically from validation level (VL) 1 to VL 6. To date, there have been no studies on the frequency of use of VLs in actual DBT sessions. The aim of the current study was to explore DBT therapists' use of VLs and examine the relationship between VLs and change in a client emotion during therapy sessions...
December 5, 2016: Personality Disorders
https://www.readbyqxmd.com/read/27898274/borderline-personality-disorder-therapeutic-factors
#2
Michael H Stone
Proponents of the now half-dozen major psychotherapeutic approaches tend to claim the superiority of their different approaches-known widely by their acronyms: CBT for Cognitive Behavioral Therapy, DBT for Dialectic Behavioral Therapy, MBT for Mentalization-Based Therapy, TFP for Transference- Focused Psychotherapy, and so on. The data thus far support the utility of each method, but do not show clear-cut superiority of any one method. A large percentage of BPD patients eventually improve or even recover, but these favorable results appear to derive from a multiplicity of factors...
2016: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/27853437/the-use-of-virtual-reality-to-facilitate-mindfulness-skills-training-in-dialectical-behavioral-therapy-for-borderline-personality-disorder-a-case-study
#3
Maria V Nararro-Haro, Hunter G Hoffman, Azucena Garcia-Palacios, Mariana Sampaio, Wadee Alhalabi, Karyn Hall, Marsha Linehan
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...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27852560/safety-acceptability-and-use-of-a-smartphone-app-blueice-for-young-people-who-self-harm-protocol-for-an-open-phase-i-trial
#4
Paul Stallard, Joanna Porter, Rebecca Grist
BACKGROUND: Up to 18% of adolescents will engage in an act of self-harm before young adulthood, with the majority of acts occurring in private. Mobile apps may offer a way of providing support for young people at times of distress to prevent self-harm. OBJECTIVE: This is a proof-of-concept study designed to explore the safety, acceptability, feasibility, and usability of a smartphone app, BlueIce, with young people who are self-harming. METHODS: In this phase I open trial we will evaluate BlueIce, a smartphone app developed and coproduced with young people with lived experience of self-harm...
November 16, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27852348/an-adaptive-randomized-trial-of-dialectical-behavior-therapy-and-cognitive-behavior-therapy-for-binge-eating
#5
E Y Chen, J Cacioppo, K Fettich, R Gallop, M S McCloskey, T Olino, T A Zeffiro
BACKGROUND: Early weak treatment response is one of the few trans-diagnostic, treatment-agnostic predictors of poor outcome following a full treatment course. We sought to improve the outcome of clients with weak initial response to guided self-help cognitive behavior therapy (GSH). METHOD: One hundred and nine women with binge-eating disorder (BED) or bulimia nervosa (BN) (DSM-IV-TR) received 4 weeks of GSH. Based on their response, they were grouped into: (1) early strong responders who continued GSH (cGSH), and early weak responders randomized to (2) dialectical behavior therapy (DBT), or (3) individual and additional group cognitive behavior therapy (CBT+)...
November 17, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27808001/what-changes-when-the-course-of-improvement-during-a-stage-based-treatment-for-suicidal-and-self-injuring-women-with-borderline-personality-disorder-and-ptsd
#6
Melanie S Harned, Robert J Gallop, Helen R Valenstein-Mah
OBJECTIVE: Dialectical Behavior Therapy (DBT) with the DBT Prolonged Exposure (DBT PE) protocol is an integrated treatment for suicidal and self-injuring individuals with PTSD and borderline personality disorder (BPD) that occurs in three stages: Stage 1 targets behavioral dyscontrol, Stage 2 targets posttraumatic stress disorder (PTSD) via the DBT PE protocol, and Stage 3 addresses remaining problems. We evaluated the course of change in multiple outcomes across these three stages and compared them to changes found in DBT alone...
November 3, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27797571/the-dbt-coach-mobile-application-as-an-adjunct-to-treatment-for-suicidal-and-self-injuring-individuals-with-borderline-personality-disorder-a-preliminary-evaluation-and-challenges-to-client-utilization
#7
Shireen L Rizvi, Christopher D Hughes, Marget C Thomas
Acquisition and generalization of specific behavioral skills is a key component of dialectical behavior therapy (DBT) for individuals with borderline personality disorder (BPD). We examined the feasibility, acceptability, usability, and immediate effects of the DBT Coach, a mobile phone application (app) designed specifically to augment skills generalization through interactive coaching in DBT skills. In this pilot study, we provided the DBT Coach installed on a mobile device as an adjunct to 6 months of standard DBT, among a sample of 16 individuals with BPD and a recent history of attempted suicide and/or nonsuicidal self-injury (NSSI)...
November 2016: Psychological Services
https://www.readbyqxmd.com/read/27780335/a-randomized-trial-of-dialectical-behavior-therapy-in-high-risk-suicidal-veterans
#8
Marianne Goodman, David Banthin, Nicholas J Blair, Kathryn A Mascitelli, Jaime Wilsnack, Jennifer Chen, Julie W Messenger, M Mercedes Perez-Rodriguez, Joseph Triebwasser, Harold W Koenigsberg, Raymond R Goetz, Erin A Hazlett, Antonia S New
OBJECTIVE: Despite advances in suicide prevention implemented throughout the US Department of Veterans Affairs (VA) including the hiring of Suicide Prevention Coordinators (SPCs) at every VA hospital, enhanced monitoring, and the availability of 24-hour crisis hotline services, suicide by veterans remains a critical problem affecting 20 veterans daily. Few empirically based treatment strategies for suicide prevention for postdeployment military personnel exist. This study aimed to test whether dialectical behavior therapy (DBT), one of the few psychosocial treatments with proven efficacy in diminishing suicidal behavior in individuals with personality disorder, can be applied to veterans irrespective of personality diagnosis...
October 25, 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27779289/-cost-effectiveness-of-psychotherapy-for-personality-disorders-a-systematic-review-on-economic-evaluation-studies
#9
P Wetzelaer, J Lokkerbol, A Arntz, A van Asselt, S Evers
So far, there has not been a complete overview of the cost-effectiveness of psychotherapy for patients with a personality disorder.<br/> AIM: To provide an overview of scientific literature on the cost-effectiveness of psychotherapy for patients with a personality disorder.<br/> METHOD: We reviewed the literature systematically, searching the NHS EED, PubMed and PsycINFO databases. We concentrated solely on full economic evaluations of treatments in which all patients had a personality disorder...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27742897/pilot-study-implementing-a-brief-dbt-skills-program-in-schools-to-reduce-health-risk-behaviors-among-early-adolescents
#10
Tamika C B Zapolski, Gregory T Smith
A significant proportion of youth engage in health risk behaviors, which are of concern, as they are associated with adverse health consequences across development. Two factors associated with engagement in such behaviors are emotion dysregulation and impulsivity. Dialectical behavioral therapy (DBT) is an effective intervention that enhances emotion regulation skills to reduce problem behaviors among adolescent populations; however, limited research has been conducted implementing the program within school settings...
October 14, 2016: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/27683567/emotion-regulation-in-schema-therapy-and-dialectical-behavior-therapy
#11
Eva Fassbinder, Ulrich Schweiger, Desiree Martius, Odette Brand-de Wilde, Arnoud Arntz
Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder. Both, ST and DBT, have their roots in cognitive behavioral therapy and aim at helping patient to deal with emotional dysregulation. However, there are major differences in the terminology, explanatory models and techniques used in the both methods. This article gives an overview of the major therapeutic techniques used in ST and DBT with respect to emotion regulation and systematically puts them in the context of James Gross' process model of emotion regulation...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27663817/cbt-dbt-skills-training-for-adults-with-attention-deficit-hyperactivity-disorder-adhd
#12
Pierre Cole, Sebastien Weibel, Rosetta Nicastro, Roland Hasler, Alexandre Dayer, Jean-Michel Aubry, Paco Prada, Nader Perroud
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27634417/population-based-outreach-versus-care-as-usual-to-prevent-suicide-attempt-study-protocol-for-a-randomized-controlled-trial
#13
Gregory E Simon, Arne Beck, Rebecca Rossom, Julie Richards, Beth Kirlin, Deborah King, Lisa Shulman, Evette J Ludman, Robert Penfold, Susan M Shortreed, Ursula Whiteside
BACKGROUND: Suicide remains the 10th-ranked most frequent cause of death in the United States, accounting for over 40,000 deaths per year. Nonfatal suicide attempts lead to over 200,000 hospitalizations and 600,000 emergency department visits annually. Recent evidence indicates that responses to the commonly used Patient Health Questionnaire (PHQ9) can identify outpatients who are at risk of suicide attempt and suicide death and that specific psychotherapy or Care Management programs can prevent suicide attempts in high-risk patients...
September 15, 2016: Trials
https://www.readbyqxmd.com/read/27617479/pilot-study-of-a-brief-dialectical-behavior-therapy-skills-group-for-jail-inmates
#14
Kelly E Moore, Johanna B Folk, Emily A Boren, June P Tangney, Sarah Fischer, Shannon W Schrader
Regulating emotions, refraining from impulsive, maladaptive behavior, and communicating effectively are considered primary treatment needs among jail inmates. Dialectical behavior therapy (DBT; Linehan, 1993a) skills address these deficits and have been implemented in long-term correctional settings, but have yet to be adapted for general population inmates in short-term jail settings. This study assessed the feasibility and acceptability of a DBT skills group in a jail setting, as well as its utility in improving coping skills and emotional/behavioral dysregulation...
September 12, 2016: Psychological Services
https://www.readbyqxmd.com/read/27603742/evidence-based-treatments-for-borderline-personality-disorder-implementation-integration-and-stepped-care
#15
Lois W Choi-Kain, Elizabeth B Albert, John G Gunderson
LEARNING OBJECTIVE: After participating in this activity, learners should be better able to:• Evaluate evidence-based therapies for borderline personality disorder ABSTRACT: Several manualized psychotherapies for treating borderline personality disorder (BPD) have been validated in randomized, controlled trials. Most of these approaches are highly specialized, offering different formulation of BPD and different mechanisms by which recovery is made possible. Mental health clinicians are challenged by the degree of specialization and clinical resources that these approaches require in their empirically validated adherent forms...
September 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27588205/predicting-dropout-in-outpatient-dialectical-behavior-therapy-with-patients-with-borderline-personality-disorder-receiving-psychiatric-disability
#16
Sara J Landes, Samantha A Chalker, Katherine Anne Comtois
BACKGROUND: Rates of treatment dropout in outpatient Dialectical Behavior Therapy (DBT) in the community can be as high as 24 % to 58 %, making dropout a great concern. The primary purpose of this article was to examine predictors of dropout from DBT in a community mental health setting. METHODS: Participants were 56 consumers with borderline personality disorder (BPD) who were psychiatrically disabled participating in a larger feasibility trial of Dialectical Behavior Therapy- Accepting the Challenges of Exiting the System...
2016: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/27570931/evidence-based-family-interventions-for-adolescents-and-young-adults-with-bipolar-disorder
#17
David J Miklowitz
An individual can develop bipolar disorder at any age, but emergence during adolescence and young adulthood can lead to a number of problematic behaviors and outcomes. Several drugs are available as first-line treatments, but even optimal pharmacotherapy rarely leads to complete remission and recovery. When added to pharmacologic treatment, certain targeted psychosocial treatments can improve outcomes for young patients with bipolar disorder. Because bipolar disorder affects family members as well as patients, and because adolescents and young adults often live with and are dependent on their parents, the patient's family should usually be included in treatment...
2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27532143/the-effectiveness-of-mindful-parenting-programs-in-promoting-parents-and-children-s-wellbeing-a-systematic-review
#18
Kishani Townshend, Zoe Jordan, Matthew Stephenson, Komla Tsey
BACKGROUND: The rationale for undertaking this review was to investigate a potential strategy to address the rising prevalence of child and adolescent mental health disorders. The central tenants of mindful parenting appear to be emotional awareness, emotional regulation, attention regulation, intentionality and non-judgmental acceptance. OBJECTIVES: The primary objective of this review was to systematically evaluate the effectiveness of mindful parenting programs in promoting children's, adolescents' and parents' wellbeing, particularly in relation to the intensity of symptoms associated with internalizing (depression, anxiety, stress) and externalizing (conduct) disorders...
March 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27462898/effectiveness-of-psychosocial-interventions-in-eating-disorders-an-overview-of-cochrane-systematic-reviews
#19
Marcelle Barrueco Costa, Tamara Melnik
Eating disorders are psychiatric conditions originated from and perpetuated by individual, family and sociocultural factors. The psychosocial approach to treatment and prevention of relapse is crucial. To present an overview of the scientific evidence on effectiveness of psychosocial interventions in treatment of eating disorders. All systematic reviews published by the Cochrane Database of Systematic Reviews - Cochrane Library on the topic were included. Afterwards, as from the least recent date of these reviews (2001), an additional search was conducted at PubMed with sensitive search strategy and with the same keywords used...
April 2016: Einstein
https://www.readbyqxmd.com/read/27446589/dialectical-behavior-therapy-skills-use-and-emotion-dysregulation-in-personality-disorders-and-psychopathy-a-community-self-report-study
#20
Andrada D Neacsiu, Mathew A Tkachuck
BACKGROUND: Emotion dysregulation is a critical transdiagnostic mental health problem that needs to be further examined in personality disorders (PDs). The current study examined dialectical behavior therapy (DBT) skills use, emotion dysregulation, and dysfunctional coping among adults who endorsed symptoms of cluster B PDs and psychopathy. We hypothesized that skills taught in DBT and emotion dysregulation are useful for adults with PDs other than borderline personality disorder (BPD)...
2016: Borderline Personality Disorder and Emotion Dysregulation
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