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Dialectical Behavioral Therapy

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https://www.readbyqxmd.com/read/28221671/can-trainees-effectively-deliver-dialectical-behavior-therapy-for-individuals-with-borderline-personality-disorder-outcomes-from-a-training-clinic
#1
Shireen L Rizvi, Christopher D Hughes, Alexandra D Hittman, Pedro Vieira Oliveira
OBJECTIVE: The aim of the current study was to evaluate the effectiveness of a 6-month course of comprehensive dialectical behavior therapy (DBT) provided in a training clinic with doctoral students as therapists and assessors. METHOD: Clinical outcomes for 50 individuals with borderline personality disorder (80% female, Mage = 29.52 [SD = 9.64]) are reported. Reliable change indices and clinical significance were calculated for measures. Finally, our results were benchmarked against a "gold standard" randomized clinical trial (RCT; McMain et al...
February 21, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28181141/does-post-operative-psychotherapy-contribute-to-improved-comorbidities-in-bariatric-patients-with-borderline-personality-disorder-traits-and-bulimia-tendencies-a-prospective-study
#2
Francesca Gallé, Pietro Maida, Assunta Cirella, Elena Giuliano, Patrizia Belfiore, Giorgio Liguori
BACKGROUND: Borderline personality disorder (BPD) and eating disorders may affect the outcomes of bariatric surgery. This study was aimed to evaluate the influence of a post-operative dialectical behavioral therapy (DBT) intervention on weight loss and comorbidities in a sample of comorbid obese Italian patients with BPD traits and bulimia tendencies who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB). METHODS: One hundred fifty-four LRYGB or LAGB patients showing BPD and bulimia traits and type II diabetes, hypertension, and/or sleep apnea (OSAS) voluntarily adhered to DBT (n = 72) or treatment as usual (n = 82) for 12 months after surgery...
February 8, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28178870/group-treatment-for-adults-with-adhd-based-on-a-novel-combination-of-cognitive-and-dialectical-behavior-interventions
#3
Berkeh Nasri, Malin Castenfors, Peggy Fredlund, Ylva Ginsberg, Nils Lindefors, Viktor Kaldo
OBJECTIVES: To evaluate feasibility and preliminary effects of a new group treatment manual for adults with ADHD and to explore adherence to treatment and its relation to outcome. METHOD: Eighteen adults with ADHD recruited from neuropsychiatric units in Stockholm underwent a 14-week program including combined cognitive and dialectical behavior therapy. Assessments were made at baseline, posttreatment, and follow-up, at one and six months after treatment end. Primary outcome measure was the Adult ADHD Self Report Scale version 1...
January 1, 2017: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28168608/barriers-facilitators-and-benefits-of-implementation-of-dialectical-behavior-therapy-in-routine-care-results-from-a-national-program-evaluation-survey-in-the-veterans-health-administration
#4
Sara J Landes, Allison L Rodriguez, Brandy N Smith, Monica M Matthieu, Lindsay R Trent, Janet Kemp, Caitlin Thompson
National implementation of evidence-based psychotherapies (EBPs) in the Veterans Health Administration (VHA) provides important lessons on the barriers and facilitators to implementation in a large healthcare system. Little is known about barriers and facilitators to the implementation of a complex EBP for emotional and behavioral dysregulation-dialectical behavioral therapy (DBT). The purpose of this study was to understand VHA clinicians' experiences with barriers, facilitators, and benefits from implementing DBT into routine care...
February 6, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28142632/-dialectical-behavioral-therapy-for-male-adolescents-with-borderline-symptomatology
#5
Jens Heider, Anna Fleck, Christina Peteler, Sabine Anker, Susanne Lieb, Michael Behrens, Annette Schröder, Tina In-Albon, Michael Brünger
Dialectical Behavioral Therapy for Male Adolescents with Borderline Symptomatology The efficacy of Dialectical Behavior Therapy for adolescents (DBT-A) in patients with borderline symptomatology has mainly been shown in female adolescents. However, male adolescents with borderline symptoms are characterized by more aggressive, disruptive, and antisocial behavior. Therefore, the efficacy of the DBT-A has to be investigated in male adolescents. The DBT-A manual was adopted for male adolescents in an inpatient setting...
February 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28119507/pain-mediated-affect-regulation-is-reduced-after-dialectical-behavior-therapy-in-borderline-personality-disorder-a-longitudinal-fmri-study
#6
Inga Niedtfeld, Ruth Schmitt, Dorina Winter, Martin Bohus, Christian Schmahl, C Sabine, Herpertz
Borderline Personality Disorder (BPD) is characterized by affective instability, but selfinjurious behavior appears to have an emotion-regulating effect. We investigated whether pain-mediated affect regulation can be altered at the neural level by residential Dialectical Behavior Therapy (DBT), providing adaptive emotion regulation techniques. Likewise, we investigated whether pain thresholds or the appraisal of pain change after psychotherapy.We investigated 28 patients with BPD undergoing DBT (self-referral), 15 patients with treatment as usual, and 23 healthy control subjects at two time points twelve weeks apart...
January 24, 2017: Social Cognitive and Affective Neuroscience
https://www.readbyqxmd.com/read/28068498/adapting-dialectical-behavior-therapy-for-the-treatment-of-dissociative-identity-disorder
#7
Brad Foote, Kim Van Orden
Dialectical Behavior Therapy (DBT), created by Marsha Linehan, has been shown to be an effective therapy for the treatment of borderline personality disorder (BPD) and for suicidal and self-harming behavior. Dissociative identity disorder (DID) is a complex post-traumatic disorder which is highly comorbid with BPD, shares a number of clinical features with BPD, and which like BPD features a high degree of suicidality. The DID treatment literature emphasizes the importance of a staged approach, beginning with the creation of a safe therapeutic frame prior to addressing traumatic material; DBT is also a staged treatment, in which behavioral and safety issues are addressed in Stage 1, and trauma work reserved for Stage 2...
December 31, 2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/27918168/the-effect-of-therapist-use-of-validation-strategies-on-change-in-client-emotion-in-individual-dbt-treatment-sessions
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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...
December 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
#16
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
#17
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
#18
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
#19
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
#20
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
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