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Dialectical Behavioral Therapy

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https://www.readbyqxmd.com/read/29780342/long-term-efficacy-of-psychosocial-treatments-for-adults-with-attention-deficit-hyperactivity-disorder-a-meta-analytic-review
#1
Carlos López-Pinar, Sonia Martínez-Sanchís, Enrique Carbonell-Vayá, Javier Fenollar-Cortés, Julio Sánchez-Meca
Background: Recent evidence suggests that psychosocial treatments, particularly cognitive-behavioral therapy (CBT), are effective interventions for adult attention deficit hyperactivity disorder (ADHD). The objective of this review was to determine the long-term efficacy of psychosocial interventions in improving clinically relevant variables, including ADHD core symptoms, clinical global impression (CGI), and global functioning. Methods: In total, nine randomized controlled trials and three uncontrolled single-group pretest-posttest studies were included...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29740365/the-use-of-virtual-reality-to-facilitate-mindfulness-skills-training-in-dialectical-behavioral-therapy-for-spinal-cord-injury-a-case-study
#2
Araceli Flores, Marsha M Linehan, S Rob Todd, Hunter G Hoffman
Introduction: Paralysis from a spinal cord injury (SCI) increases risk of psychological problems including suicide attempts, substance use disorder, negative emotions (e.g., anger), depression, anxiety, ASD/PTSD. Dialectical Behavioral Therapy® (DBT®) has been shown to be effective for treating similar psychological symptoms in non-SCI patient populations. The current study explored for the first time, the feasibility and clinical potential of using Immersive Virtual Reality (VR) enhanced DBT® Mindfulness skills training to help reduce psychological symptoms (negative emotions and anxiety, ASD/PTSD) of two patients with SCI...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29731724/suicidal-ideation-and-skill-use-during-in-patient-dialectical-behavior-therapy-for-borderline-personality-disorder-a-diary-card-study
#3
Thomas Probst, Verena Decker, Eva Kießling, Sascha Meyer, Christine Bofinger, Günter Niklewski, Andreas Mühlberger, Christoph Pieh
Associations between suicidal ideation and skill use were investigated during in-patient dialectical behavior therapy (DBT) for borderline personality disorder (BPD). Participants were N = 44 patients with BPD undergoing a 5-week in-patient DBT program in a psychiatric clinic. They filled in a diary card each treatment day resulting in 1,334 skill use ratings and 1,364 suicidal ideation ratings. Treatment days were categorized as days with successful skill use (using skills and perceiving them as effective), days with no skill use, days with unsuccessful skill use (using skills but perceiving them as ineffective)...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29704965/changes-in-problematic-anger-shame-and-disgust-in-anxious-and-depressed-adults-undergoing-treatment-for-emotion-dysregulation
#4
Andrada D Neacsiu, Joscelyn Rompogren, Jeremy W Eberle, Kibby McMahon
Emotion dysregulation, the pervasive difficulty managing negative emotions, is a core problem across mood and anxiety disorders. Anger, shame, and disgust are particularly problematic emotions, impacting both disorder severity and treatment outcome. We previously found that a 16-week dialectical behavior therapy skills training group (DBT-ST) was superior to an activities-based support group (ASG) in decreasing emotion dysregulation in 44 adults with high emotion dysregulation who met diagnostic criteria for an anxiety or depressive disorder...
May 2018: Behavior Therapy
https://www.readbyqxmd.com/read/29530261/prospective-associations-of-coping-styles-with-depression-and-suicide-risk-among-psychiatric-emergency-patients
#5
Adam G Horwitz, Ewa K Czyz, Johnny Berona, Cheryl A King
Suicide is the second leading cause of death for those ages 13-25 in the United States. Coping is a mediator between stressful life events and adverse outcomes, and coping skills have been incorporated into interventions (e.g., cognitive-behavioral therapy, dialectical behavior therapy, safety-planning interventions) for suicidal populations. However, longitudinal research has not directly examined the prospective associations between multiple coping styles and suicide-related outcomes in high-risk samples...
March 2018: Behavior Therapy
https://www.readbyqxmd.com/read/29529427/identifying-novel-applications-of-dialectical-behavior-therapy-considering-emotion-regulation-and-parenting
#6
REVIEW
Maureen Zalewski, Jennifer K Lewis, Christina Gamache Martin
Dialectical behavior therapy (DBT) is an effective treatment for an increasing number of mental disorders. Its increased application to a range of disorders has been prompted by the recognition that DBT targets emotion dysregulation, which is a transdiagnostic feature underlying several forms of psychopathology. More recently, DBT has been used to target additional clinically relevant domains that are outside diagnostically bound categories, such as improving parenting quality as a means of preventing psychopathology in children of parents with psychopathology...
March 1, 2018: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29528807/the-effectiveness-of-dialectical-behavior-therapy-skills-training-group-vs-cognitive-therapy-group-on-reducing-depression-and-suicide-attempts-for-borderline-personality-disorder-in-taiwan
#7
Tsung-Jen Lin, Huei-Chen Ko, Jo Yung-Wei Wu, Tian Po Oei, Hsien-Yuan Lane, Chung-Hey Chen
In this study the effectiveness of the condensed Dialectical Behavior Therapy Skills Training Group (DBTSTG) was compared to the Cognitive Therapy Group (CTG) in reducing depression and suicide reattempt and modifying emotion regulation strategies among those with borderline personality disorder (BPD). A total of 82 depressed BPD college students with a suicidal history within the past 6-months were randomly allocated to DBTSTG or CTG. Both groups had similar reductions in suicide reattempts and depression after the intervention and 6-month follow-ups...
March 12, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/29520726/refining-suicide-prevention-a-narrative-review-on-advances-in-psychotherapeutic-tools
#8
REVIEW
Raffaella Calati, Philippe Courtet, Jorge Lopez-Castroman
PURPOSE OF REVIEW: Since psychotherapies for suicide prevention are receiving increasing attention, our purpose was to evaluate the related literature [meta-analyses and reviews on their effect on suicidal outcomes (A), perspective reviews concerning specific socio-demographic and clinical features (B), original studies with particular interest (C)] published over the last 3 years. RECENT FINDINGS: (A) Across different diagnoses, particularly, efficacious psychotherapies were cognitive behavioral therapy-based ones and interventions directly addressing suicidal thoughts and behaviors during the treatment...
March 8, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29508180/predictors-of-adoption-and-reach-following-dialectical-behavior-therapy-intensive-training%C3%A2
#9
Maria V Navarro-Haro, Melanie S Harned, Kathryn E Korslund, Anthony DuBose, Tianying Chen, André Ivanoff, Marsha M Linehan
Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder. The DBT Intensive Training™ is widely used to train community clinicians to deliver DBT, but little is known about its effectiveness. This study prospectively evaluated predictors of adoption and reach of DBT among 52 community teams (212 clinicians) after DBT Intensive Training™. Pre-post training questionnaires were completed by trainees and a follow-up survey by team leaders approximately 8 months later...
March 5, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29505459/bariatric-outcomes-self-management-for-sustained-surgical-success-a-multicomponent-treatment-for-dysregulated-overeating-in-bariatric-surgery-patients
#10
Laura M Anderson, Thomas P Chacko
Binge eating disorder, food addiction, and dysregulated overeating are common among people with severe obesity and prevalent among bariatric surgery populations. These problematic eating habits share commonalities with other addictions. Effective, holistic self-management is needed to promote long-term weight loss and psychosocial adjustment among patients who are severely obese who undergo surgery, especially those with clinically remarkable levels of binge eating, food addiction, or dysregulated overeating...
January 2018: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/29499504/a-randomized-controlled-trial-of-an-internet-delivered-dialectical-behavior-therapy-skills-training-for-suicidal-and-heavy-episodic-drinkers
#11
Chelsey R Wilks, Anita Lungu, Sin Yee Ang, Brandon Matsumiya, Qingqing Yin, Marsha M Linehan
BACKGROUND: Given that alcohol misuse elevates risk of suicide death among ideators, the paucity of treatment outcome research for individuals presenting with both suicide ideation and problem drinking is particularly troubling. Dialectical behavior therapy (DBT) skills training, which effectively targets behaviors associated with emotion dysregulation including addictive and suicidal behaviors, provides a fitting model amenable to computerization. As stigma and scarcity stand as potential barriers to treatment, online dissemination platforms provide means for efficient treatment delivery that can augment the utility of suitable interventions...
May 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29468940/phone-coaching-in-dialectical-behavior-therapy-frequency-and-relationship-to-client-variables
#12
Pedro N Oliveira, Shireen L Rizvi
Telephone coaching is a treatment mode in Dialectical Behavior Therapy (DBT) that is designed to help clients generalize skills, prevent suicidal behaviors, and repair therapeutic ruptures. To date, phone coaching has received scant empirical investigation. The aims of this study were to (1) describe patterns in frequency of telephone calls and text messaging in DBT and (2) investigate whether demographic factors, baseline severity, suicidal behaviors, and therapeutic alliance are associated with phone and text frequency...
February 22, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29457638/a-dialectical-behavior-therapy-skills-intervention-for-women-with-suicidal-behaviors-in-rural-nepal-a-single-case-experimental-design-series
#13
Megan K Ramaiya, Caitlin McLean, Upasana Regmi, Devika Fiorillo, Clive J Robins, Brandon A Kohrt
BACKGROUND: Suicide in low- and middle-income countries (LMICs) accounts for 75% of the world's burden of suicide mortality and is the leading single cause of death among Nepali reproductive age women. To advance treatment for suicidal behaviors in LMICs, a single-case experimental design (SCED) was conducted of a culturally adapted Dialectical Behavior Therapy skills intervention for Nepali populations (DBT-N). METHOD: Ten Nepali women with histories of suicidality participated in the 10-session intervention...
February 19, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29448136/improving-functional-outcomes-in-women-with-borderline-personality-disorder-and-ptsd-by-changing-ptsd-severity-and-post-traumatic-cognitions
#14
Melanie S Harned, Chelsey R Wilks, Sara C Schmidt, Trevor N Coyle
Although functional impairment typically improves during evidence-based psychotherapies (EBPs) for borderline personality disorder (BPD), functional levels often remain suboptimal after treatment. The present pilot study evaluated whether and how integrating PTSD treatment into an EBP for BPD would improve functional outcomes. Participants were 26 women with BPD, PTSD, and recent suicidal and/or self-injurious behavior who were randomized to receive one year of Dialectical Behavior Therapy (DBT) or DBT with the DBT Prolonged Exposure (DBT PE) protocol for PTSD...
April 2018: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/29405918/economic-impact-of-third-wave-cognitive-behavioral-therapies-a-systematic-review-and-quality-assessment-of-economic-evaluations-in-randomized-controlled-trials
#15
REVIEW
Albert Feliu-Soler, Ausiàs Cebolla, Lance M McCracken, Francesco D'Amico, Martin Knapp, Alba López-Montoyo, Javier García-Campayo, Joaquim Soler, Rosa M Baños, Adrián Pérez-Aranda, Laura Andrés-Rodriguez, María Rubio-Valera, Juan V Luciano
The term third-wave cognitive behavioral therapy (CBT) encompasses new forms of CBT that both extend and innovate within CBT. Most third-wave therapies have been subject to randomized controlled trials (RCTs) focused on clinical effectiveness; however, the number and quality of economic evaluations in these RCTs has been unknown and may be few. Evidence about efficiency of these therapies may help support decisions on efficient allocation of resources in health policies. The main aim of this study was to systematically review the economic impact of third-wave therapies in the treatment of patients with physical or mental conditions...
January 2018: Behavior Therapy
https://www.readbyqxmd.com/read/29388901/alliance-rupture-and-resolution-in-dialectical-behavior-therapy-for-borderline-personality-disorder
#16
Tali Boritz, Ryan Barnhart, Catherine F Eubanks, Shelley McMain
The aim of this exploratory study was to investigate alliance rupture and resolution processes in the early sessions of a sample of clients who underwent 1 year of standard dialectical behavior therapy (DBT) for borderline personality disorder (BPD). Participants were three recovered and three unrecovered clients drawn from the DBT arm of a randomized controlled trial that compared the clinical and cost-effectiveness of DBT and general psychiatric management. Alliance rupture and resolution processes were coded using the observer-based Rupture Resolution Rating Scale...
January 2018: Journal of Personality Disorders
https://www.readbyqxmd.com/read/29384459/radically-open-dbt-targeting-emotional-loneliness-in-anorexia-nervosa
#17
Roelie Hempel, Emily Vanderbleek, Thomas R Lynch
This article conceptualizes Anorexia Nervosa (AN) as a prototypical overcontrolled disorder, characterized by low receptivity and openness, low flexible control, pervasive inhibited emotional expressiveness, low emotional awareness, and low social connectedness and intimacy with others. As a result, individuals with AN often report high levels of emotional loneliness. A new evidence-based treatment, Radically Open Dialectical Behavior Therapy (RO-DBT), and its underlying neuroregulatory theory, offer a novel way of understanding how self-starvation and social signaling deficits are used as maladaptive regulation strategies to reduce negative affect...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29369662/on-the-potential-for-iatrogenic-effects-of-psychiatric-crisis-services-the-example-of-dialectical-behavior-therapy-for-adult-women-with-borderline-personality-disorder
#18
Trevor N Coyle, Jennifer A Shaver, Marsha M Linehan
OBJECTIVE: Although previous research has suggested that people with a history of using psychiatric crisis services are at higher risk for suicide, it is unclear whether this link is attributable to individual risk factors or iatrogenic effects of service utilization. We examined this question by analyzing data from a randomized controlled trial of dialectical behavior therapy (DBT), a treatment for highly suicidal individuals in which patients took advantage of crisis services less than those in the comparison condition...
February 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29366448/nonsuicidal-self-injury-in-adolescents
#19
Paul L Plener, Michael Kaess, Christian Schmahl, Stefan Pollak, Jörg M Fegert, Rebecca C Brown
BACKGROUND: 25-35% of adolescents in random samples drawn from German schools have been found to have manifested at least one episode of nonsuicidal self-injury (NSSI). The prevalence in samples from child and adolescent psychiatric clinics is approximately 50%. NSSI can arise as a symptom in the setting of various types of mental illness. METHODS: This review is based on a selective literature search carried out in the PubMed, PsycINFO, and Cochrane Library databases, with special consideration of regional study samples...
January 19, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29330697/implementation-of-dialectical-behavior-therapy-in-residential-treatment-programs-a-process-evaluation-model-for-a-community-based-agency
#20
Amber M Holbrook, Susan R Hunt, Mary Renata See
Dialectical behavior therapy (DBT) can be challenging to implement in community-based settings. Little guidance is available on models to evaluate the effectiveness or sustainability of training and implementation efforts. Residential programs have much to gain from introduction of evidence-based practices, but present their own challenges in implementation. This paper presents a low-cost process evaluation model to assess DBT training piloted in residential programs. The model targets staff and organizational factors associated with successful implementation of evidence-based practices and matches data collection to the four stages of the DBT training model...
January 12, 2018: Community Mental Health Journal
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