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https://www.readbyqxmd.com/read/29913929/dialectical-behavioural-therapy-for-complex-chronic-pain-conditions
#1
Eirikur Lindal, Harald Breivik
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913689/a-hybrid-emotion-focused-exposure-treatment-for-chronic-pain-a-feasibility-study
#2
Steven J Linton, Alan E Fruzzetti
Background and aims Exposure in vivo for patients with fear-related chronic pain has a strong theoretical base as well as empirical support. However, the treatment does not work for every patient and overall the effect size is only moderate, underscoring the need for improved treatments. One possible way forward might be to integrate an emotion regulation approach since emotions are potent during exposure and because distressing emotions may both interfere with exposure procedures and patient motivation to engage in exposure...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29761488/psychological-therapies-for-treatment-resistant-depression-in-adults
#3
REVIEW
Sharea Ijaz, Philippa Davies, Catherine J Williams, David Kessler, Glyn Lewis, Nicola Wiles
BACKGROUND: Antidepressants are a first-line treatment for adults with moderate to severe major depression. However, many people prescribed antidepressants for depression don't respond fully to such medication, and little evidence is available to inform the most appropriate 'next step' treatment for such patients, who may be referred to as having treatment-resistant depression (TRD). National Institute for Health and Care Excellence (NICE) guidance suggests that the 'next step' for those who do not respond to antidepressants may include a change in the dose or type of antidepressant medication, the addition of another medication, or the start of psychotherapy...
May 14, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29743941/cost-effectiveness-of-dialectical-behaviour-therapy-vs-enhanced-usual-care-in-the-treatment-of-adolescents-with-self-harm
#4
Egil Haga, Eline Aas, Berit Grøholt, Anita J Tørmoen, Lars Mehlum
Background: Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents. Aims: To evaluate the cost-effectiveness of DBT for adolescents (DBT-A) compared to enhanced usual care (EUC). Methods: In a randomised study, 77 adolescents with repeated self-harm were allocated to 19 weeks of outpatient treatment, either DBT-A ( n  = 39) or EUC ( n  = 38). Cost-effective analyses, including estimation of incremental cost-effectiveness ratios, were conducted with self-harm and global functioning (CGAS) as health outcomes...
2018: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29734940/correction-to-dialectical-behaviour-therapy-for-treating-adults-and-adolescents-with-emotional-and-behavioural-dysregulation-study-protocol-of-a-coordinated-implementation-in-a-publicly-funded-health-service
#5
Daniel Flynn, Mary Kells, Mary Joyce, Catalina Suarez, Conall Gillespie
Upon publication of the original article (1) it was highlighted by the authors that there was just one error in the manuscript in the 'Sample size' subsection of the Methods/Design.
May 7, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29688873/assessing-the-marks-of-change-how-psychotherapy-alters-the-brain-structure-in-women-with-borderline-personality-disorder
#6
Falk Mancke, Ruth Schmitt, Dorina Winter, Inga Niedtfeld, Sabine C Herpertz, Christian Schmahl
BACKGROUND: There is increasing evidence that psychotherapy can alter the function of the brain of patients with borderline personality disorder (BPD). However, it is not known whether psychotherapy can also modify the brain structure of patients with BPD. METHODS: We used structural MRI data of female patients with BPD before and after participation in 12 weeks of residential dialectical behavioural therapy (DBT) and compared them to data from female patients with BPD who received treatment as usual (TAU)...
May 2018: Journal of Psychiatry & Neuroscience: JPN
https://www.readbyqxmd.com/read/29556397/exploring-dialectical-behaviour-therapy-clinicians-experiences-of-team-consultation-meetings
#7
Cian Walsh, Patrick Ryan, Daniel Flynn
Background: This article presents a detailed idiographic analysis of Dialectical Behaviour Therapy (DBT) clinicians' experiences of team consultation meetings. DBT is an evidence-based psychological intervention with a demonstrated efficacy in the treatment of borderline personality disorder (BPD). Team consultation meetings encompass one of the primary components involved in this treatment model; where DBT clinicians regularly meet to discuss client work and enhance further learning...
2018: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29540925/a-transdiagnostic-approach-to-interventions-in-addictive-disorders-third-wave-therapies-and-other-current-interventions
#8
REVIEW
Gitanjali Narayanan, Shaima Naaz
Recent research points to a shift from categorical diagnoses to a dimensional understanding of psychopathology and mental health disorders. In parallel, there has been a rise in newer psychosocial treatment modalities, which are inherently transdiagnostic. Transdiagnostic approaches are those that identify core vulnerabilities and apply universal principles to therapeutic treatment. As treatment of substance use disorders (SUD) must invariably accommodate such vulnerabilities, clinicians are finding such interventions useful...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29529508/the-unique-contribution-of-acceptance-without-judgment-in-predicting-nonsuicidal-self-injury-after-20-weeks-of-dialectical-behaviour-therapy-group-skills-training
#9
Lillian H Krantz, Shelley McMain, Janice R Kuo
The current research tested whether four dimensions of mindfulness - acceptance without judgment, observing, describing and acting with awareness - predicted frequency of nonsuicidal self-injury (NSSI) and mediate the relationship with NSSI outcomes during 20-weeks of Dialectical Behaviour Therapy (DBT) skills training for borderline personality disorder (BPD). Eighty-four self-harming individuals with BPD were randomized to either DBT skills training or to a waitlist control group. A series of regressions revealed no relationship between dimensions of mindfulness and NSSI at baseline...
May 2018: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/29482538/dialectical-behaviour-therapy-for-treating-adults-and-adolescents-with-emotional-and-behavioural-dysregulation-study-protocol-of-a-coordinated-implementation-in-a-publicly-funded-health-service
#10
Daniel Flynn, Mary Kells, Mary Joyce, Catalina Suarez, Conall Gillespie
BACKGROUND: In the Republic of Ireland, borderline personality disorder (BPD) is a feature of approximately 11-20% of clinical presentations to outpatient clinics within mental health services. These estimates are similar to other countries including the UK and USA. Dialectical behaviour therapy (DBT) is an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with BPD. While a number of randomised controlled trials (RCTs) have demonstrated the efficacy of DBT, there is limited research which evaluates the effectiveness of this model when applied to real world settings...
February 26, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29372016/dialectical-behaviour-therapy-for-posttraumatic-stress-disorder-related-to-childhood-sexual-abuse-a-pilot-study-in-an-outpatient-treatment-setting
#11
Regina Steil, Clara Dittmann, Meike Müller-Engelmann, Anne Dyer, Anne-Marie Maasch, Kathlen Priebe
Background : Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD), which is tailored to treat adults with PTSD and co-occurring emotion regulation difficulties, has already demonstrated its efficacy, acceptance and safety in an inpatient treatment setting. It combines elements of DBT with trauma-focused cognitive behavioural interventions. Objective : To investigate the feasibility, acceptance and safety of DBT-PTSD in an outpatient treatment setting by therapists who were novice to the treatment, we treated 21 female patients suffering from PTSD following childhood sexual abuse (CSA) plus difficulties in emotion regulation in an uncontrolled clinical trial...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29366433/evaluating-the-effectiveness-of-a-dialectical-behaviour-therapy-dbt-informed-programme-in-a-community-perinatal-team
#12
Hannah Wilson, Alexandra L Donachie
BACKGROUND: Adapted DBT programmes have been well documented but little has been published on such programmes in the perinatal period. AIM: To assess the effectiveness of a stand-alone DBT skills group for perinatal women with emotion dysregulation. METHOD: A stand-alone DBT-informed skills training group was offered to 21 women with emotional dysregulation under the care of a perinatal community mental health team; 14 completed the programme...
January 25, 2018: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29357671/the-management-of-young-people-who-self-harm-by-new-zealand-infant-child-and-adolescent-mental-health-services-cutting-edge-or-cutting-corners
#13
Hiran Thabrew, Ernest Gandeza, Giselle Bahr, David Bettany, Chris Bampton, Emily Cooney, Nikki Coleman, Jemaima Tiatia-Seath
OBJECTIVES: Self-harm is common in New Zealand (NZ) young people and can have short-term and long-term consequences, including suicide. This study was undertaken to examine the extent to which evidence-based approaches for addressing self-harm are offered by Infant, Child and Adolescent Mental Health Services (ICAMHS). METHODS: A national survey of ICAMHS practitioners working with young people who self-harm was undertaken between May and July 2016. RESULTS: Responses from 23 out of 30 ICAMHS confirmed self-harm was a familiar presentation and most commonly associated with diagnoses of depression, anxiety and borderline personality disorder...
April 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29311249/engaging-families-in-the-management-of-adolescent-self-harm
#14
REVIEW
Shilpa Aggarwal, George Patton
Adolescent self-harm is an emerging public health challenge. It is associated with later psychiatric and substance use disorders, unemployment and suicide. Family interventions have been effective in a range of adolescent mental health problems and for that reason were reviewed for their effectiveness in the management of adolescent self-harm. The search identified 10 randomised and 2 non-randomised controlled trial conducted in the high-income countries. For the most part the evidence is of low quality. The interventions were classified as brief single session, intermediate-level and intensive family interventions depending on the intensity and duration of treatment...
February 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/29251747/-inpatient-dialectical-behaviour-therapy-for-borderline-personality-disorder-effect-on-symptoms-coping-attachment-and-quality-of-life
#15
J M Oostendorp, F Chakhssi
BACKGROUND: Dialectical behaviour therapy (dbt) is an effective treatment for patients suffering from borderline personality disorder (bpd). When outpatient treatment is ineffective, patients are often referred to inpatient (group) treatment. As of yet, little is known about the effectiveness of inpatient (group) dbt. An altered style of attachment is one of the presumed components of inpatient (group) treatment. At present, this supposition has not yet been examined in inpatient dbt programs...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29236647/assessing-the-marks-of-change-how-psychotherapy-alters-the-brain-structure-in-women-with-borderline-personality-disorder
#16
Falk Mancke, Ruth Schmitt, Dorina Winter, Inga Niedtfeld, Sabine C Herpertz, Christian Schmahl
BACKGROUND: There is increasing evidence that psychotherapy can alter the function of the brain of patients with borderline personality disorder (BPD). However, it is not known whether psychotherapy can also modify the brain structure of patients with BPD. METHODS: We used structural MRI data of female patients with BPD before and after participation in 12 weeks of residential dialectical behavioural therapy (DBT) and compared them to data from female patients with BPD who received treatment as usual (TAU)...
December 13, 2017: Journal of Psychiatry & Neuroscience: JPN
https://www.readbyqxmd.com/read/29093819/the-impact-of-borderline-personality-disorder-and-sub-threshold-borderline-personality-disorder-on-the-course-of-self-reported-and-clinician-rated-depression-in-self-harming-adolescents
#17
Ruth-Kari Ramleth, Berit Groholt, Lien M Diep, Fredrik A Walby, Lars Mehlum
Background: Studies on adults suggest that the presence of comorbid depression and Borderline Personality Disorder (BPD) is associated with an elevated risk of self-harming behaviours and that self-harming behaviours, when present, will have higher severity. This comorbidity, furthermore, complicates clinical assessments, which may be an obstacle to early identification and proper intervention. Adolescents who self-harm frequently report high levels of depressive symptoms, but this is often not reflected in the clinicians' assessment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29089145/the-empirical-status-of-the-third-wave-behaviour-therapies-for-the-treatment-of-eating-disorders-a-systematic-review
#18
REVIEW
Jake Linardon, Christopher G Fairburn, Ellen E Fitzsimmons-Craft, Denise E Wilfley, Leah Brennan
Although third-wave behaviour therapies are being increasingly used for the treatment of eating disorders, their efficacy is largely unknown. This systematic review and meta-analysis aimed to examine the empirical status of these therapies. Twenty-seven studies met full inclusion criteria. Only 13 randomized controlled trials (RCT) were identified, most on binge eating disorder (BED). Pooled within- (pre-post change) and between-groups effect sizes were calculated for the meta-analysis. Large pre-post symptom improvements were observed for all third-wave treatments, including dialectical behaviour therapy (DBT), schema therapy (ST), acceptance and commitment therapy (ACT), mindfulness-based interventions (MBI), and compassion-focused therapy (CFT)...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29061627/smartphone-enhanced-low-threshold-intervention-for-adolescents-with-anorexia-nervosa-seltian-waiting-for-outpatient-psychotherapy-study-protocol-of-a-randomised-controlled-trial
#19
David R Kolar, Florian Hammerle, Ekkehart Jenetzky, Michael Huss
INTRODUCTION: As smartphones are widely distributed nowadays, mental health apps seem to be a promising treatment tool. First self-help apps for eating disorders have been developed recently. However, studies assessing the efficacy of such apps are scarce. A smartphone app could prevent further weight reduction and increase commitment during waiting time for outpatient treatment, especially for adolescents with anorexia nervosa (AN). In this study protocol, a randomised controlled trial to assess the efficacy of a smartphone-enhanced low-threshold intervention for AN during waiting time is described...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29034599/process-and-impact-of-dialectical-behaviour-therapy-a-systematic-review-of-perceptions-of-clients-with-a-diagnosis-of-borderline-personality-disorder
#20
REVIEW
Hannah Little, Anna Tickle, Roshan das Nair
PURPOSE: To identify, appraise, and synthesize findings from qualitative studies of individuals diagnosed with borderline personality disorder who have experienced dialectical behaviour therapy, to gain further understanding of their perceptions of the process and impact of therapy. METHODS: We conducted a comprehensive systematic search of the literature from several online databases, and appraised them using an adapted version of the Critical Appraisal Skills Programme tool...
October 16, 2017: Psychology and Psychotherapy
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