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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
#1
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
#2
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
#3
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...
January 1, 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
#4
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
#5
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
#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)...
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/29024577/interpersonal-barriers-to-recovery-from-borderline-personality-disorder-a-qualitative-analysis-of-patient-perspectives
#11
Adam Carmel, Nicole I Torres, Samantha Chalker, Katherine Anne Comtois
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that have obtained patient perspectives of how their social and treatment environments help facilitate or impede the recovery process. The following study examined the self-reported interpersonal barriers to recovery among a sample of individuals (N = 31) with borderline personality disorder who were receiving dialectical behaviour therapy. The goal of study was to identify self-reported problematic behaviour that interferes with recovery goals and identify types of family, friend and/or provider behaviours that increased the likelihood of patients engaging in these problematic behaviours...
October 12, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28989706/standard-12-month-dialectical-behaviour-therapy-for-adults-with-borderline-personality-disorder-in-a-public-community-mental-health-setting
#12
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Conall Gillespie, Catalina Suarez, Mareike Weihrauch, Padraig Cotter
BACKGROUND: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28745011/enhancing-prevention-and-intervention-for-youth-concurrent-mental-health-and-substance-use-disorders-the-research-and-action-for-teens-study
#13
Joanna L Henderson, E B Brownlie, Shelley McMain, Gloria Chaim, David A Wolfe, Brian Rush, Tali Boritz, Joseph H Beitchman
BACKGROUND: Concurrent mental health and substance use disorders among youth are associated with functional impairment in developmentally salient domains, yet research on prevention and intervention for this vulnerable population is sparse. This paper describes the rationale and design of the Research and Action for Teens study, an initiative designed to strengthen the evidence base for prevention, screening, treatment and service delivery for youth concurrent mental health and substance use concerns...
July 26, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28648090/effectiveness-of-a-10-week-group-program-based-on-dialectical-behaviour-therapy-skills-among-patients-with-personality-and-mood-disorders-findings-from-a-pilot-study
#14
Agatha M Conrad, Anoop Sankaranarayanan, Terry J Lewin, Anna Dunbar
OBJECTIVES: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. METHODS: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28480806/mechanisms-of-change-in-dialectical-behaviour-therapy-and-cognitive-behaviour-therapy-for-borderline-personality-disorder-a-critical-review-of-the-literature
#15
Susie Rudge, Janet Denise Feigenbaum, Peter Fonagy
BACKGROUND: Little is known about the "active ingredients" of psychological therapy for Borderline Personality Disorder (BPD) despite a growing evidence base documenting its clinical effectiveness. This information can be used by clinicians to inform service planning and care pathways. AIMS: The aim of this study was to review published empirical research investigating the potential mechanisms underlying therapeutic change in Dialectical Behaviour Therapy (DBT) and Cognitive Behaviour Therapy (CBT) for BPD...
May 8, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/27959459/-compliance-and-patience-is-needed-when-meeting-patients-with-personality-disorder
#16
REVIEW
Göran Rydén, Kent-Inge Perseius
Compliance and patience is needed when meeting patients with personality disorder To encounter patients with personality disorders in health care settings is often challenging. Most treatment studies published have included only patients with borderline personality disorder. Of evaluated psychological treatments in borderline personality disorder, dialectical behaviour therapy (DBT) has the strongest research support, followed by mentalization based therapy (MBT). Pharmacological treatment in personality disorders should focus on time-limited crisis intervention and treatment of comorbidity...
December 6, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27897326/exploring-the-effectiveness-of-combined-mentalization-based-group-therapy-and-dialectical-behaviour-therapy-for-inpatients-with-borderline-personality-disorder-a-pilot-study
#17
Marc-Andreas Edel, Vanessa Raaff, Giancarlo Dimaggio, Anna Buchheim, Martin Brüne
OBJECTIVES: Borderline personality disorder (BPD) is characterized by emotional instability, interpersonal dysfunction, and other features that typically develop before a background of insecure attachment and traumatic experiences. Dialectical behaviour therapy (DBT) has proven highly effective in reducing self-harm and improving emotion regulation, whereby problems concerning social cognition, which are also characteristic of BPD, may need additional approaches such as mentalization-based treatment (MBT)...
March 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27890269/-anorexia-and-borderline-personality-disorder%C3%A2-bonds-pathology
#18
Delphine Cayn, Alexandra Pham-Scottez
Comorbidity with a borderline personality disorder is far from rare in patients suffering from eating disorders. Clinically, this presents as chronic instability in many areas: interpersonal relationships, self-image, emotions, mood and acting out. Treatment is mainly based on a containing and reassuring therapeutic framework. A care plan may be put in place that incorporates reducing impulsive harmful, eating and self-harming behaviours. Dialectical behaviour therapy is intended in particular to prevent suicide risk in borderline personality disorder patients...
November 2016: Soins. Psychiatrie
https://www.readbyqxmd.com/read/27858962/a-randomized-trial-of-brief-dialectical-behaviour-therapy-skills-training-in-suicidal-patients-suffering-from-borderline-disorder
#19
RANDOMIZED CONTROLLED TRIAL
Shelley F McMain, Tim Guimond, Ryan Barnhart, Liat Habinski, David L Streiner
OBJECTIVE: Evidence-based therapies for borderline personality disorder (BPD) are lengthy and scarce. Data on brief interventions are limited, and their role in the treatment of BPD is unclear. Our aim was therefore to evaluate the clinical effectiveness of brief dialectical behaviour therapy (DBT) skills training as an adjunctive intervention for high suicide risk in patients with BPD. METHOD: Eighty-four out-patients were randomized to 20 weeks of DBT skills (n = 42) or a waitlist (WL; n = 42)...
February 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27504235/health-related-quality-of-life-for-young-people-receiving-dialectical-behaviour-therapy-dbt-a-routine-outcome-monitoring-pilot
#20
M Swales, R A B Hibbs, L Bryning, R P Hastings
PURPOSE: Adults presenting with borderline personality disorder (BPD) score poorly on measures of health related quality of life (HRQoL). Little is known about HRQoL in adolescents with BPD type presentations and how treatment impacts quality of life. Our primary aim was to use routinely collected quality-of-life outcome measures pre and post-treatment in dialectical behaviour therapy (DBT) for adolescents to address this gap. Secondary aims were to benchmark these data against EuroQol 5 dimensions (EQ-5D™) outcomes for clients treated in clinical trials and to assess the potential of the EQ-5D™ as a benchmarking tool...
2016: SpringerPlus
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