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Dialectic behavior therapy

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https://www.readbyqxmd.com/read/29330697/implementation-of-dialectical-behavior-therapy-in-residential-treatment-programs-a-process-evaluation-model-for-a-community-based-agency
#1
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
https://www.readbyqxmd.com/read/29294746/dating-violence-victimization-nonsuicidal-self-injury-and-the-moderating-effect-of-borderline-personality-disorder-features-in-adolescent-inpatients
#2
Claire Hatkevich, William Mellick, Tyson Reuter, Jeff R Temple, Carla Sharp
The aim of the study was to examine whether Borderline Personality Disorder (BPD) features moderate the relation between dating violence victimization (DVV) experiences and nonsuicidal self-injury (NSSI) in adolescent inpatients. A total of 184 adolescent inpatients completed measures on DVV, BPD features, and NSSI at admission to treatment. Bivariate analyses revealed significant relations between DVV, BPD features, and NSSI. Hierarchical multiple regression analyses demonstrated a moderating effect of BPD features such that in the low BPD features group, more severe DVV was associated with greater NSSI frequency; adolescents in the high BPD group endorsed elevated, though stable, levels of NSSI at all levels of DVV...
May 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29294684/the-mediating-roles-of-hostility-and-dissociation-in-the-relationship-between-sexual-assault-and-suicidal-thinking-in-college-students
#3
Kristy M Keefe, Melanie D Hetzel-Riggin, Naoyuki Sunami
Sexual assault and suicide are two serious public health concerns. Research has documented the relationship between sexual assault and suicidal thinking and attempts; however, limited research explores the more multifaceted relationships between posttraumatic stress reactions and suicidal ideation in college students through unsuccessful modulation of emotion. The authors hypothesized a mediation model where the relationship between sexual assault and suicidal ideation is mediated by dissociation and hostility...
March 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29274998/dna-methylation-of-apba3-and-mcf2-in-borderline-personality-disorder-potential-biomarkers-for-response-to-psychotherapy
#4
Nora Knoblich, Friederike Gundel, Christof Brückmann, Julia Becker-Sadzio, Christian Frischholz, Vanessa Nieratschker
Borderline personality disorder (BPD) is a severe and complex mental disease associated with high suicidal tendencies and hospitalization rates. Accumulating evidence suggests that epigenetic mechanisms are implicated in the etiology of BPD. A recent epigenome-wide study identified several novel genes which are epigenetically dysregulated in BPD. Those genes include APBA3 and MCF2. Psychotherapy such as Dialectical Behavior Therapy (DBT), an established treatment for BPD, provides an excellent setting to investigate environmental influences on epigenetic mechanisms in order to identify biomarkers for disease status and therapy success...
December 20, 2017: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29273344/the-effects-of-oxytocin-on-social-cognition-in-borderline-personality-disorder
#5
A Servan, J Brunelin, E Poulet
INTRODUCTION: Deficits in social cognition and interpersonal difficulties are key features in borderline personality disorder. Social cognition refers to the function of perceiving and adequately dealing with social signals, leading to the establishment and maintenance of healthy and positive social relationships. Evidence suggests that oxytocin (OT) may improve social cognition and human social behavior. Recently, several studies have highlighted the beneficial effects of oxytocin in several psychiatric conditions involving social cognition deficits such as schizophrenia, autism or social phobia...
December 19, 2017: L'Encéphale
https://www.readbyqxmd.com/read/29247895/therapists-self-reported-drift-from-dialectical-behavior-therapy-techniques-for-eating-disorders
#6
Lucene Wisniewski, Maria Elena Hernandez Hernandez, Glenn Waller
OBJECTIVE: Research has shown that clinicians underuse or omit techniques that constitute an essential part of evidence-based therapies. However, it is not known whether this is the case in DBT for eating disorders. The aims of this study were; 1) exploring the extent to which DBT techniques were used by self-identified DBT clinicians treating eating disorders; 2) determining whether therapists fell into distinct groups, based on their usage of DBT techniques; and 3) examining whether clinician characteristics were related to the use of such techniques...
December 12, 2017: Eating Behaviors
https://www.readbyqxmd.com/read/29239627/clinical-severity-as-a-moderator-of-outcome-in-psychodynamic-and-dialectical-behavior-therapies-for-borderline-personality-disorder
#7
Zeynep Sahin, Bo Vinnars, Bernard S Gorman, Alexander Wilczek, Marie Åsberg, Jacques P Barber
The aim of the present study was to assess the effect of initial level of psychiatric severity on treatment outcome in psychodynamic therapy and dialectical behavior therapy (DBT) for borderline personality disorder (BPD). It was hypothesized that DBT would lead to better outcome for patients with high psychiatric severity, whereas dynamic treatment would lead to better outcome for patients with lower psychiatric severity. Data from the 5th-year follow-up of the Stockholm City Council's and the Karolinska Institute's Psychotherapy Project were used in the present study...
December 14, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29238317/therapeutic-self-disclosure-within-dbt-schema-therapy-and-cbasp-opportunities-and-challenges
#8
Stephan Köhler, Anne Guhn, Felix Betzler, Christian Stiglmayr, Eva-Lotta Brakemeier, Philipp Sterzer
In recent years, various therapeutic interventions have been established that extended behavior and cognitive behavior therapy (CBT) by so-called "third-wave" strategies. In order to address specific therapeutic challenges in certain subgroups of patients who do not sufficiently respond to "classical CBT," some of these third-wave strategies put particular emphasis on therapist self-disclosure. This article highlights therapeutic self-disclosure as a means to address interpersonal problems by comparing three third-wave strategies: (a) acceptance and change strategies as used in Dialectical Behavioral Therapy (DBT), (b) the concept of "limited reparenting" as used in Schema Therapy (ST), and (c) disciplined personal involvement as used in the Cognitive Behavioral Analysis System of Psychotherapy (CBASP)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29197947/effects-of-a-dialectical-behavior-therapy-based-skills-group-intervention-for-obese-individuals-a-brazilian-pilot-study
#9
Ana Carolina Maciel Cancian, Lucas André Schuster de Souza, Ronald Patrick Araujo Liboni, Wagner de Lara Machado, Margareth da Silva Oliveira
PURPOSE: This pilot study aimed to analyze the effects of an adapted dialectical behavior therapy (DBT) skills training group on problematic and adaptive eating behaviors in Brazilian obese individuals. METHODS: Thirty-one obese individuals were randomly assigned to 10 sessions of adapted DBT skills training (n = 14) or two months of a waiting list comparison condition (n = 17). RESULTS: Attrition rates were similar to what's been found in comparable studies, with most dropouts happening at the beginning of the treatment...
December 2, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/29189033/comparing-treatment-response-between-lgbq-and-heterosexual-individuals-attending-a-cbt-and-dbt-skills-based-partial-hospital
#10
Courtney Beard, Norik Kirakosian, Alexandra L Silverman, Jeffrey P Winer, Lauren P Wadsworth, Thröstur Björgvinsson
OBJECTIVE: Despite a greater need for mental health treatment in individuals identifying as lesbian, gay, bisexual, queer, and other sexual minority identities (LGBQ+), no prior study has examined mental health treatment outcomes for LGBQ+ populations receiving standard care. We compared individuals identifying as LGBQ+ or heterosexual on treatment outcomes following a partial hospital program based on cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). METHOD: A total of 441 participants (19% LGBQ+; mean age = 34...
December 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29166665/meditation-experts-try-virtual-reality-mindfulness-a-pilot-study-evaluation-of-the-feasibility-and-acceptability-of-virtual-reality-to-facilitate-mindfulness-practice-in-people-attending-a-mindfulness-conference
#11
María V Navarro-Haro, Yolanda López-Del-Hoyo, Daniel Campos, Marsha M Linehan, Hunter G Hoffman, Azucena García-Palacios, Marta Modrego-Alarcón, Luis Borao, Javier García-Campayo
Regular mindfulness practice benefits people both mentally and physically, but many populations who could benefit do not practice mindfulness. Virtual Reality (VR) is a new technology that helps capture participants' attention and gives users the illusion of "being there" in the 3D computer generated environment, facilitating sense of presence. By limiting distractions from the real world, increasing sense of presence and giving people an interesting place to go to practice mindfulness, Virtual Reality may facilitate mindfulness practice...
2017: PloS One
https://www.readbyqxmd.com/read/29095374/achieving-drug-and-alcohol-abstinence-among-recently-incarcerated-homeless-women-a-randomized-controlled-trial-comparing-dialectical-behavioral-therapy-case-management-with-a-health-promotion-program
#12
Adeline M Nyamathi, Sanghyuk S Shin, Jolene Smeltzer, Benissa E Salem, Kartik Yadav, Maria L Ekstrand, Susan F Turner, Mark Faucette
BACKGROUND: Homeless female ex-offenders (homeless female offenders) exiting jail and prison are at a critical juncture during reentry and transitioning into the community setting. OBJECTIVE: The purpose of the study was to compare the effect of a dialectical behavioral therapy-case management (DBT-CM) program with a health promotion (HP) program on achieving drug and alcohol abstinence among female parolees/probationers residing in the community. METHODS: We conducted a multicenter parallel randomized controlled trial with 130 female parolees/probationers (aged 19-64 years) residing in the community randomly assigned to either DBT-CM (n = 65) or HP (n = 65)...
November 2017: Nursing Research
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
#13
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/29070480/internet-delivered-dialectical-behavioral-therapy-skills-training-for-suicidal-and-heavy-episodic-drinkers-protocol-and-preliminary-results-of-a-randomized-controlled-trial
#14
Chelsey Wilks, Qingqing Yin, Sin Yee Ang, Brandon Matsumiya, Anita Lungu, Marsha Linehan
BACKGROUND: The need to develop effective and accessible interventions for suicidal individuals engaging in heavy episodic drinking (HED) cannot be understated. While the link between alcohol use and suicidality is a complex one that remains to be elucidated, emotion dysregulation may play a key role in alcohol-related suicide risk in these individuals. OBJECTIVE: In the current study, an 8-week Internet-delivered dialectical behavior therapy (DBT) skills training intervention was developed and preliminarily evaluated for suicidal individuals who engage in HED to regulate emotions...
October 25, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29056846/a-cultural-adaptation-of-dialectical-behavior-therapy-in-nepal
#15
Megan K Ramaiya, Devika Fiorillo, Upasana Regmi, Clive J Robins, Brandon A Kohrt
Growing evidence exists on the potential for adapting evidence-based interventions for low- and-middle-income countries (LMIC). One opportunity that has received limited attention is the adaptation of psychotherapies developed in high-income countries (HIC) based on principles from LMIC cultural groups. Dialectical behavior therapy (DBT) is one such treatment with significant potential for acceptability in South Asian settings with high suicide rates. We describe a tri-phasic approach to adapt DBT in Nepal that consists of qualitative interviews with major Nepali mental health stakeholders (Study 1), an adaptation workshop with 15 Nepali counselors (Study 2), and a small-scale treatment pilot with eligible clients in one rural district (Study 3)...
November 2017: Cognitive and Behavioral Practice
https://www.readbyqxmd.com/read/29043085/a-pilot-open-series-of-lamotrigine-in-dbt-treated-eating-disorders-characterized-by-significant-affective-dysregulation-and-poor-impulse-control
#16
Mary Ellen Trunko, Terry A Schwartz, Laura A Berner, Anne Cusack, Tiffany Nakamura, Ursula F Bailer, Joanna Y Chen, Walter H Kaye
BACKGROUND: There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation. METHODS: This pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147 ± 79 days (mean final dose = 161...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29021770/the-differential-effects-of-mindfulness-and-distraction-on-affect-and-body-satisfaction-following-food-consumption
#17
Alice Tsai, Elizabeth K Hughes, Matthew Fuller-Tyszkiewicz, Kimberly Buck, Isabel Krug
This study investigated whether engaging in mindfulness following food consumption produced changes in affect and body satisfaction, as compared to a control distraction task. The moderating effects of eating pathology and neuroticism were also examined. A total of 110 female university students consumed food and water before engaging in either a mindfulness induction or a control distraction task. Participants completed trait measures of eating pathology and neuroticism at baseline, and measures of state affect and body satisfaction before and after food consumption, and after the induction...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28993747/the-use-of-virtual-reality-facilitates-dialectical-behavior-therapy%C3%A2-observing-sounds-and-visuals-mindfulness-skills-training-exercises-for-a-latino-patient-with-severe-burns-a-case-study
#18
Jocelyn Gomez, Hunter G Hoffman, Steven L Bistricky, Miriam Gonzalez, Laura Rosenberg, Mariana Sampaio, Azucena Garcia-Palacios, Maria V Navarro-Haro, Wadee Alhalabi, Marta Rosenberg, Walter J Meyer, Marsha M Linehan
Sustaining a burn injury increases an individual's risk of developing psychological problems such as generalized anxiety, negative emotions, depression, acute stress disorder, or post-traumatic stress disorder. Despite the growing use of Dialectical Behavioral Therapy® (DBT®) by clinical psychologists, to date, there are no published studies using standard DBT® or DBT® skills learning for severe burn patients. The current study explored the feasibility and clinical potential of using Immersive Virtual Reality (VR) enhanced DBT® mindfulness skills training to reduce negative emotions and increase positive emotions of a patient with severe burn injuries...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28966910/a-pilot-study-of-an-acceptance-based-behavioral-treatment-for-binge-eating-disorder
#19
Adrienne S Juarascio, Stephanie M Manasse, Hallie M Espel, Leah M Schumacher, Stephanie Kerrigan, Evan M Forman
While existing treatments produce remission in a relatively large percentage of individuals with binge eating disorder (BED), room for improvement remains. Interventions designed to increase emotion regulation skills and clarify one's chosen values may be well-suited to address factors known to maintain BED. The current study examined the preliminary efficacy of a group-based treatment, Acceptance-based Behavioral Therapy (ABBT), in a small open trial (n=19), as well as the relationship between changes in hypothesized mechanisms of action and outcomes...
January 2017: Journal of Contextual Behavioral Science
https://www.readbyqxmd.com/read/28942805/randomized-clinical-trial-of-dialectical-behavior-therapy-for-preadolescent-children-with-disruptive-mood-dysregulation-disorder-feasibility-and-outcomes
#20
Francheska Perepletchikova, Donald Nathanson, Seth R Axelrod, Caitlin Merrill, Amy Walker, Meredith Grossman, James Rebeta, Lawrence Scahill, Joan Kaufman, Barbara Flye, Elizabeth Mauer, John Walkup
OBJECTIVE: Persistent irritability and behavior outbursts in disruptive mood dysregulation disorder (DMDD) are associated with severe impairment in childhood and with negative adolescent and adult outcomes. There are no empirically established treatments for DMDD. This study examined the feasibility and preliminary efficacy of dialectical behavior therapy adapted for preadolescent children (DBT-C) with DMDD. METHOD: Children 7 to 12 years old with DMDD (N = 43) were randomly assigned 1:1 to DBT-C or treatment as usual (TAU)...
October 2017: Journal of the American Academy of Child and Adolescent Psychiatry
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