Journal articles: 'Dialectical behaviour therapy'

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Feigenbaum, Janet. "Dialectical behaviour therapy." Psychiatry 7, no. 3 (March 2008): 112–16. http://dx.doi.org/10.1016/j.mppsy.2008.01.007.

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Curran, Joe. "Inpatient dialectical behaviour therapy." Mental Health Practice 7, no. 10 (July 2004): 20. http://dx.doi.org/10.7748/mhp.7.10.20.s14.

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Wix, Stuart. "Dialectical behaviour therapy observed." British Journal of Forensic Practice 5, no. 2 (May 2003): 3–7. http://dx.doi.org/10.1108/14636646200300008.

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Groves, Sameena, Hilmar S. Backer, Wies van den Bosch, and Alec Miller. "Dialectical behaviour therapy with adolescents." Child and Adolescent Mental Health 17, no. 2 (June 20, 2011): 65–75. http://dx.doi.org/10.1111/j.1475-3588.2011.00611.x.

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Hancock-Johnson, Ella, Charlotte Staniforth, Lucy Pomroy, and Kieran Breen. "Adolescent inpatient completers of dialectical behaviour therapy." Journal of Forensic Practice 22, no. 1 (December 6, 2019): 29–39. http://dx.doi.org/10.1108/jfp-07-2019-0029.

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Purpose Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions (MDCE). However, there is limited evidence available for the effectiveness of DBT skills training for adolescents with MDCE who are resident within a secure impatient setting. The paper aims to discuss these issues. Design/methodology/approach A retrospective study investigated changes in aggressive and self-injurious behaviours in 22 adolescents within a secure inpatient mental health setting with MDCE who had completed one cycle of DBT skills training. Changes in symptomatic problems, behavioural and social impairment were also investigated in 17 of the 22 participants who completed the DBT skills training cycle. Findings There were statistically significant decreases in the frequencies of engagement in total aggressive and deliberate self-harm behaviours after the DBT skills training cycle. There was a significant improvement in symptomatic and behavioural impairment, but not in social impairment. Practical implications The findings of this study suggest that DBT skills training may be beneficial for behavioural and symptomatic outcomes in adolescent inpatients with MDCE. Originality/value This study provides preliminary evidence for the effectiveness of DBT skills training for adolescents with MDCE within a secure inpatient setting. Additional studies are required to investigate the clinical benefits of specific aspects of DBT for individual patients.

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Zinkler, Martin, Amy Gaglia, S. M. Rajagopal Arokiadass, and Eldad Farhy. "Dialectical behaviour treatment: implementation and outcomes." Psychiatric Bulletin 31, no. 7 (July 2007): 249–52. http://dx.doi.org/10.1192/pb.bp.106.011874.

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Aims and MethodDialectical behaviour therapy is an evidence-based treatment for people with borderline personality disorder. We describe implementation and outcomes of a new service.ResultsHospital use and frequency of self-harm were reduced dramatically with dialectical behaviour therapy. Moreover, the therapy can be implemented successfully in a relatively short time at modest costs.Clinical ImplicationsDialectical behaviour therapy provides a useful model of treatment for people with borderline personality disorder and/or self-harm in community mental health settings.

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Walton, Carla J., Nick Bendit, Amanda L. Baker, Gregory L. Carter, and Terry J. Lewin. "A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service." Australian & New Zealand Journal of Psychiatry 54, no. 10 (June 17, 2020): 1020–34. http://dx.doi.org/10.1177/0004867420931164.

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Objectives: Borderline personality disorder is a complex mental disorder that is associated with a high degree of suffering for the individual. Dialectical behaviour therapy has been studied in the largest number of controlled trials for treatment of individuals with borderline personality disorder. The conversational model is a psychodynamic treatment also developed specifically for treatment of borderline personality disorder. We report on the outcomes of a randomised trial comparing dialectical behaviour therapy and conversational model for treatment of borderline personality disorder in a routine clinical setting. Method: Participants had a diagnosis of borderline personality disorder and a minimum of three suicidal and/or non-suicidal self-injurious episodes in the previous 12 months. Consenting individuals were randomised to either dialectical behaviour therapy or conversational model and contracted for 14 months of treatment ( n = 162 commenced therapy). Dialectical behaviour therapy involved participants attending weekly individual therapy, weekly group skills training and having access to after-hours phone coaching. Conversational model involved twice weekly individual therapy. Assessments occurred at baseline, mid-treatment (7 months) and post-treatment (14 months). Assessments were conducted by a research assistant blind to treatment condition. Primary outcomes were change in suicidal and non-suicidal self-injurious episodes and severity of depression. We hypothesised that dialectical behaviour therapy would be more effective in reducing suicidal and non-suicidal self-injurious behaviour and that conversational model would be more effective in reducing depression. Results: Both treatments showed significant improvement over time across the 14 months duration of therapy in suicidal and non-suicidal self-injury and depression scores. There were no significant differences between treatment models in reduction of suicidal and non-suicidal self-injury. However, dialectical behaviour therapy was associated with significantly greater reductions in depression scores compared to conversational model. Conclusion: This research adds to the accumulating body of knowledge of psychotherapeutic treatment of borderline personality disorder and supports the use of both dialectical behaviour therapy and conversational model as effective treatments in routine clinical settings, with some additional benefits for dialectical behaviour therapy for persons with co-morbid depression.

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Verheul, Roel, Louise M. C. Van Den Bosch, Maarten W. J. Koeter, Maria A. J. De Ridder, Theo Stijnen, and Wim Van Den Brink. "Dialectical behaviour therapy for women with borderline personality disorder." British Journal of Psychiatry 182, no. 2 (February 2003): 135–40. http://dx.doi.org/10.1192/bjp.182.2.135.

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BackgroundDialectical behaviour therapy (DBT) is widely considered to be a promising treatment for borderline personality disorder (BPD). However, the evidence for its efficacy published thus far should be regarded as preliminary.AimsTo compare the effectiveness of DBT with treatment as usual for patients with BPD and to examine the impact of baseline severity on effectiveness.MethodFifty-eight women with BPD were randomly assigned to either 12 months of DBT or usual treatment in a randomised controlled study. Participants were recruited through clinical referrals from both addiction treatment and psychiatric services. Outcome measures included treatment retention and the course of suicidal, self-mutilating and self-damaging impulsive behaviours.ResultsDialectical behaviour therapy resulted in better retention rates and greater reductions of self-mutilating and self-damaging impulsive behaviours compared with usual treatment, especially among those with a history of frequent self-mutilation.ConclusionsDialectical behaviour therapy is superior to usual treatment in reducing high-risk behaviours in patients with BPD.

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Feigenbaum, Janet. "Dialectical behaviour therapy: An increasing evidence base." Journal of Mental Health 16, no. 1 (January 2007): 51–68. http://dx.doi.org/10.1080/09638230601182094.

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Swales, Michaela Anne. "Implementing Dialectical Behaviour Therapy: organizational pre-treatment." Cognitive Behaviour Therapist 3, no. 4 (September 28, 2010): 145–57. http://dx.doi.org/10.1017/s1754470x10000115.

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AbstractImplementing change in organizational systems is challenging, and implementing a new psychotherapeutic approach is no different. A literature exists on issues in implementation across a wide range of domains (technological, healthcare, justice). However, little of it is utilized in endeavours to implement innovations in psychological treatments. This paper draws on the implementation literature and on the experiences of the British Isles DBT Training Team (BIDBT) in implementing Dialectical Behaviour Therapy (DBT) in mental healthcare systems in the UK over the last 13 years. This paper describes principles and strategies of ‘organizational pre-treatment’ as a necessary prerequisite to implementation.

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Palmer, Robert L. "Dialectical behaviour therapy for borderline personality disorder." Advances in Psychiatric Treatment 8, no. 1 (January 2002): 10–16. http://dx.doi.org/10.1192/apt.8.1.10.

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The concept of borderline personality disorder (BPD) seems to include, almost by definition, the idea that people described by the term are difficult to help. The broad picture portrayed by the diagnostic criteria (Box 1) is likely to be familiar to most clinicians and to cause the hearts of many to sink. A core issue for those with BPD is difficulty of relationship, and this will inevitably – even especially – include clinical and therapeutic relationship. It is all too common for distress to be met with much therapeutic effort but for little to change. Indeed, there is often a nagging sense that attempts at treatment may be making matters worse. The care of people with BPD presents an important challenge to mental health services. At the individual level, the patient continues to be at risk and to suffer and the clinician feels frustrated. At the service level, substantial resources may be expended to little apparent benefit.

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Cooper, Brent, and Jane Parsons. "Dialectical Behaviour Therapy: A social work intervention?" Aotearoa New Zealand Social Work 21, no. 4 (January 1, 2009): 83–93. http://dx.doi.org/10.11157/anzswj-vol21iss4id264.

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This article introduces the mental health treatment, Dialectical Behaviour Therapy (DBT) as a dynamic and challenging therapy well suited to a critical social work perspective. From the authors’ experience of providing DBT in a tertiary health setting over the past three years, the connections between DBT and social work will be espoused with the central tenet being the demonstration that psychiatric social workers are highly skilled once trained in this modality

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Quinn, Candice Renee. "Efficacy of dialectical behaviour therapy for adolescents." Australian Journal of Psychology 61, no. 3 (September 2009): 156–66. http://dx.doi.org/10.1080/00049530802315084.

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Searle, Robert John, and Ianiv Borseti. "Adapted dialectical behaviour therapy skills group service evaluation." Advances in Mental Health and Intellectual Disabilities 15, no. 1 (January 9, 2021): 1–7. http://dx.doi.org/10.1108/amhid-06-2020-0015.

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Purpose The purpose of this paper is to determine the effectiveness of an adapted dialectical behaviour therapy (DBT) treatment programme for individuals with an intellectual disability, via completion of a service evaluation. Design/methodology/approach Outcome measurements were competed at pre-, post- and 12 months follow-up, and the effectiveness of the intervention was assessed using a Friedman analysis. Findings Findings demonstrated that the treatment group showed significant differences in their “psychological distress” scores, but no significant differences were found in their “psychological well-being”, “anxiety” or “quality of life” (WHO-QOL) scores over time. Originality/value Overall, the current study adds to the small but growing literature that supports using the skills training group part of DBT as a stand-alone psychological intervention when working with people with an intellectual disability.

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Swales, Michaela A. "Dialectical Behaviour Therapy: Description, research and future directions." International Journal of Behavioral Consultation and Therapy 5, no. 2 (2009): 164–77. http://dx.doi.org/10.1037/h0100878.

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Lanius, Ruth A., and Isolda Tuhan. "Stage-Oriented Trauma Treatment Using Dialectical Behaviour Therapy." Canadian Journal of Psychiatry 48, no. 2 (March 2003): 126–27. http://dx.doi.org/10.1177/070674370304800212.

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MacLeod, Olivia, Marjorie Robb, and Anne Gillies. "53 Adolescent Dialectical Behaviour Therapy: Levels of Care." Paediatrics & Child Health 28, Supplement_1 (September 1, 2023): e23-e24. http://dx.doi.org/10.1093/pch/pxad055.053.

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Abstract Introduction/Background A growing body of research supports the efficacy of Dialectical Behavioural Therapy (DBT) for adolescents with various mental health diagnoses, but a traditional DBT program uses intensive resources (weekly individual and group therapy). To see whether a less intensive program could benefit certain participants, a complementary program called “DBT Lite” was designed and implemented at a large acute care Children’s Hospital. The group format (youth and parents together), therapeutic principals and coping skills taught were the same (based on “DBT Skills Manual for Adolescents”, Miller & Rathus, 2014), but DBT Lite involved only group therapy, and was offered over a shorter time frame (12 weeks vs. 19 weeks). Objectives The purpose of this study was to compare the effectiveness of “DBT Full” and “DBT Lite” on improving emotion regulation and family functioning/parental stress and decreasing emergency department (ED) visits and hospitalizations among adolescents age 13-17 with mental health diagnoses. Participants were not randomized; the treatment was selected according to severity of illness. We hypothesized that both treatment programs would show benefits but that “Full DBT” would result in greater improvements than “DBT Lite” due to its more comprehensive treatment model. Design/Methods Data was collected prospectively pre- and post-treatment from youth and parents participating in both programs over a 3-year period. The primary outcome measures were the DERS (Difficulties in Emotion Regulation Scale), the FACES-IV (Family Adaptability and Cohesion Scale, 4th Ed), and the PSS (Parental Stress Scale). Results were analyzed using paired-sample t-tests. We also examined ED and hospital admission data 6 months prior to starting the group and 6 months following completion of the group. Results In “Full DBT”, emotion regulation improved in both youth (n=9) and parents (n=12) post-treatment (DERS total score: youth p=0.02; parents p=0.01). Parents reported significant improvements on measures of parental stress (PSS p=0.002), and family functioning (FACES-IV family communication p=0.000, satisfaction p=0.008, and overall family functioning p=0.002). However, these improvements were not significant in youth measures. In “DBT Lite”, youth (n=16) and parents (n=17) did not report significant improvements in emotion regulation or family functioning, but did report decreases in parental stress (PSS p=0.005). Both groups resulted in measurable differences in acute care use: the percentage of patients with ED presentations 6 months pre- vs. 6 months post-group decreased from 70% to 27% for “Lite”, and 81% to 50% for “Full”. The percentage of patients requiring hospital admission decreased from 13% to 10% for “Lite”, and 56% to 28% for “Full”. Conclusion These results suggest that although “DBT Lite” may not have the same family functioning and emotion regulation benefits as its full-service counterpart, it can still reduce parental stress and decrease use of acute care resources. This study confirms the patient and family benefits of a full DBT program, but also has important implications for centres with limited mental health resources, given that “Full DBT” requires 38 clinician hours per patient to deliver, versus 12 hours for “DBT Lite”.

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Amira, Iceu, Hendrawati Hendrawati, Indra Maulana, and Udin Rosidin. "Efektivitas Dialectical Behavior Therapy (DBT) Pada Pasien Dengan Risiko Bunuh Diri Literature Review." Malahayati Nursing Journal 6, no. 8 (August 1, 2024): 3060–77. http://dx.doi.org/10.33024/mnj.v6i8.14904.

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ABSTRACT The risk of suicide is a situation where someone intentionally harms themselves with the aim of ending their life. To reduce this behavior, it is necessary to carry out prevention, namely by implementing Dialectical Behavior Therapy or DBT. This is a psychotherapeutic intervention that helps clients regulate their negative emotions, accept themselves now, and change negative behavior or habits that clients are currently carrying out into more positive behavior. This study aims to determine the effect of Dialectical Behavior Therapy (DBT) on the risk of suicide. The research method used was a literature review with the PICO approach (Population: adolescents at risk of suicide, Intervention: dialectical behavior therapy, Comparison: -, and Outcome: level of suicidal behavior). Articles were searched using Google Scholar, PubMed, and Scopus, and after selection using inclusion and exclusion criteria, 10 articles were reviewed. Show that DBT can be used as an intervention to treat patients at high risk of suicide. Based on the journals that have been reviewed, it shows that the Dialectical Behavior Therapy (DBT) intervention provides an overview of proven effectiveness in preventing the risk of suicidal behavior. Keywords: Dialectical Behavior Therapy, Suicide Risk, Violent Behavior ABSTRAK Resiko bunuh diri merupakan keadaan dimana seseorang dengan sengaja melukai diri sendiri dengan tujuan untuk mengakhiri kehidupan. Untuk mengurangi perilaku tersebut perlu dilakukan suatu pencegahan yaitu dengan menerapkan Dialectical Behavior Therapy atau DBT ini merupakan intervensi psikoteraupetik yang membantu klien dalam mengatur emosi negatifnya, menerima dirinya sekarang, dan mengubah perilaku atau kebiasaan negatif yang dilakukan klien sekarang ke perilaku yang lebih positif. Penelitian ini bertujuan untuk mengetahui pengaruh Dialectical Behavior Therapy (DBT) terhadap risiko bunuh diri. Metode penelitian yang digunakan adalah literature review dengan pendekatan PICO (Population: remaja dengan resiko bunuh diri, Intervention: dialectical behaviour therapy, Comparison: -, dan Outcome: tingkat perilaku bunuh diri). Pencarian artikel menggunakan Google Scholar, PubMed, dan Scopus, dan setelah diseleksi menggunakan kriteria inklusi dan eksklusi didapatkan 10 artikel yang direview. Menunjukkan DBT dapat digunakan sebagai intervensi untuk menangani pasien resiko bunuh diri yang tinggi. Berdasarkan jurnal yang telah direview menunjukkan bahwa intervensi Dialectical Behavior Therapy (DBT) ini memberikan gambaran terbukti efektif dalam pencegahan mengatasi resiko perilaku bunuh diri. Kata Kunci: Dialectical Behavior Therapy, Resiko Bunuh Diri, Perilaku Kekerasan

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Lyng, J. L., M. A. Swales, and R. P. Hastings. "Dialectical behaviour therapy for younger adults: evaluation of 22 weeks of community delivered dialectical behaviour therapy for females 18–25 years." Irish Journal of Psychological Medicine 32, no. 4 (January 16, 2015): 299–305. http://dx.doi.org/10.1017/ipm.2014.69.

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BackgroundDialectical behaviour therapy (DBT) is a multi-modal psychological therapy with established efficacy in treating borderline personality disorder (BPD). Younger adults represent a group more likely to drop out of treatment than their older counterparts and treatments specifically targeted at this younger cohort may be advantageous.The current studyWe describe an evaluation of a DBT programme in a mental health centre for younger adults 18–25 years who met criteria for BPD (n=11).MethodologyWe used a simple pre/post-test design, measuring BPD symptoms, general mental health symptoms, and coping skills using self-report questionnaires at the beginning of DBT and again following the delivery of 22 weeks of DBT.FindingsStatistically significant reductions were found in BPD symptoms and several mental health symptoms alongside an increase in DBT skills use. Dropout was 31% at 22 weeks of treatment. Methodological weaknesses and avenues for future research are discussed.

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Barnicot, Kirsten, and Mike Crawford. "Dialectical behaviour therapy v. mentalisation-based therapy for borderline personality disorder." Psychological Medicine 49, no. 12 (October 10, 2018): 2060–68. http://dx.doi.org/10.1017/s0033291718002878.

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AbstractBackgroundDialectical behaviour therapy (DBT) and mentalisation-based therapy (MBT) are both widely used evidence-based treatments for borderline personality disorder (BPD), yet a head-to-head comparison of outcomes has never been conducted. The present study therefore aimed to compare the clinical outcomes of DBT v. MBT in patients with BPD.MethodsA non-randomised comparison of clinical outcomes in N = 90 patients with BPD receiving either DBT or MBT over a 12-month period.ResultsAfter adjusting for potentially confounding differences between participants, participants receiving DBT reported a significantly steeper decline over time in incidents of self-harm (adjusted IRR = 0.93, 95% CI 0.87–0.99, p = 0.02) and in emotional dysregulation (adjusted β = −1.94, 95% CI −3.37 to −0.51, p < 0.01) than participants receiving MBT. Differences in treatment dropout and use of crisis services were no longer significant after adjusting for confounding, and there were no significant differences in BPD symptoms or interpersonal problems.ConclusionsWithin this sample of people using specialist personality disorder treatment services, reductions in self-harm and improvements in emotional regulation at 12 months were greater amongst those receiving DBT than amongst those receiving MBT. Experimental studies assessing outcomes beyond 12 months are needed to examine whether these findings represent differences in the clinical effectiveness of these therapies.

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Maffei, C. "AS14-03 - Relevant treatment elements in dialectical behaviour therapy." European Psychiatry 27 (January 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)73994-9.

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Knott, Georgina, Christy Pitfield, and Thomas Richardson. "An overview of recent adaptations to Dialectical Behaviour Therapy." PsyPag Quarterly 1, no. 92 (September 2014): 5–10. http://dx.doi.org/10.53841/bpspag.2014.1.92.5.

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Dialectical Behaviour Therapy (DBT) is a treatment model, developed by Marsha Linehan, incorporating Cognitive Behavioural Therapy (CBT), assertiveness training and Eastern meditative practices (Linehan, 1993). Originally formulated to reduce suicidality and deliberate self-harming behaviour in those diagnosed with Borderline Personality Disorder (BPD), it became the first empirically supported treatment for this complex clinical population (Linehan et al., 1991). Since first conceptualised, this treatment model has been adopted and adapted across diverse settings and populations. This article evolved from a need to evaluate the evidence base in order to ensure that the authors were promoting evidence-based practice within their clinical practice at an adult acute inpatient unit. Specifically, it was aimed to assist with reviewing the content of a current transdiagnostic ward-based ‘Living Skills’ group that was incorporating elements of the original DBT model.

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Huckvale, Karen, and Malcolm Learmonth. "A case example of art therapy in relation to Dialectical Behaviour Therapy." International Journal of Art Therapy 14, no. 2 (December 2009): 52–63. http://dx.doi.org/10.1080/17454830903329196.

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SHIN, Min-Su, Se-Hyun OH, and Hyun-Woo NAM. "The impact of a dance movement therapy program applying dialectical behaviour therapy techniques on improving the self-esteem of school maladjusted adolescents." Korea Dance Movement Psychotherapy Association 8, no. 1 (June 30, 2024): 29–56. http://dx.doi.org/10.30768/kdmpa.2024.8.1.29.

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This study was conducted to examine qualitative changes in self-esteem and movement of research participants by providing a dance movement program applying dialectical behavior therapy techniques to school maladjusted adolescents. 12 first-year middle school students from Suwon were divided into an experimental group and a control group, with 6 students in each group. A short-term program was implemented twice a week for a total of 8 sessions. The program of this study applies the common factor of Dance Movement Therapy (DMT) and Dialectical Behaviour Therapy (DBT), which use a body-based therapeutic approach. The research question analyzed self-esteem and its subfactors, and a movement observation analysis was conducted accordingly to examine qualitative changes in the movements of the experimental group. As a result of the study, first, the dance movement therapy program applying dialectical behavior therapy techniques had a positive effect on improving the self-esteem of School maladjusted adolescents. Second, changes in movement showed improved social skills. This study has confirmed that a positive impact on the self-esteem of School-maladjusted adolescents, and it is hoped that future research will be encouraged using different treatment methods.

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Swales, Michaela Anne, Beverley Taylor, and Richard A. B. Hibbs. "Implementing Dialectical Behaviour Therapy: Programme survival in routine healthcare settings." Journal of Mental Health 21, no. 6 (September 7, 2012): 548–55. http://dx.doi.org/10.3109/09638237.2012.689435.

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Vickers, Jane. "Assessing a six-month dialectical behaviour therapy skills-only group." Mental Health Practice 19, no. 8 (May 10, 2016): 26–30. http://dx.doi.org/10.7748/mhp.19.8.26.s19.

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Blennerhassett, Richard C., and Jennifer Wilson O'Raghallaigh. "Dialectical behaviour therapy in the treatment of borderline personality disorder." British Journal of Psychiatry 186, no. 4 (April 2005): 278–80. http://dx.doi.org/10.1192/bjp.186.4.278.

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Harvey, Lauren J., Caroline Hunt, and Fiona A. White. "Dialectical Behaviour Therapy for Emotion Regulation Difficulties: A Systematic Review." Behaviour Change 36, no. 3 (April 26, 2019): 143–64. http://dx.doi.org/10.1017/bec.2019.9.

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AbstractWhile dialectical behaviour therapy (DBT) appears efficacious in reducing suicidal and self-harming behaviour, it is unclear whether DBT reduces emotion regulation (ER) difficulties, a purported mechanism of change of treatment. This review aims to investigate and evaluate the current evidence to understand the effectiveness of DBT in improving ER difficulties. A qualitative synthesis of studies investigating the effectiveness of DBT on self-reported ER difficulties as measured by the Difficulties in Emotion Regulation Scale (DERS) was performed, identifying eligible studies using PsycINFO, PubMed, MEDLINE and EMBASE databases. Fourteen studies were identified. Current evidence indicates that DBT does not show consistent benefits relative to existing psychological treatments in improving ER difficulties. The literature is compromised by significant methodological limitations increasing risk of bias across study outcomes. Furthermore, high variability across DBT programs and a lack of investigation regarding adherence and participant engagement within interventions was observed. Further research is needed in order to conclude regarding the effectiveness of DBT in improving ER difficulties. Consistent use of active treatment conditions, greater standardisation of DBT-based interventions, in addition to further examination of participant engagement level in DBT-based interventions in the long term may assist understanding as to whether DBT improves ER difficulties.

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Blennerhassett, Richard, Lindsay Bamford, Anthony Whelan, Sarah Jamieson, and Jennifer Wilson O'Raghaillaigh. "Dialectical behaviour therapy in an Irish community mental health setting." Irish Journal of Psychological Medicine 26, no. 2 (June 2009): 59–63. http://dx.doi.org/10.1017/s0790966700000227.

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AbstractObjectives:Dialectical behaviour therapy (DBT) is a recommended treatment of patients with borderline personality disorder, yet there are few descriptions of the approach in public community mental health settings where the majority of such patients present. This study describes the development and evaluation of a DBT programme in an Irish setting.Methods:The DBT programme was run over a six month period. Participants were assessed at baseline and post intervention with the following instruments: The Structured Clinical Interview for DSM III R personality disorders (SCID II), the clinical Outcomes in Routine Evaluation (CORE) and the symptom checklist 90 Revised (SCL-90-Revised). Inpatient bed usage was determined from case note review.Results:Outcome data was available for eight subjects. Significant improvement (p < 0.005) was seen on all CORE subscales. SCL-90-R showed significant improvement (p < 0.05) on the global severity index and on the positive symptom distress index. A decrease in self harming behaviour was found. Subjects' inpatient bed days dropped from a mean of 58 in the year pre intervention to a mean of four days in the year post intervention. A novel finding was that 43% of subjects who originally fulfilled criteria for avoidant personality disorder no longer did so post intervention.Conclusions:The study found that DBT can be applied in a community mental health setting with benefits similar to more specialist settings. Significant difficulties were encountered in implementing the programme. The clinical implications are that specialist psychotherapy services need to be an integral part of psychiatric services to achieve better outcomes for patients with borderline personality disorder.

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Courbasson, C. M., and L. Dixon. "Dialectical behaviour therapy for eating disorders: A randomized control trial." European Psychiatry 23 (April 2008): S180. http://dx.doi.org/10.1016/j.eurpsy.2008.01.1004.

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van den Bosch, Louisa M. C., Maarten W. J. Koeter, Theo Stijnen, Roel Verheul, and Wim van den Brink. "Sustained efficacy of dialectical behaviour therapy for borderline personality disorder." Behaviour Research and Therapy 43, no. 9 (September 2005): 1231–41. http://dx.doi.org/10.1016/j.brat.2004.09.008.

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Chapman, Alexander L., Brianna J. Turner, and Katherine L. Dixon-Gordon. "To Integrate or Not to Integrate Dialectical Behaviour Therapy with Other Therapy Approaches?" Clinical Social Work Journal 39, no. 2 (July 11, 2010): 170–79. http://dx.doi.org/10.1007/s10615-010-0283-4.

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Dunkley, Christine, and Stephen Palmer. "In-session Behaviour Incompatible with Goals (BIG problems) within coaching." Coaching Psychologist 7, no. 1 (June 2011): 55–60. http://dx.doi.org/10.53841/bpstcp.2011.7.1.55.

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The concept ofBehaviourIncompatible withGoals (BIG problems) has been developed for the field of coaching based on Linehan’s original work on Therapy-Interfering-Behaviour used within Dialectical Behaviour Therapy. Behaviour Incompatible with Goals can prevent coachees from making progress in coaching. Both the practitioner and coach can have BIG problems. This article covers how to deal with BIG problems that occur in-session.

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Slater, Sean, and Amy Curson. "Dialectical behaviour therapy and adults with an intellectual disability: A literature review." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 18, no. 2 (August 2020): 47–58. http://dx.doi.org/10.53841/bpsfpid.2020.18.2.47.

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▪ We looked at all the research we could find about using dialectical behaviour therapy for people with intellectual disabilities.▪ We found that more and more people are using dialectical behaviour therapy, but they use it in many different ways and for different lengths of time.▪ We also found that they measured how useful it was in lots of different ways too; some researchers did interviews with one person and some researchers gave people with intellectual disabilities or their carers questionnaires to fill in.▪ Everyone agreed that DBT worked well for people with intellectual disabilities, when it was made easier to understand, but we need more research to help us understand how it works best.

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Torralba-Suarez, Carla, and Antonio Olry-de-Labry-Lima. "An Umbrella Review of Cognitive Behavioural and Dialectical Behavioural Therapies to Treat Self-Harm and Suicidal Behaviour in Adolescents." Actas Españolas de Psiquiatría 52, no. 4 (August 5, 2024): 549–60. http://dx.doi.org/10.62641/aep.v52i4.1631.

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Background: The incidence of self-harm and suicidal behaviour in adolescents is increasing. Considering the great impact in this population, an actualization of the evidence of those psychological treatment's excellence for suicidal behaviour. Thus, the aim of this paper is to compile the available evidence on the effectiveness of cognitive behavioural therapy and dialectical behavioural therapy in preventing self-harm and suicidal behaviour in adolescents. Methods: A umbrella review was carried out, different databases (PubMed, CINAHL, Cochrane Library, Psyinfo, Embase, Web of Science, Scopus and Google Scholar) were consulted. The 16-item measurement tool to assess systematic reviews-2 (AMSTAR-2) were performed by two independent reviewers and any discrepancies were resolved by consensus. The Rayyan-Qatar Computing Research Institute was used for the screening process. Results: Nine systematic reviews were included. Cognitive Behavioural Therapy appears to reduce the incidence of suicide-related events compared with treatment as usual, compared to usual treatment (which usually consists of drugs and talk therapy) especially when combined with fluoxetine. Dialectical behavioural therapy seems to be associated with a reduction in suicidal ideation and self-harm. Conclusions: Although the results found show results with high heterogeneity. The evidence on cognitive behavioural therapy and dialectical behavioural therapy for suicide prevention, self-harm and suicide ideation in adolescents seems to show positive results. Considering, the special population and great impact, further research is needed and comparable studies should be sought that allow to set up robust recommendations.

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Thorpe, Mark. "Potential space, dialectics, reflective function, mindfulness and mentalization." Ata: Journal of Psychotherapy Aotearoa New Zealand 12, no. 1 (September 30, 2006): 36–48. http://dx.doi.org/10.9791/ajpanz.2006.04.

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The therapeutic encounter becomes transformational through the creation of potential space, dialectics, reflective function, mindfulness or mentalization. This paper dialogues these concepts as employed by different therapeutic modalities within New Zealand, namely; Object-relations (Thomas Ogden and Donald Winnicott), the Conversational Model (Russell Meares), Dialectical Behaviour Therapy (Marsha Linehan) and Mentalization (Anthony Bateman and Peter Fonagy). It suggests that there is sufficient common ground to view them as one concept in different therapeutic bottles.

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Lynch, Thomas R., Roelie J. Hempel, Ben Whalley, Sarah Byford, Rampaul Chamba, Paul Clarke, Susan Clarke, et al. "Radically open dialectical behaviour therapy for refractory depression: the RefraMED RCT." Efficacy and Mechanism Evaluation 5, no. 7 (December 2018): 1–112. http://dx.doi.org/10.3310/eme05070.

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Background About one-third of patients who are depressed do not respond to antidepressant medication (ADM) and traditional psychotherapy shows limited benefits. However, most randomised trials have excluded the most sick patients, especially with comorbid personality disorder. Radically open dialectical behaviour therapy (RO DBT) is a new treatment targeting emotionally overcontrolled personality, which is common in refractory depression. Objective To evaluate the efficacy, cost-effectiveness and therapeutic mechanisms of RO DBT for patients with refractory depression. Design The Refractory depression: Mechanisms and Efficacy of RO DBT (RefraMED) trial was a multicentre, parallel-group, randomised trial in which participants were randomised to receive either RO DBT plus treatment as usual (TAU) or TAU alone. Participants were assessed at 7, 12 and 18 months after randomisation. Therapeutic mechanisms were explored in causal analyses. Setting Participants were recruited from three secondary care NHS organisations in the UK: Dorset, Hampshire and North Wales. Participants Patients were eligible if they were aged ≥ 18 years, had a Hamilton Rating Scale for Depression (HRSD) score of at least 15, had a current diagnosis of major depressive disorder in the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I, were suffering either refractory or chronic depression and, in their current episode, had taken an adequate dose of ADM for at least 6 weeks without relief. Patients who met criteria for dramatic-erratic personality disorder (Cluster B), bipolar disorder or psychosis or who had a primary diagnosis of substance dependence or abuse were excluded. Interventions The intervention, RO DBT, comprised 29 weekly individual sessions lasting 1 hour and 27 weekly skills classes lasting 2.5 hours. Participants allocated to TAU could access any treatment offered by the NHS or privately. Main outcome measures The reported HRSD score 12 months after randomisation and cost per quality-adjusted life-year (QALY). Results A total of 250 participants were allocated at random: 162 (65%) participants were randomised to RO DBT plus TAU and 88 (35%) were randomised to TAU. The difference between RO DBT and TAU in the primary outcome at 12 months was not statistically significant. Nevertheless, after 7 months, participants randomised to RO DBT had substantially, and significantly, reduced depressive symptoms, relative to TAU, by 5.40 HRSD points [standardised mean difference 1.03 points, 95% confidence interval (CI) 0.94 to 9.85 points; p = 0.02]. Thereafter, RO DBT remained the better treatment with net, but non-significant, reductions of 2.15 HRSD points (standardised mean difference 0.41 points, 95% CI –2.28 to 6.59 points; p = 0.29) after 12 months and 1.69 points (standardised mean difference 0.32 points, 95% CI –2.84 to 6.22 points; p = 0.42) after 18 months. Participants allocated to TAU could access any treatment offered by the NHS or privately. Participants randomised to RO DBT reported significantly better psychological flexibility and emotional coping than TAU participants; these differences increased over time. From the perspective of the NHS and personal social services, RO DBT was not cost-effective; the incremental cost-effectiveness ratio was £220,000 per QALY, which is considerably above the willingness-to-pay threshold of £30,000 set by the National Institute for Health and Care Excellence (NICE). RO DBT participants reported eight possible serious adverse reactions compared with none by TAU participants; however, we believe that this imbalance was a result of major differences in reporting opportunities. The Data Monitoring and Ethics Committee agreed that there was no reason to suspect that RO DBT was harmful. Conclusions Although RO DBT achieved the target effect size (Cohen’s d) with a d of 0.4 at the primary end point of 12 months, this was not significant. RO DBT was not cost-effective by NICE criteria. Nevertheless, RO DBT enhanced psychological flexibility and emotional coping, which are potential mechanisms of change. Limitations Analysing only 190 participants, instead of the target of 245, reduced the statistical power of the trial. Future work Future studies should aim to refine RO DBT, by maintaining clinical effectiveness while reducing costs, and to evaluate it for a wider range of overcontrolled disorders over a longer period. Trial registration Current controlled trials ISRCTN85784627. Funding This project was funded by the Efficacy and Mechanism Evaluation (EME) programme, a MRC and NIHR partnership, and will be published in full in Efficacy and Mechanism Evaluation; Vol. 5, No. 7. See the NIHR Journals Library website for further project information.

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Brassington, Jan, and Roy Krawitz. "Australasian Dialectical Behaviour Therapy Pilot Outcome Study: Effectiveness, Utility and Feasibility." Australasian Psychiatry 14, no. 3 (September 2006): 313–18. http://dx.doi.org/10.1080/j.1440-1665.2006.02285.x.

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Baillie, Aubrey, and Sean Slater. "Community dialectical behaviour therapy for emotionally dysregulated adults with intellectual disabilities." Advances in Mental Health and Intellectual Disabilities 8, no. 3 (April 29, 2014): 165–73. http://dx.doi.org/10.1108/amhid-05-2013-0033.

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Purpose – The purpose of this paper is to reflexively examine the challenges of implementing a community dialectical behaviour therapy (DBT) service for adults with intellectual disabilities (ID) and describes the practical lessons learned about how to maximise the effectiveness of DBT with this client group. Design/methodology/approach – A brief overview of DBT is provided and reference is made to literature which highlights the potential benefits of providing a DBT service to clients with an ID. This is followed by a discussion of the clinical presentation of the clients receiving DBT in the service that is the focus of this case study. Using a reflexive approach, a detailed discussion follows of the challenges faced in implementing a community DBT service for the clients served. Findings – Solutions to a variety of challenges faced in four years of service delivery are described, key lessons learned are highlighted, together with issues meriting further research. Research limitations/implications – This case study and its implications are limited to community DBT services. Another limitation is that, although outcome data have been collected over the past two years, the dataset is not yet large enough to draw statistical conclusions. Practical implications – The paper describes adaptations to treatment structure and strategy which the authors believe are necessary to improve treatment outcomes in community DBT services for adults with ID. In particular, the practical experience suggests that a didactic approach to teaching DBT skills is not effective and should be replaced by the “community of learners” approach that involves the trainer contingently responding to client input. Pre-set lesson plans inhibit the trainers’ ability to respond contingently. Originality/value – The existing literature on providing a DBT service for people with an ID has principally focused on providing a rationale for providing this type of intervention, and on assessing outcomes. Given that this is still a relatively new type of provision for this client group, a detailed examination of process issues is called for.

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Soler, Joaquim, Joan Trujols, Juan Carlos Pascual, Maria J. Portella, Judith Barrachina, Josefa Campins, Rosa Tejedor, Enrique Alvarez, and Victor Pérez. "Stages of change in dialectical behaviour therapy for borderline personality disorder." British Journal of Clinical Psychology 47, no. 4 (November 2008): 417–26. http://dx.doi.org/10.1348/014466508x314882.

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O'Connell, B., and M. Dowling. "Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder." Journal of Psychiatric and Mental Health Nursing 21, no. 6 (November 5, 2013): 518–25. http://dx.doi.org/10.1111/jpm.12116.

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Brassington, Jan, and Roy Krawitz. "Australasian dialectical behaviour therapy pilot outcome study: effectiveness, utility and feasibility." Australasian Psychiatry 14, no. 3 (September 2006): 313–19. http://dx.doi.org/10.1111/j.1440-1665.2006.02285.x.

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Kidd, Aimee. "Adapting dialectical behaviour therapy for binge eating disorder: A pilot study." British Journal of Mental Health Nursing 6, no. 4 (July 2, 2017): 173–81. http://dx.doi.org/10.12968/bjmh.2017.6.4.173.

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Hadjiosif, Miltiades. "Theoretical Paper From strategy to process: Validation in Dialectical Behaviour Therapy." Counselling Psychology Review 28, no. 1 (March 2013): 72–80. http://dx.doi.org/10.53841/bpscpr.2013.28.1.72.

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Sequeda, Gabriela, Johan E. Acosta-López, Edgar Diaz-Camargo, Eduardo-Andrés Torres-Santos, Valentina López-Ramírez, and Diego Rivera-Porras. "Third-Generation Therapies for the Management of Psychoactive Substance Use in Young People: Scoping Review." Behavioral Sciences 14, no. 12 (December 13, 2024): 1192. https://doi.org/10.3390/bs14121192.

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Introduction: Third-generation therapies (TGTs) have been shown to be effective in the treatment of substance use behaviors in college-aged adolescents. These therapies are based on acceptance, mindfulness and psychological flexibility, which enable young people to change their Psychoactive Substance Use (PSU)-related behaviours, develop coping skills to manage difficult emotions and thoughts, reduce experiential avoidance and maintain long-term abstinence. Objective: To explore the implementation and potential benefits of third-generation therapies, Acceptance and Commitment Therapy (ACT), Dialectical Behaviour Therapy (DBT) and Mindfulness, for the treatment of PSU in college youth. This review includes articles within a 5-year window. Method: A scoping, observational and retrospective review was conducted using the PRISMA method in SCOPUS, PUBMED and Web of Science. Results: eight studies were found, six based on mindfulness, one on dialectical behaviour therapy and one on acceptance and commitment therapy. The results of the studies are promising and emerging for the intervention of the problem. Conclusion: The interventions used show evidence of reducing PSU and other mental health problems such as anxiety, depression and post-traumatic stress. In addition, they allowed patients to increase their well-being and mindfulness.

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Lakeman, Richard. "Dialectical behaviour therapyDialectical behaviour therapy Swales Michaela A Heard Routledge Heidi L £9.99 184pp 9780415444583." Mental Health Practice 12, no. 10 (July 2009): 11. http://dx.doi.org/10.7748/mhp.12.10.11.s13.

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Herring, Helen. "What? You mean we all have emotions? – Reflections on a dialectical behaviour therapy-informed group developed for female psychiatric inpatients in a medium secure hospital." Forensic Update 1, no. 129 (December 2018): 12–14. http://dx.doi.org/10.53841/bpsfu.2018.1.129.12.

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This article reflects the experiences of a higher assistant psychologist developing a dialectical behaviour therapy-informed group for female service users to provide help around their self-harming and behaviour that challenges on the low and medium female secure wards within the psychiatric hospital.

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Beck, Judith S., Francine Broder, and Robert Hindman. "Frontiers in Cognitive Behaviour Therapy for Personality Disorders." Behaviour Change 33, no. 2 (April 14, 2016): 80–93. http://dx.doi.org/10.1017/bec.2016.3.

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Clinicians generally find individuals with personality disorders to be challenging to treat, especially compared to clients who have only a straightforward depression or anxiety disorder. In this article we will summarise research on the efficacy of cognitive behaviour therapy (CBT) for personality disorders. Then we will focus on the conceptualisation and treatment of CBT for personality disorders that is based on the work of Aaron Beck and colleagues; that is, it is predicated upon the cognitive model of psychopathology. Next, we will describe two other forms of treatment with cognitive behavioural roots: schema therapy and dialectical behaviour therapy. A final section will suggest future directions.

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Hall, Lyndsey, Natalie Bork, Sally Craven, and Ceri Woodrow. "People with learning disabilities experiences of a Dialectical Behaviour Therapy Skills Group: A thematic analysis." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 11, no. 1-2 (April 2013): 7–11. http://dx.doi.org/10.53841/bpsfpid.2013.11.1-2.7.

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The use of different psychological therapies for adults with learning disabilities is often limited. This article evaluates the adaptation of dialectical behaviour therapy for use with this client group.

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Swales, Michaela A. "Implementing DBT: selecting, training and supervising a team." Cognitive Behaviour Therapist 3, no. 2 (June 2010): 71–79. http://dx.doi.org/10.1017/s1754470x10000061.

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AbstractNICE Clinical Guideline no. 78 recently identified Dialectical Behaviour Therapy (DBT) as an appropriate treatment approach for the effective treatment of suicidal behaviours in the context of borderline personality disorder. Uniquely among the cognitive behavioural therapies DBT is a team-based treatment. This paper focuses on the task of selecting and training a team before considering issues in the training and supervision of therapists learning this approach.

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Journal articles on the topic 'Dialectical behaviour therapy'

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