No abstract

In general, the superiority of DBT over treatment-as-usual, found in previous studies at the completion of 1 year of treatment, was retained during a 1-year follow-up.

Controlled study showed skills training for the management of depression in an epilepsy population to be effective. Cognitive‐behavioral methods were utilized in a structured learning format with 13 clinically depressed epileptic “students”. Significantly greater reductions in dysphoria/depression as measured by the Depression Adjective Checklist and the Generalized Contentment Scale occurred among Ss in the treatment group than among control group Ss. Significant decreases in anger and anxiety/stress and increases in social activities were noted on the Community Adjustment Questionnaire (CAQ). Similar trends were evident on the Beck Depression Inventory and the CAQ depression scale.

These results suggest that dialectical behavior therapy is a promising psychosocial intervention for improving interpersonal functioning among severely dysfunctional patients with borderline personality disorder.

Results of a four-year evaluation project by Harborview Community Mental Health Center to assess equity of service to its black constituency are reported. Demographic, service, and psychometric data were gathered on black and white groups which were compared with each other. It was anticipated that service delivery would be proportionate to the social and psychiatric functioning of patients regardless of race or sex. The expectation was partially confirmed. Black patients were found to be somewhat less impaired than whites, yet were referred to treatment modalities and units with apparent equity. Patterns of service at one year were significantly different, reflecting earlier termination for blacks than for whites. This finding is discussed in the context of equal socio-economic class and diagnostic grouping between ethnic groups, but differing indexes of impairment.