Effectiveness of Zhong‐Yong thinking based dialectical behavior therapy group skills training versus supportive group therapy for lowering suicidal risks in Chinese young adults: A randomized controlled trial with a 6‐month follow‐up

Abstract

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Cultural adaptations of dialectical behavior therapy: A systematic review.

“…In adapting DBT to Nepal, the DBT concept of “Wise Mind” was described as a synthesis of heart–mind ( man ) and brain–mind ( dimaag ), and therapists de-emphasized culturally unfamiliar concepts such as the interpersonal goal of self-respect (Ramaiya et al, 2018). In a study in China, the DBT principle of dialectics was framed using the culturally familiar concept of golden mean ( zhong-yong) thinking, which is a philosophy derived from Confucianism that emphasizes pursuit of a middle ground (Yang et al, 2020). In implementing DBT with a Chinese international student, the therapist described emphasizing Chinese concepts of maintaining social harmony and respecting elders in the interpersonal effectiveness module (Cheng & Merrick, 2017).…”

“…Two studies mentioned challenges when skills groups were conducted in English when this was not the clients’ native language (Arunagiri, 2021; Cheng & Merrick, 2017)—for example, a client expressed frustration with not understanding nuances in terminology used to refer to certain emotions (Cheng & Merrick, 2017). Several studies mentioned that the interpersonal effectiveness module was especially difficult and at times incongruent with clients’ cultural contexts (Arunagiri, 2021; Cheng & Merrick, 2017; Ramaiya et al, 2018; Yang et al, 2020). Across studies, clients perceived that this module prioritized attainment of individual objectives over those of the group, whereas their cultural beliefs emphasized social cohesion and social goals.…”

“…One recent study found that the strength of relationships among members with each other and with group leaders in DBT skills training was associated with individual treatment outcomes (Cavicchioli et al, 2020). Understanding the role of group processes in client treatment is particularly relevant for racially, ethnically, and culturally diverse clients, as group harmony and interdependent functioning was a key cultural value and priority for several participants in the reviewed studies (e.g., Cheng & Merrick, 2017; Yang et al, 2020). Fourth, research testing the cultural acceptability and efficacy of skills from the DBT Emotion Regulation module is needed.…”

Systematic review of suicide prevention studies with data on youth and young adults living in low-income and middle-income countries

“…A total of 44 eligible studies of interventions were identified from research conducted in 15 countries (online supplemental table 1). 24–67 Most studies were conducted in upper-middle-income (n=22; 50%) or lower-middle-income countries (n=13; 30%; table 2). Most studies were conducted in Asia: Bangladesh (n=1), China (n=7), India (n=8), Iran (n=14), Nepal (n=1), Pakistan (n=1), Sri Lanka (n=6) and Türkiye (n=1).…”

Effect of dialectical behavior group therapy on the anxiety and depression of medical students under the normalization of epidemic prevention and control for the COVID-19 epidemic: a randomized study

“…There are relevant reviews on the application of DBT in China. However, there are few intervention studies, and the targets of intervention are concentrated on suicidal selfinjury behavior and eating disorders (13,14). There are few studies on the application of DBT in college psychological consultation and counseling (emotion regulation), and there is a lack of localized programs and empirical analysis of DBT in China.…”