Feasibility of Dialectical Behavior Therapy for Suicidal Adolescent Inpatients

Katz, Laurence Y.; Cox, Brian J.; Gunasekara, Shiny; Miller, Alison L.

doi:10.1097/00004583-200403000-00008

Cited by 276 publications

(218 citation statements)

References 22 publications

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“…Originally designed for chronically suicidal patients with borderline personality disorder, DBT helps people build awareness about their emotional states and how to gain control over behavior. This technique works well for emotionally labile teens with mood issues and has been proven to be helpful for chronically suicidal teens 45,46 . Recently, one preliminary study 47 has found benefits in children with oppositional defiant disorder (who commonly have comorbid mood disorders).…”

Section: Dialectical Behavior Therapy (Dbt)mentioning

confidence: 99%

Complementary and Alternative Medicine Therapies to Promote Healthy Moods

Kemper

Shannon²

2007

Pediatric Clinics of North America

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Section: Dialectical Behavior Therapy (Dbt)mentioning

confidence: 99%

Complementary and Alternative Medicine Therapies to Promote Healthy Moods

Kemper

Shannon²

2007

Pediatric Clinics of North America

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“…Estudios cuasi-experimentales han demostrado que, en comparación con el tratamiento habitual, la DBT para adolescentes se asocia con disminución signifi cativa de NSSI, hospitalizaciones, ideación suicida, síntomas TLP, depresión, ansiedad y severidad global (Katz, 2004;James et al, 2008;Fleischhaker, 2011). Un estudio de Woodberry y Popenoe (2008), con una n = 46 en una muestra comunitaria, refi ere la reducción de la ideación suicida (d = 0.73) y de los pensamientos de NSSI (d = 0.62) después de 15 semanas de tratamiento DBT, en el que combinaron terapia individual y grupo de habilidades.…”

Section: Terapia Dialéctico-conductualunclassified

“…Fleischaker (2011), con una muestra ambulatoria de 12 chicas adolescentes (de 13 a 19 años) informan de mejoras signifi cativas en conductas suicidas al año de seguimiento (8 adolescentes realizaron una tentativa autolítica en el pre-tratamiento y durante el seguimiento no hubo ninguna tentativa autolítica), NSSI (d = 0.92), adaptación psicosocial (d = 1.30), aparte de mejoría en variables psicopatológicas (d = 0.54 a 2.14). Por último, un estudio de Katz (2004), con una muestra hospitalaria de 14 a 17 años (grupo DBT n = 32 en comparación con tratamiento habitual (treatment as usual, en inglés, TAU) = 30) observaron disminuciones signifi cativas en el grupo DBT en NSSI (d = 0.63), ideación suicida (d = 2.12) y depresión (d = 1.67) al año de seguimiento. Los pacientes en el grupo control también mostraron disminuciones signifi cativas en estas variables, aunque el tamaño del efecto es globalmente menor (d = 0.73, d = 1.05 y d = 1.36, respectivamente).…”

Section: Terapia Dialéctico-conductualunclassified

Autolesiones no suicidas en adolescentes: revisión de los tratamientos psicológicos

Mollà¹,

Vila²,

Treen³

et al. 2015

RPPC

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Resumen: Las autolesiones en adolescentes han adquirido mayor relevancia en los últimos años, por el aumento de prevalencia, el mayor riesgo de realizar una tentativa autolítica y de desarrollar un trastorno límite de la personalidad o un trastorno depresivo mayor. Nuestro objetivo es revisar la bibliografía referente a tratamientos psicológicos para las autolesiones no suicidas (non-suicidal self-injury; NSSI). Se incluyen estudios que evalúan una intervención psicoterapéutica para el tratamiento de las autolesiones. Los resultados indican que ningún tratamiento para las autolesiones ha demostrado sufi ciente evidencia en adolescentes. La terapia basada en mentalización (MBT-A) ha demostrado efi cacia en un estudio y la terapia dialéctica-conductual (DBT-A) ha demostrado efectividad. La variedad y heterogeneidad de resultados difi culta extraer conclusiones más específi cas, como cuáles son los componentes activos efi caces. Valoramos la necesidad de estandarizar criterios e instrumentos en el campo del tratamiento de las autolesiones para mejorar la validez y utilidad de los resultados. Palabras clave:Non suicidal self-injury; psychological treatment; psychotherapy; self-injury. Non-suicidal self-harm in adolescents: A review of psychological treatmentsAbstract: Self-harm in teenagers has become more important in recent years, given its increased prevalence and the greater risk involved of making a suicidal attempt and developing a borderline personality disorder or a major depressive disorder. We aim to review the literature as to psychological treatments for non-suicidal self-injury (NSSI). Studies assessing a psychotherapeutic intervention for self-harm have been included. The results indicate that no treatment for self-harm has demonstrated enough evidence in adolescents. Mentalization based therapy (MBT-A) has shown effi cacy in one study and the dialectical behavior therapy (DBT-A) has shown effi cacy. However, the variety and heterogeneity of results make it diffi cult to draw more specifi c conclusions, such as regards the effective active components. Criteria and instruments in the fi eld of the treatment of NSSI need to be standardized in order to improve the validity and clinical utility of results.

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Section: Life Problemsmentioning

confidence: 99%

“…In addition to these stability and safety-related variables, DBT has also resulted in increases in quality of life measures such as depression, hopelessness, suicidal ideation, social adjustment, and anger [7]. Further, DBT appears promising for adolescents [8][9][10][11][12][13] and for patients with BPD and other co-morbid problems such as substance abuse [14] and eating disorders [15].Currently used widely in outpatient and inpatient settings [10,16], DBT integrates traditional cognitive-behavioral approaches with Eastern acceptance and meditation practices [17]. DBT views individuals with BPD as experiencing core problems of emotional dysregulation that contribute to dysfunction across domains of interpersonal functioning, behavioral regulation/impulsivity, and self/cognitive regulation [1].…”

mentioning

confidence: 99%

Reliability and Validity of the Life Problems Inventory, A Self-Report Measure of Borderline Personality Features, in a College Student Sample

Wagner¹,

Rathus²,

Miller³

2015

J Psychol Psychother

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Rathus, Wagner, and Miller recently reported on the development and psychometric evaluation of the Life problems Inventory (LPI), a self report tool to measure Linehan's conceptualition of borderline personality disorder (BPD) as a disorder primarily of the emotion regulation system, and in particular, problems with regulation of emotions, impulses, relationships, and self. Thus, the LPI maps onto the content of her skills training component of Dialectical Behavior Therapy (DBT), with scales assessing problems addressed in DBT skills modules targeting emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. The present study furthers the investigation of the LPI's psychometrics by examining internal consistency, test-retest reliability, convergent validity with depression, suicidality and mindfulness, and discriminant validity with social desirability in an adolescent/young adult, non-clinical, suburban college student sample (N = 99). The LPI was found to be internally consistent, stable over a two-week retest interval, and related in expected ways with clinical constructs. We discuss implications for further development and application of the LPI and its utility in a college population.Keywords: Borderline personality; Measurement; College students; Life problemsLinehan [1][2][3] developed Dialectical Behavior Therapy as a comprehensive treatment to address the problems of women with BPD and chronic suicide-related behavior. Its success in reducing suicidal and non-suicidal self-injurious behavior (NSSI), reducing hospitalizations, and retaining patients in therapy has made it a standard treatment modality for this population, and numerous randomized clinical trials support its effectiveness [4][5][6]. In addition to these stability and safety-related variables, DBT has also resulted in increases in quality of life measures such as depression, hopelessness, suicidal ideation, social adjustment, and anger [7]. Further, DBT appears promising for adolescents [8][9][10][11][12][13] and for patients with BPD and other co-morbid problems such as substance abuse [14] and eating disorders [15].Currently used widely in outpatient and inpatient settings [10,16], DBT integrates traditional cognitive-behavioral approaches with Eastern acceptance and meditation practices [17]. DBT views individuals with BPD as experiencing core problems of emotional dysregulation that contribute to dysfunction across domains of interpersonal functioning, behavioral regulation/impulsivity, and self/cognitive regulation [1]. Therefore, in addition to individual therapy, a central modality of DBT is skills training in Emotion Regulation, Interpersonal Effectiveness, Distress Tolerance, and Mindfulness, to address capability deficits associated with these areas [2,3].Despite the many replications and extensions of DBT efficacy studies for patients with problems of regulation of emotions and behaviors, none of the many standardized measures of BPD directly and comprehensively assesses the four core problem a...

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Feasibility of Dialectical Behavior Therapy for Suicidal Adolescent Inpatients

Cited by 276 publications

References 22 publications

Complementary and Alternative Medicine Therapies to Promote Healthy Moods

Complementary and Alternative Medicine Therapies to Promote Healthy Moods

Autolesiones no suicidas en adolescentes: revisión de los tratamientos psicológicos

Reliability and Validity of the Life Problems Inventory, A Self-Report Measure of Borderline Personality Features, in a College Student Sample

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