Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy.

Chang, Cindy J.; Halvorson, Max A.; Lehavot, Keren; Simpson, Tracy L.; Harned, Melanie S.

doi:10.1037/ccp0000826

Cited by 8 publications

(1 citation statement)

References 25 publications

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“…One small-scale study found similar outcomes for sexuality-minoritised youth compared with heterosexuals (Poon et al, 2022). Retrospective disaggregated analyses of randomised controlled trial data for DBT in adult populations also found that sexual minority status did not have a relationship with outcomes (Chang et al, 2023). No studies have investigated disaggregated outcomes for gender-minoritised youth.…”

Section: Introductionmentioning

confidence: 99%

Gender- and sexuality-minoritised adolescents in DBT: a reflexive thematic analysis of minority-specific treatment targets and experience

Camp,

Morris,

Wilde

et al. 2023

tCBT

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Gender- and sexuality-minoritised (GSM) adolescents are at increased risk of self-harm and suicidal behaviours compared with their cisgender and heterosexual peers. This increased risk is thought to be explained in part by exposure to stigma and societal oppression. Dialectical behaviour therapy (DBT) is an evidence-based intervention for self-harm and suicidal behaviour that may have advantages for supporting GSM young people in distress. No study has yet sought to understand what GSM-associated difficulties may be important to consider in DBT for adolescents, or the experiences of GSM young people in a standard DBT programme. Therefore, this study aimed to understand the experiences of GSM young people in DBT and what difficulties and dilemmas associated with their gender and sexuality diversity were thought by them to be important to target in DBT. Qualitative interviews were conducted with 14 GSM young people in a comprehensive DBT programme and were analysed using reflexive thematic analysis. The analysis was supported by two further GSM young people who had finished DBT. The findings were split into three over-arching themes (Identity, Impact of Others, and Space for Sexual and Gender Identity in DBT), each with themes within. The identity-based theme included ‘identity confusion and acceptance’; the relationship-based themes included ‘cis-Heterosexism’ and ‘community connectedness’; and the space within DBT themes included ‘negotiating focus and targeting in DBT’ and ‘creating safety in DBT’. Findings are discussed in relation to implications and recommendations for therapists working with GSM young people within and outside of DBT. Key learning aims (1) To learn about what gender- and sexuality-minoritised (GSM) young people consider to be important GSM-associated contributors to distress and thus potential treatment targets in DBT. (2) To learn about what GSM young people felt were barriers to negotiating GSM-associated difficulties as a focus in DBT and how safety was created in the therapeutic relationship. (3) To consider potential implications and recommendations for improvements to practice when supporting GSM young people in therapy.

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Section: Introductionmentioning

confidence: 99%

Gender- and sexuality-minoritised adolescents in DBT: a reflexive thematic analysis of minority-specific treatment targets and experience

Camp,

Morris,

Wilde

et al. 2023

tCBT

View full text Add to dashboard Cite

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Patient‐related factors associated with patient retention and non‐completion in psychosocial treatment of borderline personality disorder: A systematic review

Lau,

Amestoy,

Roth

et al. 2024

Personality & Mental Health

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The potential efficacy of psychosocial interventions in the treatment of borderline personality disorder (BPD) is impacted by significant treatment non‐completion (TNC), with meta‐analytic studies reporting rates of attrition of between 25% and 28%. Increasing patient retention could facilitate outcomes and improve resource utilization, given limited healthcare services. A systematic search of PsycINFO, CINAHL, EMBASE, CENTRAL, and Web of Science Core Collection identified 33 articles that met the criteria for inclusion. Although substantial heterogeneity in terms of methodology and quality of analysis limited conclusions that could be drawn in the narrative review, a few consistent patterns of findings were elucidated, such as Cluster B personality disorder comorbidities and lower therapeutic alliance were associated with TNC. Interestingly, the severity of BPD symptoms was not a predictor of TNC. These findings are discussed in terms of their potential theoretical contribution to TNC. Clinically, there may be value in applying mindfulness and motivational interviewing strategies early on in treatment for individuals who present uncertainty about engaging in treatment. Further research to develop this empirical landscape includes focusing on high‐powered replications, examining burgeoning lines of research, and investigating dynamic predictors of TNC.

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DBT Enhances Treatment Engagement, Motivation, and Adherence in Multi-Problem, High-Risk Adolescents

Rathus,

DeRosa

2024

Pediatric Nonadherence

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Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy.

Cited by 8 publications

References 25 publications

Gender- and sexuality-minoritised adolescents in DBT: a reflexive thematic analysis of minority-specific treatment targets and experience

Gender- and sexuality-minoritised adolescents in DBT: a reflexive thematic analysis of minority-specific treatment targets and experience

Patient‐related factors associated with patient retention and non‐completion in psychosocial treatment of borderline personality disorder: A systematic review

DBT Enhances Treatment Engagement, Motivation, and Adherence in Multi-Problem, High-Risk Adolescents

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