Transdiagnostic Applications of DBT for Adolescents and Adults

Ritschel, Lorie A.; Lim, Noriel E.; Stewart, Lindsay M.

doi:10.1176/appi.psychotherapy.2015.69.2.111

Cited by 89 publications

(76 citation statements)

References 37 publications

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“…Second, despite chi‐square analyses providing evidence of similarity in composition across several demographic and clinical identifiers, both the DBT‐A and TAU groups included multiple primary diagnoses guiding treatment outcomes. This type of transdiagnostic indication of DBT and DBT‐A is increasingly accepted in the outcome literature (Lynch et al, ; Ritschel, Lim, & Stewart, ), yet we concede that heterogeneity within samples may decrease the degree that our findings generalize to specific diagnostic categories. An additional source of heterogeneity was attributed to the prominent participant characteristics of girls who identified their ethnic identity as Caucasian.…”

Section: Discussionmentioning

confidence: 81%

Efficacy of Dialectical Behavior Therapy for Adolescents in a Partial Hospitalization Program

Lenz

Conte²

2018

Jour of Counseling & Develop

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This study evaluated dialectical behavior therapy for adolescents (DBT-A) vs. treatment as usual within a 6-week partial hospitalization program. The 103 adolescent participants (mean age = 15.27 years) were predominantly girls (n = 63, 61%) with a variety of primary mental health diagnoses. Results indicated that DBT-A was superior for decreasing symptoms of depression and interpersonal sensitivity, but no statistically significant difference was detected for anxiety or hostility. Implications for treating youth with transdiagnostic identities are discussed.

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Section: Discussionmentioning

confidence: 81%

Efficacy of Dialectical Behavior Therapy for Adolescents in a Partial Hospitalization Program

Lenz

Conte²

2018

Jour of Counseling & Develop

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“…While the EBPTs examined in the current study (CBT, DBT, ACT) are empirically supported across a range of diagnoses and thus have considerable positive potential for transdiagnostic dissemination efforts (Newby, McKinnon, Kuyken, Gilbody, & Dalgleish, ; Ritschel, Lim, & Stewart, ), it is important to acknowledge that the efficacy of the EBPTs studied here varies across specific diagnoses and that we did not study patient attitudes towards or awareness of a number of other EBPTs that exist for psychological disorders (e.g., Hofmann et al, ). Thus, continued research differentiating patient attitudes among EBPTs for their given diagnosis represents a critical direction for future work.…”

Section: Discussionmentioning

confidence: 99%

Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample

et al. 2019

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Objective Treatment utilization for psychiatric illness is low, perhaps influenced by limited consumer knowledge of evidence‐based psychological treatments (EBPTs). To inform consumer‐directed dissemination efforts, we characterized preferences, beliefs, and knowledge about specific EBPTs (cognitive behavioral therapy [CBT], dialectical behavior therapy [DBT], and acceptance and commitment therapy [ACT]); and examined potential sociodemographic and treatment history correlates. Method Before receiving treatment at a psychiatric partial hospital, patients (n = 249) completed the Psychological Treatment Consumer Questionnaire. Results Most (75%) patients felt responsible for being aware of psychotherapy options and that it was important to receive research‐supported psychotherapy (80%), but were split on whether research (42%) or their provider's recommendation (58%) carried greater decisional weight. Most (93%) patients had heard of CBT (93%) and DBT (71%), but not ACT (35%). Prior exposure to these EBPTs increased the likelihood of recommending them to others. Conclusions Findings support initiatives to enhance consumer familiarity with these EBPTs and inform dissemination efforts.

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“…Our study questions diagnostic criteria as a pathologising prerequisite necessary in the healthcare system, whereby a descriptive diagnosis, should perhaps not be the only means of signposting clients to a treatment (Khoury, Langer & Pagnini,). DBT seems to rely on effective and accurate case conceptualisation strategies that allow therapist and client to collaboratively address multiple diagnostic and quality‐of‐life related issues (Ritschel et al., ). Indeed, DBT is not strictly targeted for BPD clients, but for those who could benefit from the model and those labelled in the psychiatric community as ‘difficult to treat’ (Linehan & Wilks, ).…”

Section: Discussionmentioning

confidence: 99%

“…This policy could be deemed rather thin, given the evidence base for DBT as an effective intervention, not only for BPD but for other client groups. Whilst our sample cannot claim to represent all transdiagnostic groups, it builds on current literature in support of DBT for various diagnoses (Ritschel et al., ). DBT is rather costly as a full 12–18 month programme – evidence based shorter versions could provide services with cost‐effective programmes deliverable to wider groups.…”

Section: Implications For Policymentioning

confidence: 99%

‘Everyone should do it’: Client experience of a 12‐week dialectical behaviour therapy group programme – An interpretative phenomenological analysis

Childs‐Fegredo

Fellin

2018

Couns and Psychother Res

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Objective There is a dearth of practice‐based evidence of adapted or ‘DBT‐informed’ transdiagnostic models, which could provide services and clinicians with information of what works and for whom, in which settings. This paper aims to bridge this gap by exploring the client experience of a 12‐week transdiagnostic dialectical behaviour therapy (DBT) group programme in a private psychiatric hospital. Method Five participants with varied clinical diagnoses and previous therapeutic experiences were interviewed following completion of one or more of the same adapted DBT programme, comprising of the standard four modules over 12 weeks, including a weekly skills group and 1:1 therapy. Interpretative phenomenological analysis (IPA) was applied to give voice to the clients’ lived experience of the group. Results Three master themes were identified: ‘Pre DBT: Crisis & Desperation’; ‘In‐session: Belonging’; and ‘The Real World: Living’, each characterised by four sub‐themes, highlighting helpful and hindering factors of clients’ current and previous therapeutic experiences. Conclusion Overall this version of DBT in a transdiagnostic setting was experienced as helpful and positive by participants; main outcomes included being able to build a life worth living, feel hope and joy, build DBT skills into a lifestyle, and develop reflective practice. Implications for clinical practice, service delivery and policy are also discussed. The article aims to provide clinicians with practice‐based evidence to inform the delivery of DBT as well as supporting the case for the use of DBT with various disorders, thus paving the way for future research in this area.

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Transdiagnostic Applications of DBT for Adolescents and Adults

Abstract: Dialectical behavior therapy (DBT) is

Cited by 89 publications

References 37 publications

Efficacy of Dialectical Behavior Therapy for Adolescents in a Partial Hospitalization Program

Efficacy of Dialectical Behavior Therapy for Adolescents in a Partial Hospitalization Program

Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample

‘Everyone should do it’: Client experience of a 12‐week dialectical behaviour therapy group programme – An interpretative phenomenological analysis

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