A Preliminary Community Study of Dialectical Behaviour Therapy (DBT) with Adolescent Females Demonstrating Persistent, Deliberate Self‐Harm (DSH)

Anthony C. James · Annie Taylor · Louise Winmill · Kielly Alfoadari

114 citations0/0 files storedChild and Adolescent Mental Health

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Personality Disorders and Psychopathology Suicide and Self-Harm Studies Psychotherapy Techniques and Applications

Abstract

A study of dialectical behaviour therapy (DBT) for 16 older female adolescents with persistent and severe deliberate self-harm was undertaken. Independent assessments were carried out pre- and post-treatment, and at eight months follow-up. On average subjects completed more than 78% of sessions. There was a marked reduction in self reported depression (F = 12.8, df = 2, p < .001); hopelessness (F = 15.9, df = 2, p < .001); episodes of deliberate self-harm (F = 23.9, df = 2, p < .001); alongside an increase in general functioning (F = 22.9, df = 2, p < .001).

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References

2009Diagnostic and Statistical Manual of Mental Disorders 1974The measurement of pessimism: The Hopelessness Scale.1993Skills Training Manual for Treating Borderline Personality Disorder 1991Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients 2006Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder 1980Cognitive Therapy of Depression 2005Cognitive Therapy for the Prevention of Suicide Attempts 2002Deliberate self harm in adolescents: self report survey in schools in England

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2012Practitioner Review: Self‐harm in adolescents 2011A systematic review of interventions for co-occurring substance use disorder and borderline personality disorder 2015Dialectical behavior therapy for nonsuicidal self‐injury and depression among adolescents: preliminary meta‐analytic evidence 2014Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: A pilot study.2011

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