Changes in Emotions Over the Course of Dialectical Behavior Therapy and the Moderating Role of Depression, Anxiety, and Posttraumatic Stress Disorder

Fitzpatrick, Skye; Bailey, Katharine T.; Rizvi, Shireen L.

doi:10.1016/j.beth.2019.12.009

Cited by 18 publications

(17 citation statements)

References 45 publications

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“…For example, statelike changes in one mechanism may be moderated by trait-like levels of another, suggesting that the processes or mechanisms of change may differ as a function of identifiable client characteristics, and thus answering the question for whom a given therapeutic procedure may be most beneficial. For example, Fitzpatrick et al (35) explored the question of who benefits most from cognitive change in cognitive therapy for depression. After disaggregating state-like and trait-like components of cognitive change, using a centering approach (20), the authors found that clients with poorer trait-like interpersonal skills and greater trait-like interpersonal problems exhibited a stronger relation between state-like changes in cognition and symptom improvement.…”

Section: The Longitudinal Interplay Between Different Mechanisms Of Changementioning

confidence: 99%

Disentangling Trait-Like Between-Individual vs. State-Like Within-Individual Effects in Studying the Mechanisms of Change in CBT

Zilcha‐Mano

Webb

2021

Front. Psychiatry

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Hofmann et al. argued that “[w]hile the clinical field has produced a dizzying number of treatment models and treatment protocols for virtually every psychiatric and psychological problem imaginable, increases in understanding of the processes of change in psychotherapy has been slow to arrive.” We propose that one of the reasons for the slow progress is that prior psychotherapy research conflates trait-like and state-like components of mechanisms of change. Trait-like components can serve as prescriptive or prognostic variables, whereas state-like components reflect within-client processes of change, and may highlight active ingredients of successful treatment. Distinguishing between the two is essential for clarifying the underlying processes of change in psychotherapy, and ultimately identifying empirically-derived individualized treatment targets. We review studies that implement methodological and statistical approaches for disentangling the two. These studies clarified particular mechanisms of change that may operate in a given treatment, highlighted differences in the processes of change between different treatments, and explored the within-individual interplay between different mechanisms of change during treatment. Examples include studies investigating the therapeutic role of behavioral, cognitive, and interpersonal skills, as well as emotional processing. We conclude with suggestions for future research, including attention to diversity, improved measurement to facilitate a reliable and valid estimation of trait-like and state-like components, the use of appropriate statistical approaches to adequately disentangle the two components, integration of theory-driven and data-driven methods of analysis, and the need to experimentally manipulate the state-like changes in a given mechanism of change to strengthen causal inferences.

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Section: The Longitudinal Interplay Between Different Mechanisms Of Changementioning

confidence: 99%

Disentangling Trait-Like Between-Individual vs. State-Like Within-Individual Effects in Studying the Mechanisms of Change in CBT

Zilcha‐Mano

Webb

2021

Front. Psychiatry

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“…GAD patients had differentially expressed miR-1301 but those of GAD patients who had better social support had lower expression of miR-1301, suggesting that social support has negative relation with anxiety, and there are interactions between social support, anxiety and miR-1301 expression. Hoffart et al (2021) and Fitzpatrick et al (2020) noted that GAD patients have usually demonstrated to be over-concerned with negative stimulating events and poorly regulated inhibition, which may suggest that GAD patients have difficulty in regulating negative emotions. Social support refers to emotional and material connection with relatives, friends, colleagues and relevant organizations.…”

Section: Discussionmentioning

confidence: 99%

Differential Expression of Microrna in Generalized Anxiety Disorder and Its Association With Social Support

Kong¹,

Zhu²,

Niu³

et al. 2021

Int. J. Res. Granthaalayah

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To explore the differential expression of microRNA (miRNA, miR-) and its correlation with social support and personality in Generalized Anxiety Disorder (GAD) patients. A total of 80 GAD patients and 80 control participants were selected from our serial study samples to be tested for microarray analysis, and real time quantitative Polymerase Chain Reaction (qRT-PCR) verification was carried out in both patient group and control group. Correlation between miRNA expression and social support were also carried out. According to microarray analysis, 6 miRNAs were differentially expressed between patient group and control group, with miR-4505, miR-4484, miR-4674, miR-501-3p and miR-663 up-regulated, and miR-1301 down-regulated; qPCR verification revealed that 5 miRNAs (miR-1301, miR-4484, miR-4674, miR-501-3p, miR-663, miR-4505) were significantly up-regulated and the expression of miRNA-1301 down-regulated; the expression of miRNA-1301 was significantly related to social support in GAD patients. In conclusions, comprehensive factors, including miRNA regulation, social support may be involved into the aetiology of GAD.

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“…The researchers may presume that this trial seek to conquer other studies' limitations (Fitzpatrick, Bailey, &Rizvi, 2020) whose mentioned that their study had limited measurements and recommended to have frequent measurements of variables along the program; thus in this trial, the researchers procured periodic assessments after each DBT module; this also illustrated a comprehensive and a perspicuous evaluation of each module separately. On the same context, the study of Mehlumet al, (2014) recommended long-term follow up evaluations for DBT effectiveness, which was also considered in this research.…”

Section: Recommendationsmentioning

confidence: 99%

Effect of Dialectical Behavioral Therapy on Suicidal Attempts and Non- Suicidal Self-Injury Among Depressed Patients

Elsayad

Alghtani²

2022

Port Said Scientific Journal of Nursing

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Background: Dialectical Behavioral Therapy is a modality of cognitive behavioral therapy, which directs the process on the synthesis of opposites and the modification of maladaptive behaviors. It cognizes individuals with four significant compounds of skills to manage massive emotions, and innervate coping skills. Aim: This study aimed to evaluate the effect of dialectical behavioral therapy on depressed patients' suicidal attempts and non-suicidal self-injuries.

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Changes in Emotions Over the Course of Dialectical Behavior Therapy and the Moderating Role of Depression, Anxiety, and Posttraumatic Stress Disorder

Cited by 18 publications

References 45 publications

Disentangling Trait-Like Between-Individual vs. State-Like Within-Individual Effects in Studying the Mechanisms of Change in CBT

Disentangling Trait-Like Between-Individual vs. State-Like Within-Individual Effects in Studying the Mechanisms of Change in CBT

Differential Expression of Microrna in Generalized Anxiety Disorder and Its Association With Social Support

Effect of Dialectical Behavioral Therapy on Suicidal Attempts and Non- Suicidal Self-Injury Among Depressed Patients

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