Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic

Reis, Samantha; Matthews, Emily L.; Grenyer, Brin F. S.

doi:10.4081/ripppo.2020.488

Cited by 9 publications

(6 citation statements)

References 92 publications

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“…There have also been attempts to develop and incorporate mobile applications to augment skills generalization through in-vivo skills coaching (Rizvi et al 2016). Reis et al (2021) reviewed online interventions proven to be effective in the treatment of adolescents with personality disorders. Many of these share characteristics of DBT (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Towards online delivery of Dialectical Behaviour Therapy: A scoping review

Lakeman

King

Hurley

et al. 2022

Int J Mental Health Nurs

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Dialectical Behaviour Therapy (DBT) programmes are often the only available treatment for people diagnosed with borderline personality disorder and were rapidly converted to online delivery during the COVID‐19 pandemic. Limited research exists surrounding how the major elements of DBT are delivered in an online environment. This scoping review considered the operationalization of online delivery of DBT and its effectiveness. EBSCO host databases were searched using free text. Of 127 papers, 11 studies from 2010 to 2021 investigating online DBT for any clinical population were included in the review. A narrative synthesis of papers selected was undertaken. Seven articles reported results from five clinical trials (n = 437). Most adaptations mirrored face‐to‐face programmes although there was considerable variation in how therapy was facilitated. Attendance was reported to be greater online with comparable clinical improvements to face‐to‐face for those who remained in therapy. Additional challenges included managing risk, therapist preparedness and technology difficulties. Online delivery of DBT programmes is feasible and may be more accessible, acceptable and as safe and effective as face‐to‐face delivery. However, mirroring face to face delivery in an online environment may not be the most effective and efficient way to adapt DBT to online provision. Research is needed to identify areas which require further adaptation.

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Section: Introductionmentioning

confidence: 99%

“…Reis et al . ( 2021 ) reviewed online interventions proven to be effective in the treatment of adolescents with personality disorders. Many of these share characteristics of DBT (e.g.…”

Section: Introductionmentioning

confidence: 99%

Towards online delivery of Dialectical Behaviour Therapy: A scoping review

Lakeman

King

Hurley

et al. 2022

Int J Mental Health Nurs

View full text Add to dashboard Cite

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“…Emerging literature suggests positive engagement and effectiveness of online art therapy with people experiencing mental health difficulties [ 48 , 49 ]. Mental health programs have also emerged in the online format, including for people living with BPD [ 50 , 51 ], and have been suggested to mitigate some of the adverse impacts of social restrictions [ 52 ]. However, there are currently no studies evaluating an online art therapy group for people with personality disorder.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a skills-based peer-led art therapy online-group for people with emotion dysregulation

Jewell

Bailey

Curran

et al. 2022

bord personal disord emot dysregul

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Objective We developed and piloted a novel art-based online skills program led by a peer mental health professional with lived experience of complex mental health, including Borderline Personality Disorder (BPD). Key challenges of living with BPD and emotion dysregulation were addressed through artmaking informed by a dialectical framework and skills, to evaluate acceptability and efficacy. Method A structured, manualised 2-hour weekly arts-based skills program was piloted for people with BPD over 18 weeks. Evaluation included both quantitative and qualitative measures at commencement and completion. Results Thirty-eight participants enrolled in the program (89.5% identified she/her pronouns, average age 33.6 years), and 31 completed (82% retention). Multilevel modelling analysis of the primary outcome variable Difficulties in Emotion Regulation Scale (DERS) demonstrated a large improvement over time (effect size Cohen’s d = 1.77). Qualitative thematic analysis found participants had improved capacity to regulate emotions and tolerate distress, improved connection with others, enhanced understanding of the self, and higher hope for living well. We found that artmaking facilitated processes and helped the expression of difficult emotions, symbolise challenging relationships, and facilitate greater self-understanding. Participants reported high levels of satisfaction, and 77.4% reported that the program had increased wellbeing. Conclusion This novel artmaking program for emotion dysregulation and BPD was acceptable and potentially effective. Peer facilitation using arts-based skills is a modality of therapy for further investigation.

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“…Сократились их контакты со значимыми людьми, некоторые были разлучены с заболевшими родителями, были закрыты школы и вузы. Многие пациенты остались без социальной, профессиональной, психологической и медицинской поддержки [3]. Из отдельных эмпирических исследований, опубликованных к настоящему времени, следует, что в период пандемии эти пациенты чаще других категорий злоупотребляли психоактивными веществами (ПАВ), а также совершали суицидальные попытки и наносили несуицидальные самоповреждения (НССП), переживая одиночество и изоляцию [4,5].…”

Section: Introductionunclassified

Non-Suicidal Self-Injury in the Decompensation of Personality Disorder in Adolescents During the COVID-19 Pandemic in 2020–2021

et al. 2021

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The aim of the study was to determine the clinical and psychopathological characteristics of non-suicidal self-injury (NSSI) in personality disorder (PD) in the comparative age-related aspect during the coronavirus infection (COVID-19) pandemic. Patients and methods: a total of 230 patients (177 males and 53 females) aged 16–25, diagnosed with PD and NSSI behavior manifestations, were studied retrospectively in mental hospital and outpatintly by using clinical-psychopathological method. All patients were divided into two equal groups of 115 people each. Group I was examined in 2017–2019, Group II — in 2020–2021 during the coronavirus infection (COVID-19) pandemic. Results: common features established in both groups were as follows: affective instability, alexithymia, conflict relations with significant others, and current traumatic experience. For a comparative assessment of NSSI in patients of both groups, we used the NSSI typology in adolescent PD, previously developed by the authors. Impulsive, demonstrative, addictive, depersonalizing and self-destructive types of NSSI were recognized as significant for the diagnostic assessment. In the second group of patients, that is, during the period of the COVID-19 pandemic, a change in the selected variants of NSSI was found, that is, in borderline and narcissistic PD the impulsive type was replaced by a demonstrative type, and in schizoid and anxious PD it turned into an addictive one. For a comparative assessment of NSSI in patients of both groups, we used the NSSI typology in PD in adolescence, previously developed by the authors. When assessing suicidality in group II, it was revealed that in most types of PD, with a decrease in the number of suicidal attempts, there was a noticeable increase in the incidence of NSSI with demonstrative suicidality, which correlated with the trajectories of the identified variants of NSSI. Conclusions: the study underlined the role of personality pathology in in adolescence in the development of psychopathological disorders with NSSI and their high association with suicidal activity. The modification of various NSSI variants in the context of a coronavirus infection (COVID-19) pandemic may be due to the unique characteristics of the psychotraumatic factor. With the same strength of impact, the multidirectional influence on various personality types and comorbid psychopathological disorders in adolescence should be taken into account, when creating new models of therapeutic and socio-rehabilitation interventions for the adolescent contingent of patients.

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Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic

Cited by 9 publications

References 92 publications

Towards online delivery of Dialectical Behaviour Therapy: A scoping review

Towards online delivery of Dialectical Behaviour Therapy: A scoping review

Evaluation of a skills-based peer-led art therapy online-group for people with emotion dysregulation

Non-Suicidal Self-Injury in the Decompensation of Personality Disorder in Adolescents During the COVID-19 Pandemic in 2020–2021

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