Dialectical Behavior Therapy for Adolescents with Bipolar Disorder: Results from a Pilot Randomized Trial

Goldstein, Tina R.; Fersch-Podrat, Rachael K.; Rivera, Maribel Campos; Axelson, David; Merranko, John; Yu, Haifeng; Brent, David A.; Birmaher, Boris

doi:10.1089/cap.2013.0145

Cited by 133 publications

(66 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent years, an accumulating body of evidence similarly supports the use of manualized psychotherapies for the treatment of PBD. A recent review highlighted 13 unique studies 170 and three studies published since that review further strengthen the evidence base, 171–174 whereas one additional study offers mixed evidence. 175 The category of family psychoeducation plus skill building can be considered as a well-established treatment, meaning that two or more research groups have, via independent RCTs, demonstrated efficacy.…”

Section: | Psychosocial Treatmentsmentioning

confidence: 99%

The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research

et al. 2017

Self Cite

View full text Add to dashboard Cite

Objectives Over the past two decades, there has been tremendous growth in research regarding bipolar disorder (BD) among children and adolescents (ie, pediatric BD [PBD]). The primary purpose of this article is to distill the extant literature, dispel myths or exaggerated assertions in the field, and disseminate clinically relevant findings. Methods An international group of experts completed a selective review of the literature, emphasizing areas of consensus, identifying limitations and gaps in the literature, and highlighting future directions to mitigate these gaps. Results Substantial, and increasingly international, research has accumulated regarding the phenomenology, differential diagnosis, course, treatment, and neurobiology of PBD. Prior division around the role of irritability and of screening tools in diagnosis has largely abated. Gold-standard pharmacologic trials inform treatment of manic/mixed episodes, whereas fewer data address bipolar depression and maintenance/continuation treatment. Adjunctive psychosocial treatment provides a forum for psychoeducation and targets primarily depressive symptoms. Numerous neurocognitive and neuroimaging studies, and increasing peripheral biomarker studies, largely converge with prior findings from adults with BD. Conclusions As data have accumulated and controversy has dissipated, the field has moved past existential questions about PBD toward defining and pursuing pressing clinical and scientific priorities that remain. The overall body of evidence supports the position that perceptions about marked international (US vs elsewhere) and developmental (pediatric vs adult) differences have been overstated, although additional research on these topics is warranted. Traction toward improved outcomes will be supported by continued emphasis on pathophysiology and novel therapeutics.

show abstract

Section: | Psychosocial Treatmentsmentioning

confidence: 99%

The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although both treatment groups demonstrated high acceptability, adolescents in DBT attended more sessions and demonstrated greater improvement in depressive (but not manic) symptoms and suicidal ideation. 27 Thus, DBT seems to be a promising treatment of adolescent BPSD, particularly for depressive symptoms.…”

Section: Dialectical Behavior Therapymentioning

confidence: 99%

Family-Based Interventions for Childhood Mood Disorders

Young

Fristad

2015

Child and Adolescent Psychiatric Clinics of North America

View full text Add to dashboard Cite

“…All participants received medication management as well. Adolescents who received DBT had less severe depressive symptoms and more improvement in suicidal ideation over the year; they also evidenced more weeks in remission (52).…”

Section: Family Interventions For Pediatric Bipolar Spectrum and Highmentioning

confidence: 95%

“…A version of dialectical behavior therapy (DBT) has been developed for adolescents (ages 12-18 years) with bipolar I, II, or not otherwise specified disorder (52). DBT was modeled as a 1-year treatment consisting of 18 family skills training (conducted with individual family units) and 18 individual skills sessions.…”

Section: Family Interventions For Pediatric Bipolar Spectrum and Highmentioning

confidence: 99%

Psychosocial Approaches to the Treatment of Bipolar Disorder

Miklowitz¹,

Gitlin²

2015

FOC

View full text Add to dashboard Cite

Even when treated with best-practice pharmacotherapy, many patients with bipolar disorder have slow recoveries from illness episodes, high rates of recurrence, and considerable functional impairment. This article reviews randomized trials of psychotherapy as adjunctive to pharmacotherapy. There is evidence for the efficacy of family-focused interventions, group psychoeducation, interpersonal and social rhythm therapy, and cognitive-behavioral therapy in delaying or preventing relapses and stabilizing illness episodes. Although these treatments share many common strategies (e.g., psychoeducation), little is known about how they work, when in the illness progression they should be administered for maximal effect, and how to efficiently train large numbers of community clinicians. Online versions of psychoeducational care are being developed, with promising early results. Studies that identify changes in neural circuitry that mediate the effects of psychosocial intervention may be especially informative in clarifying targets of evidence-based psychosocial care.

show abstract

Dialectical Behavior Therapy for Adolescents with Bipolar Disorder: Results from a Pilot Randomized Trial

Cited by 133 publications

References 55 publications

The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research

The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research

Family-Based Interventions for Childhood Mood Disorders

Psychosocial Approaches to the Treatment of Bipolar Disorder

Contact Info

Product

Resources

About