Dialectical Behavior Therapy Skills for Families of Individuals With Behavioral Disorders: Initial Feasibility and Outcomes

Wilks, Chelsey R.; Valenstein-Mah, Helen; Tran, Han N.; King, Alexandra M.; Lungu, Anita; Linehan, Marsha M.

doi:10.1016/j.cbpra.2016.06.004

Cited by 27 publications

(31 citation statements)

References 33 publications

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“…Wilks and colleagues [36] treated family members of persons with behavioral disorders in a six-month DBT-based intervention. They saw a reduction in stress level and an improvement in interpersonal measurements in the 20 participants (53%) that completed the intervention.…”

Section: Discussionmentioning

confidence: 99%

DBT-based skills training for family members of suicidal patients - open clinical feasibility trial in a psychiatric outpatient context’

Rajalin¹,

Hirvikoski²,

Renberg³

et al. 2020

Preprint

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Background: The involvement of significant others is an objective in suicide prevention and there is a need for development of interventions for this group. The aim of this open naturalistic study was to evaluate the feasibility and the preliminary efficacy of Family Connections (FC) for significant others of suicidal patients, a nine-week manualized skills training program based on dialectical behavior therapy (DBT) in a clinical context.Methods: The intervention program aims to enhance the knowledge of symptoms and behaviors connected with attempted suicide. Furthermore it introduces stress-coping strategies and emotion regulation skills. Out of 132 participants in total, 104 (79%) completed the program. Included in the analysis were the 86 (65%) participants who completed the program and also had both pre- and post-intervention assessments. The Burden Assessment scale (BAS), the Questions About Family Members scale (QAFM), and the Five Facet Mindfulness Questionnaire (FFMQ), were used to assess perceived burden, relationship climate and five facets of mindfulness respectively. Results: The results showed a significant reduction in perceived burden, measured with BAS and a significant change in the mindfulness scale FFMQ subscale Acting with Awareness, which indicates an enhanced ability to be present in the moment. None of the four subscales in QAFM showed significant changes between the pre- and post-intervention assessments.Conclusions: The results support the feasibility and potential value of the implementation of an intervention for significant others of suicidal patients in psychiatric care. Randomized controlled studies are needed to generate further evidence.

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Section: Discussionmentioning

confidence: 99%

DBT-based skills training for family members of suicidal patients - open clinical feasibility trial in a psychiatric outpatient context’

Rajalin¹,

Hirvikoski²,

Renberg³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…La interferencia tiene que ver con las dificultades a la hora de realizar conductas orientadas a objetivos cuando se está emocionalmente activado (Gratz y Roemer, 2004). Estos resultados se corresponden con hallazgos de estudios previos que pusieron a prueba el programa Friends and Family y en los que disminuyó la desregulación emocional (Wilks et al, 2017). Es posible que la disminución significativa en esta escala se deba a la práctica de las habilidades de aceptación enseñadas en el entrenamiento en habilidades.…”

Section: Discussionunclassified

“…Los resultados de este estudio piloto después de 6 meses de intervención sugieren una buena aceptabilidad ya que el 70% de los participantes terminaron el tratamiento y los participantes que abandonaron lo realizaron por causas ajenas a la intervención. Porcentajes de abandono similares se obtuvieron en el estudio pre-post que evaluó el programa Friends and Family (Wilks et al, 2017) y los estudios sobre FC (p.ej. Flynn et al, 2017).…”

Section: Discussionunclassified

“…Este tratamiento se considera a día de hoy un tratamiento transdiagnóstico para trastornos relacionados con la desregulación emocional (ver Ritschel, Miller, y Taylor, 2013). El componente grupal del entrenamiento en habilidades de la DBT (Linehan, 1993b;Linehan, 2015) ha resultado eficaz para disminuir la depresión, la desregulación emocional y aumentar el funcionamiento en diferentes poblaciones clínicas (p.ej., Linehan et al, 2014;Soler et al, 2009) y no clínicas (Valentine, Bankoff, Poulin, Reidler, y Pantalone, 2014;Wilks et al, 2017).…”

Section: Introductionunclassified

“…Incluye cuatro módulos: regulación emocional, tolerancia al malestar, eficacia interpersonal y atención plena (mindfulness). Según Wilks et al 2017, este entrenamiento en habilidades podría ser una intervención adecuada para familiares y cuidadores de personas con TPL ya que interviene directamente en el manejo de las propias experiencias emocionales del familiar y también enseña habilidades para mejorar las relaciones con los demás. Los resultados de un estudio piloto pre-post que evaluó el programa F&F para personas con trastorno mental (incluido el TPL) mostró una mejoría en la desregulación emocional, la reactividad al estrés y las variables interpersonales de los familiares (Wilks et al, 2017).…”

Section: Introductionunclassified

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Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite

Haro¹,

Pérez-Hernández

Serrat³

et al. 2019

RPPC

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Effectivity and acceptability of dialectical behavioral therapy skills training for family members of people with borderline personality disorder. Social and family environment is fundamental in the development and maintenance of Borderline Personality Disorder (BPD). Despite family members of people with BPD have more risk of suffering from psychological problems, there are not empirically-supported interventions for this population. Dialectical Behavior Therapy (DBT) has been adapted for families of people with BPD with encouraging results. The main goal of this study was to evaluate the effectiveness and acceptability of a 25-session intervention based on DBT in a sample of 7 family members of people with BPD and in a Spanish context. Pre-post treatment changes in the variables: emotional burden, depression, anxiety, difficulties in emotion regulation, and mindfulness skills, were measured. Preliminary results showed significant improvements in anxiety, emotion regulation and mindfulness and good implementation of the intervention. This study may benefit the implementation of family interventions for family members of people with BPD.Resumen: El ambiente social y familiar es fundamental en el desarrollo y mantenimiento del Trastorno Límite de la Personalidad (TLP). A pesar de que los familiares de personas con TLP tienen más riesgo de padecer problemas psicológicos, no existen intervenciones empíricamente validadas para esta población. La Terapia Dialéctica Comportamental (Dialectical Behavior Therapy, DBT) se ha adaptado para familiares de personas con TLP con resultados alentadores. El objetivo principal del estudio fue evaluar la efectividad y la aceptabilidad de una intervención de 25 sesiones basada en DBT en una muestra de 7 familiares de personas con TLP y en un contexto español. Se midieron los cambios pre-post tratamiento en las variables agotamiento emocional, depresión, ansiedad, desregulación emocional y atención plena. Los resultados mostraron mejoras significativas en ansiedad, regulación emocional y atención plena y una buena aceptación de la intervención. Este estudio podría favorecer la implantación de intervenciones para familiares de personas con TLP.

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Effects of brief dialectical behavior therapy skills training on Malay‐speaking school teachers: A controlled study

Keng,

Pang,

Tanin

et al. 2024

Psychology in the Schools

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School teachers are susceptible to mental health issues due to the challenging responsibilities the teaching profession entails. While several interventions have demonstrated effectiveness in improving teachers' social emotional competencies and mental health outcomes, little work has examined the potential of dialectical behavior therapy–skills training (DBT‐ST) in improving teacher outcomes. This study aimed to assess the effects of a five‐session, Malay‐translated DBT‐ST on psychological symptoms (anxiety, depression, stress, burnout), social‐emotional competencies, DBT skills use, and dysfunctional coping in a sample of school teachers in East Malaysia. Fifty‐three participants were recruited and assigned into DBT‐ST or a control group, consisting of attending a mental health talk. Analyses showed that DBT‐ST participants reported greater decreases in student‐related burnout and dysfunctional coping, and greater increases in DBT skills use compared to the control group from pre‐ to post‐intervention. There were no between‐condition differences on changes in other mental health outcomes, though session attendance was linked positively to improvements in several outcomes in the DBT‐ST condition. Analyses of post‐intervention feedback indicated that brief DBT‐ST was deemed acceptable and feasible among the research participants. In conclusion, DBT‐ST holds promise as an intervention to lower student‐related burnout and facilitate adaptive coping among school teachers.

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Dialectical Behavior Therapy Skills for Families of Individuals With Behavioral Disorders: Initial Feasibility and Outcomes

Cited by 27 publications

References 33 publications

DBT-based skills training for family members of suicidal patients - open clinical feasibility trial in a psychiatric outpatient context’

DBT-based skills training for family members of suicidal patients - open clinical feasibility trial in a psychiatric outpatient context’

Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite

Effects of brief dialectical behavior therapy skills training on Malay‐speaking school teachers: A controlled study

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