Dialectical behaviour therapy skills training for the treatment of addictive behaviours among individuals with alcohol use disorder: the effect of emotion regulation and experiential avoidance

Cavicchioli, Marco; Ramella, Pietro; Vassena, Giulia; Simone, Giulia; Prudenziati, Francesca; Sirtori, Federica; Movalli, Mariagrazia; Maffei, Cesare

doi:10.1080/00952990.2020.1712411

Cited by 14 publications

(9 citation statements)

References 136 publications

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“…Emotion‐focused interventions that improve emotion identification and differentiation skills may help moderate the influence of alexithymia and improve alcohol treatment outcomes, which is consistent with recent appeals to address the ability to attend to internal states as a target of clinical interventions (Psederska et al, 2019; Swan et al, 2020). Emotion regulation treatment for AUD, dialectical behavior therapy, and cognitive‐behavioral therapy for depression address emotion regulation deficits and may provide information on treatment content that could be adapted to supplement AUD treatment (Asnaani et al, 2020; Cavicchioli et al, 2020; Stasiewicz et al, 2018; Strauss et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems

et al. 2021

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Objective Alexithymia is common among people who abuse alcohol, yet the mechanisms by which alexithymia exerts its influence remain unclear. This analysis tested a model whereby the three subscales of the Toronto Alexithymia Scale exert an indirect effect on alcohol problems through difficulties with emotion regulation and psychological distress. Method Men and women (n = 141) seeking alcohol use disorder (AUD) treatment completed the Toronto Alexithymia Scale, the Difficulties with Emotion Regulation Scale, the Brief Symptom Inventory, the Short Inventory of Problems, and the Alcohol Dependence Scale. Results The Difficulty Identifying Feelings subscale of the Toronto Alexithymia Scale was positively associated with alcohol problems through emotion dysregulation and psychological distress. The other two subscales, Difficulty Describing Feelings and Externally oriented Thinking, were not associated with any other variables. Conclusion People with alexithymia may consume alcohol to help regulate undifferentiated states of emotional arousal. Given the prevalence of alexithymia among people who abuse alcohol, treatment supplements that enhance the identification of emotions are needed.

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Section: Discussionmentioning

confidence: 99%

Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems

et al. 2021

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“…EA was associated with gambling behaviors, compulsory sex, compulsive shopping, and dysfunctional eating habits (7)(8)(9)(10)(11) Among individuals with SUDs, developing mindfulness skills reduced EA (12); distress tolerance and emotion regulation skills helped individuals not only reduce EA but also modulate emotional responses (3,13). Improvements in emotion regulation were related to improvements in addictive behaviors (14). Following DBT-ST, EA significantly decreased in individuals with alcohol use disorder (15).…”

Section: Introductionmentioning

confidence: 90%

Madde Kullanım Bozukluğu olan Hastalarda Diyalektik Davranış Terapisi Grup Becerileri Eğitimi Pilot Çalışması: Madde Kullanım Şiddeti, Duygudurum ve İlişki Becerilerindeki Değişiklikler

Bilican

Çetinkaya²,

ÇELEBİ

et al. 2022

Bağımlılık Dergisi

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Objective: This pilot study aimed to investigate effects of Dialectical Behavior Therapy Group Skills Training (DBT-ST) on patients' severity of substance use status, mood and other psychological symptoms, difficulties in emotion regulation, interpersonal problem solving skills, and social competence.Method: Nine outpatient males with substance use disorders were administered the DBT-ST for 20 weeks. Age ranged between 17 and 34. Average years of substance use was 1.61 (SD=.29). DBT-ST modules (mindfulness, emotion regulation, interpersonal skills, and distress tolerance) were administered for 20 weeks. Urine toxicology screenings, the Addiction Profile Index (API), the Symptom Check List-90-Revised (SCL-90-R), the Beck Depression Inventory (BDI), the Difficulties in Emotion Regulation Scale (DERS), the Interpersonal Problem Solving Inventory, and the Perceived Social Competence Scale were administered at pre and post-treatment.Results: There were significant decreases in the severity of substance use with decreased number of positive drug screening test results and an increase in emotion regulation; decreases in the API total score, dependency diagnosis, and the effects of substance use on the user sub-scale scores; depression, hostility, and phobic anxiety sub-scale scores on the SCL-90-R; the BDI total score; and nonacceptance, strategies, clarity and impulsivity sub-scale scores of the DERS. Conclusion:The findings indicated a 20 week DBT-ST helped participants increase their days of abstinence, regulate emotional regulation, decrease depressive and anxiety symptoms, and substance related difficulties.

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“…A possible benefit of the skills intervention is the integration of different behavioral skills that are useful for improving many different psychological processes. DBT skills groups are effective for a wide range of psychiatric illnesses including adults and adolescents with suicidal and self-injurious behaviors, those with eating disorders (94), individuals struggling with addictive behaviors among those with alcohol use disorder (95), and individuals with anxiety and depressive disorders (96)(97)(98)(99). The breadth of symptoms DBT may address is particularly relevant for those with a CHR syndrome given that this group, as mentioned, is characterized by unique clinical presentations.…”

Section: Possible Benefitsmentioning

confidence: 99%

Skills program for awareness, connectedness, and empowerment: A conceptual framework of a skills group for individuals with a psychosis-risk syndrome

Gupta

Antezana²,

Porter³

et al. 2023

Front. Psychiatry

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Intervention strategies for those diagnosed with psychotic disorders such as schizophrenia can be effective in reducing symptoms and improving quality of life. While strides have been made in developing prevention and intervention strategies earlier on in the disease progression, among those at clinical high-risk (CHR) for psychosis, challenges with heterogeneity can limit symptom and diagnosis specific treatment. Here, we discuss a newly developed therapy skills group called the Skills Program for Awareness, Connectedness, and Empowerment (SPACE) that integrates different types of behavioral skills – standard and radically open dialectical behavioral therapy as well as cognitive behavioral therapy – for CHR youth between the ages of 13–18 years. With the diathesis-stress framework serving as a foundation, the intervention is divided into three stages. These stages target specific signs and symptoms contributing to the progression of CHR symptoms. Stage 1 targets stress (with the goal of developing awareness and reducing distress), stage 2 targets self-disturbances (with a goal of increasing self-connectedness), and stage 3 targets social connectedness (with a goal of improving social domains of functioning). The focus of this article is to introduce the theoretical framework underlying the pilot skills group and discuss ongoing progress.Clinical Trial Registration NCT05398120; https://clinicaltrials.gov/ct2/show/NCT05398120.

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Dialectical behaviour therapy skills training for the treatment of addictive behaviours among individuals with alcohol use disorder: the effect of emotion regulation and experiential avoidance

Cited by 14 publications

References 136 publications

Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems

Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems

Madde Kullanım Bozukluğu olan Hastalarda Diyalektik Davranış Terapisi Grup Becerileri Eğitimi Pilot Çalışması: Madde Kullanım Şiddeti, Duygudurum ve İlişki Becerilerindeki Değişiklikler

Skills program for awareness, connectedness, and empowerment: A conceptual framework of a skills group for individuals with a psychosis-risk syndrome

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