Effects of Dialectical Behavior Therapy on Executive Functions, Emotion Regulation, and Mindfulness in Bipolar Disorder

Afshari, Behrooz; Omidi, Abdollah; Ahmadvand, Ali

doi:10.1007/s10879-019-09442-7

Cited by 24 publications

(13 citation statements)

References 35 publications

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“…The YMRS showed a reliability index of 0.88 (internal consistency) and 0.76 (test-retest reliability) when compared to the mania subscale of the Modified Clinical Global Impression [ 30 , 31 ]. YMRS had a high internal consistency (Cronbach′s alpha = 0.82) in the Iranian population, and it also showed a high concurrent validity with a mixed subscale of BDRS ( r = 0.745) [ 32 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

Examination and Comparison of Cognitive and Executive Functions in Clinically Stable Schizophrenia Disorder, Bipolar Disorder, and Major Depressive Disorder

Afshari

Shiri

Ghoreishi

et al. 2020

Depression Research and Treatment

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Background. Schizophrenia (SC), bipolar disorder (BD), and major depressive disorder (MDD) are associated with various cognitive and executive dysfunctions. The aim of the present study was to evaluate and compare cognitive and executive dysfunctions in schizophrenia, bipolar disorder, and major depressive disorder. Materials and Methods. Sixty-four schizophrenia patients, 68 bipolar patients, 62 patients with major depressive disorder, and 75 healthy individuals participated in the present study. All participants were assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Young Mania Rating Scale (YMRS), Positive and Negative Syndrome Scale (PANSS), Beck Depression Inventory (BDI-II), Trial Making Test (TMT), Four-Choice Reaction Time Task, Ruler Drop Method (RDM), Tower of London (TOL) task, and the Wisconsin Card Sorting Task (WCST). Data were analyzed by chi-square, Kolmogorov-Smirnov, and independent t -tests; ANOVA; and MANOVA. Results. In the cognitive function, the scores of SC, BD, and MDD patients were lower than those of healthy individuals. Also, the scores of MDD patients were lower than those of other patients, and the scores of BD patients were lower than those of SC patients. In the executive function, the scores of SC, BD, and MDD patients were lower than those of healthy individuals. Moreover, the scores of the MDD group were higher than those of the BD and SC groups, and the scores of the SC group were higher than those of the BD group. Conclusion. Patients with SC, BD, and MDD have poorer cognitive and executive functions than healthy individuals, even when these patients are in a stable state. Assessment of cognitive and executive functions in SC, BD, and MDD patients can help in understanding the pathology of these disorders.

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Section: Methodsmentioning

confidence: 99%

Examination and Comparison of Cognitive and Executive Functions in Clinically Stable Schizophrenia Disorder, Bipolar Disorder, and Major Depressive Disorder

Afshari

Shiri

Ghoreishi

et al. 2020

Depression Research and Treatment

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“…Improvements were seen for both the Child and Teen groups, especially within areas of social flexibility and transitions. Previous studies targeting ED in other psychiatric disorders report improved cognitive flexibility following intervention (Afshari et al, 2020;Painter et al, 2019), highlighting an important link between flexibility and ED. Indeed, we reported improved behavioral performance on a reversal learning task of cognitive flexibility following RT conducted as part of our withinsubjects trial (Schmitt et al, 2021).…”

Section: Discussionmentioning

confidence: 88%

Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers

Shaffer

Schmitt

Reisinger

et al. 2022

J Autism Dev Disord

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Individuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)-an intensive-outpatient, caregiver-assisted group program to meet the ASD + ED intervention critical need. A within-subjects trial was conducted (5-week-control leadin period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD + ED (25 8-12, 19 13-18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD.

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“…Another waitlist-controlled RCT (n = 60) investigated a psychoeducation-focused DBT group intervention based on the BDG of (Dijk et al 2013 , Afshari et al 2019 ). Participants were hypomanic, depressed, or euthymic, and were receiving pharmacotherapy.…”

Section: Resultsmentioning

confidence: 99%

A systematic review on the effectiveness of dialectical behavior therapy for improving mood symptoms in bipolar disorders

Jones

Umer

Finkelstein

et al. 2023

Int J Bipolar Disord

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Background Evidence-based psychotherapies available to treat patients with bipolar disorders (BD) are limited. Dialectical behavior therapy (DBT) may target several common symptoms of BD. We conducted a systematic review on the efficacy of DBT for mood symptoms in patients with BD. The systematic search used key words related to DBT and BD in Medline, Embase, PsycInfo, CINAHL, and Cochrane Library databases from 1980 to April 1st, 2022. We included studies that enrolled patients with a BD I or II diagnosis (DSM or ICD), age 12 and older who received a DBT-based intervention. Studies reviewed were clinical trials including observational studies that reported at least one outcome related to BD mood symptoms or severity. We did not exclude based upon psychiatric or physical co-morbidity. Results We screened 848 abstracts and reviewed 28 full texts; 10 publications with 11 studies met our pre-determined eligibility criteria. All but one were feasibility pilot studies and most included participants in all mood states except for mania. The studies provided preliminary evidence suggesting these interventions may be effective for improving several core symptoms of BD. Overall, all the studies consistently supported that DBT-based interventions are feasible and acceptable for patients with BD. Conclusion DBT may be an effective treatment for BD; however, the confidence in this conclusion is limited by the small sample sizes, heterogeneity, and high risk of bias in all published trials. Larger well-designed RCTs are now required to establish the effectiveness of DBT in BD.

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Effects of Dialectical Behavior Therapy on Executive Functions, Emotion Regulation, and Mindfulness in Bipolar Disorder

Cited by 24 publications

References 35 publications

Examination and Comparison of Cognitive and Executive Functions in Clinically Stable Schizophrenia Disorder, Bipolar Disorder, and Major Depressive Disorder

Examination and Comparison of Cognitive and Executive Functions in Clinically Stable Schizophrenia Disorder, Bipolar Disorder, and Major Depressive Disorder

Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers

A systematic review on the effectiveness of dialectical behavior therapy for improving mood symptoms in bipolar disorders

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