Evaluating the Effectiveness of a Dialectical Behaviour Therapy (DBT) Informed Programme in a Community Perinatal Team

Wilson, Hannah; Donachie, Alexandra L

doi:10.1017/s1352465817000790

Cited by 18 publications

(46 citation statements)

References 37 publications

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“…The results corroborate other studies demonstrating the effectiveness of DBT skills group only programmes (e.g. Neacsiu et al, 2014), and their specific effectiveness with perinatal women (Wilson and Donachie, 2018).…”

Section: Discussionsupporting

confidence: 90%

“…The attrition rate was moderate and comparable to other effectiveness studies of DBT skills groups (Blackford and Love, 2012;Wilson and Donachie, 2018). Reasons for attrition were not formally assessed; however, reasons given included difficulties travelling to groups and lack of childcare for older children.…”

Section: Limitations and Recommendations For Future Researchsupporting

confidence: 58%

“…Women had the option to bring their babies with the aim of increasing access to an intervention that might not be possible to attend otherwise, and in order to promote care of newborn babies in women with perinatal mental illness. Attendance was comparable to that of Wilson and Donachie (2018) and an improvement on others (Kleiber et al, 2017) with two-thirds of participants completing the DBT skills group. The findings challenge previously expressed concerns that bringing babies to therapy may reduce treatment efficacy (Millett et al, 2017).…”

Section: Discussionmentioning

confidence: 82%

“…The DBT skills group of Kleiber et al (2017) for 25 adolescent perinatal women with depression led to a reduction in symptoms. Wilson and Donachie (2018) evaluated a 12-week skills group for 21 women attending a community perinatal mental health service. Participants significantly benefited on measures of wellbeing, functioning, distress, mental health confidence and emotional regulation.…”

Section: Dbt Skills Trainingmentioning

confidence: 99%

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The impact of including babies on the effectiveness of dialectical behaviour therapy skills groups in a community perinatal service

Greaves

McKenzie

O’Brien

et al. 2020

Behav. Cogn. Psychother.

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Background: Perinatal mental illnesses are a major public health issue, which untreated can have devastating impacts on women and their families. Problems with emotion regulation are a common feature across perinatal mental illnesses. Aims: This study sought to evaluate the impacts of dialectical behaviour therapy (DBT) skills groups for mothers and babies in a community perinatal service. We hypothesised that community perinatal DBT skills groups that included babies would reduce distress and improve emotional regulation. Method: A mixed-methods within-subjects design was utilised with outcome measures collected pre- and post-intervention. Qualitative interviews exploring mothers’ experiences of bringing their baby to group were also conducted. Results: Results indicated that DBT skills groups significantly improved levels of psychological distress and emotional regulation. Conclusions: Community perinatal DBT skills groups are effective when babies are present. Moreover, benefits of including babies were identified, under the themes of Self as Mother, Shared Experience, and Impact of Babies.

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Section: Discussionsupporting

confidence: 90%

Section: Limitations and Recommendations For Future Researchsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 82%

Section: Dbt Skills Trainingmentioning

confidence: 99%

See 2 more Smart Citations

The impact of including babies on the effectiveness of dialectical behaviour therapy skills groups in a community perinatal service

Greaves

McKenzie

O’Brien

et al. 2020

Behav. Cogn. Psychother.

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“…I had written a group programme, intended to be delivered in person, based around core dialectical behaviour therapy (DBT) skills, see Figure 1. DBT has become a priority area for development in perinatal services due to the increasing number of women seeking support who experience emotional dysregulation (Ayre et al, 2019;Wilson & Donachie, 2018). Since training in DBT, I have found that the skills training element of this therapy is compatible with my occupational approach; my perspective allows for the skills to be applied in the context of achieving occupational goals.…”

Section: Prioritising the Therapeutic Relationshipmentioning

confidence: 99%

The importance of human connection: Perinatal teletherapy during a global pandemic

Wainberg¹

2020

World Federation of Occupational Therapists Bulletin

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This paper outlines how the shift to online working in a perinatal mental health community team has led to an examination of how occupational therapists create connections with our clients. In order to address the disconnection experienced by clients engaging with services during a global pandemic, an approach to online working which emphasises the therapeutic use of self has been developed. An online platform has been used to build a psychoeducation course which relies heavily on the therapist's use of self-disclosure and equal participation in a community of learners. The work is currently in the pilot stage with a small number of patients but initial responses appear positive; further analysis will be possible as clients begin to complete the course.

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Applications of dialectical behavioural therapy in the perinatal period: A scoping review

Hellberg,

Bruening,

Thompson

et al. 2023

Clin Psychology and Psychoth

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Psychological distress is the most common complication of pregnancy. High‐risk concerns can include severe emotion dysregulation, suicidality and self‐injury, and health risk behaviours, which bear substantial consequences for caregivers and families. Yet, effective, comprehensive interventions for high‐risk caregivers have received limited attention. Dialectical behaviour therapy (DBT) is a frontline treatment for such concerns. Accordingly, we conducted a scoping review on the implementation of DBT in the perinatal period. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Seven studies were identified; study designs included case studies and single‐arm pilot trials. Most studies used DBT‐informed protocols with significant adaptations, few included multiple components of DBT (i.e. skills group, individual therapy, phone coaching and consultation team), and none met criteria for adherent delivery of all four modes of DBT treatment. Findings suggest DBT‐informed interventions may be successfully implemented to treat a range of perinatal mental health symptoms, including borderline personality disorder, depression, anxiety, and post‐traumatic stress, and to promote emotion regulation and positive parenting behaviours. While results provide preliminary support for perinatal DBT, this literature is scant and empirical rigour considerably lacking. Clinical implications and future directions are outlined to aid researchers and providers in addressing the ongoing perinatal mental health crisis and developing sorely needed interventions to address the needs of high‐risk caregivers.

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Evaluating the Effectiveness of a Dialectical Behaviour Therapy (DBT) Informed Programme in a Community Perinatal Team

Abstract: In this uncontrolled study, the intervention period was associated with reduced distress, increased confidence and ability to regulate emotion. Recommendations for continuing this model of service delivery are made. Further research is needed.

Cited by 18 publications

References 37 publications

The impact of including babies on the effectiveness of dialectical behaviour therapy skills groups in a community perinatal service

The impact of including babies on the effectiveness of dialectical behaviour therapy skills groups in a community perinatal service

The importance of human connection: Perinatal teletherapy during a global pandemic

Applications of dialectical behavioural therapy in the perinatal period: A scoping review

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