Executive Functioning Outcomes Among Adolescents Receiving Dialectical Behavior Therapy

Smith, Alphonso A.; Freeman, Kimberly; Montgomery, Susanne; Vermeersch, David A.; James, Sigrid

doi:10.1007/s10560-018-0578-9

Cited by 7 publications

(21 citation statements)

References 62 publications

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“…Researchers report that CBT, standard DBT, and transcranial magnetic stimulation treatment were effective in improving SITB symptoms, but ineffective in improving cognitive flexibility (indexed via self-report and task-switching paradigms; Navarro-Haro et al, 2018; Ozcan et al, 2020; Pan et al, 2020; Peters et al, 2010). Interestingly, some evidence indicates that standalone DBT skills group may be effective for improving self-reported task-switching ability (Smith et al, 2019) and positive reappraisal use (Long et al, 2011). Unfortunately, the heterogeneity in the cognitive flexibility assessment tools researchers have employed to date limits the interpretability of these conflicting findings.…”

Section: Resultsmentioning

confidence: 99%

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

Chung,

Heakes,

Kaufman

2024

Clinical Psychology: Science and Practice

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Cognitive inflexibility is theorized to be an etiological and maintenance factor for self-injurious thoughts and behaviors (SITBs). The vast literature on cognitive flexibility and SITB is rife with conflicting results, and thus, is challenging to interpret. We conducted a systematic review to synthesize the available evidence on cognitive flexibility and SITB (n = 126 studies). Results indicate most laboratory paradigms we reviewed have poor ecological validity, and many studies use inadequate measures of cognitive flexibility. Evidence suggests cognitive flexibility, as currently measured, is not robustly associated with SITB history above and beyond certain psychopathology presentations (e.g., depression). Cognitive reappraisal appears to be more cognitively demanding for persons with (vs. without) suicidal ideation (SI) and/or nonsuicidal self-injury history. Higher cognitive flexibility may have a distal protective influence on SITB by buffering the effects of perceived stress and psychological pain. Preliminary evidence indicates that state cognitive flexibility may have a proximal association with concurrent state SI. Nonetheless, cognitive flexibility does not appear to be a primary mechanism of change in many SITB interventions, however, further research is warranted. We discuss several notable limitations in the current literature and make suggestions to guide future research in this area.

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Section: Resultsmentioning

confidence: 99%

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

Chung,

Heakes,

Kaufman

2024

Clinical Psychology: Science and Practice

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“…Three studies used within group study designs (Rodrigo, 2015 ; Smith et al ., 2018 ; Wayne, 2018 ) with tests administered at least during two-time points (pre-tests and post-tests). Rodrigo ( 2015 ) adopted a single group pre-test and post-test design on 29 patients with BPD.…”

Section: Study Designsmentioning

confidence: 99%

“…Smith et al . ( 2018 ) selected participants from a de-identified dataset of 93 adolescents with deliberate self-harm, emotion dysregulation or behavioral problems, attending an intensive outpatient program, and compiled a single group pre-post study. The study conducted by Wayne ( 2018 ) was based on an archival data collected in the course of a school-based intervention and used a single group design on 48 educators and 20 high school students with emotional dysregulation, difficulty coping with frustration, poor interpersonal relationships, and the inability to be calm and maintain attentiveness.…”

Section: Study Designsmentioning

confidence: 99%

“…In three studies (Mancke et al ., 2018 ; Schmitt et al ., 2016 ; Secrist, 2014 ), all the participants were females. In eight other studies (Afshari et al ., 2019 ; Fleming et al ., 2015 ; Rodrigo, 2015 ; Smith et al ., 2018 ; Soler et al ., 2012 ; Soler et al ., 2016 ; Wayne, 2018 ; Zargar et al ., 2019 ) males were 121 and females were 286 in number, indicating that the number of females was more than double of that of males. Since the current study is concerned with a transdiagnostic approach, a broad range of disorders were considered for the review.…”

Section: Study Designsmentioning

confidence: 99%

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Effectiveness of dialectical behavior therapy as a transdiagnostic treatment for improving cognitive functions: a systematic review

Vijayapriya,

Tamarana

2023

RES PSYCHOTHER-PSYCH

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Dialectical behavior therapy (DBT) has been found to be an efficacious treatment for disorders characterized by high levels of emotional instability. In view of the multifaceted applications of DBT and the extent to which mental disorders can incapacitate cognitive functions, the current systematic review aimed to investigate the effect of DBT in strengthening cognitive functions across various mental health conditions. Original research studies employing both experimental and quasi-experimental designs were included in the review. The literature search was done using different electronic databases, from the first available literature until June 2022, that covered an approximate period of ten years. Joanna Briggs Institute checklist was used to assess the methodological rigor of the studies. Twelve studies conducted on adolescents with emotional dysregulation, and adults with borderline personality disorder, bipolar disorder, attention deficit hyperactivity disorder, and multiple sclerosis were selected. Results indicate that DBT has the potential to improve key cognitive functions such as attention, memory, fluency, response inhibition, planning, set shifting, tolerance for delayed rewards and time perception, as assessed by neuropsychological tests, self-report of cognitive functions, and neuroimaging techniques. Considering the review’s findings that showcase the effectiveness of DBT in fostering improvements in cognitive functions, DBT may possibly be chosen as a preferred treatment to ensure that patients reach optimal levels of cognitive functioning. Limitations include lack of sufficient studies encompassing all the common mental health conditions, usage of neuroimaging techniques as only an indirect measure of cognitive functioning and nuances related to the quality of individual studies.

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“…Additionally, DBT has been reported as an effective intervention for the treatment of posttraumatic stress disorder (Barnicot & Crawford, 2018), including survivors of childhood sexual abuse (Steil, et al, 2018), as well as executive functioning deficits in adolescents (Smith, Freeman, Montgomery, Vermeersch, & James, 2018), and building emotion regulation skills in parents (Zalewski, Lewis, & Martin, 2018). As stated by Linehan (2015), Many mental disorders can be conceptualized as disorders of emotion regulation, with deficits in both up-and down-regulation.…”

Section: Dbt Research Supportmentioning

confidence: 99%

Integrating dialectical behaviour therapy into my clinical practice model as a northern social worker

Seida¹

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A Master of Social Work practicum at Walmsley and Validity Counselling was completed in support of my desire to advance my general clinical skills and integrate Dialectical Behaviour Therapy (DBT) into my personal practice model. This report begins with a placing of self and localization of practice considerations to northern British Columbia. A literature review on DBT is provided as context for reflection on my learning goals, which explore topics of professional drift, private versus non-profit organization models, northern practice considerations, component versus comprehensive DBT practice, and the cultural safety of mindfulness and acceptance-based therapies. The wisdom and skills gained from this experience, particularly the integration of DBT-informed therapy into my personal practice model, are

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Executive Functioning Outcomes Among Adolescents Receiving Dialectical Behavior Therapy

Cited by 7 publications

References 62 publications

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

Effectiveness of dialectical behavior therapy as a transdiagnostic treatment for improving cognitive functions: a systematic review

Integrating dialectical behaviour therapy into my clinical practice model as a northern social worker

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