PAI-A Predictors of Treatment Response in a DBT-A-Informed Intervention for Adolescent Boys

Charles, Nora E.; Floyd, Paula N; Bulla, Brian A.; Barry, Christopher T.; Anestis, Joye C.

doi:10.1007/s10862-021-09886-z

Cited by 7 publications

(1 citation statement)

References 79 publications

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“…Although adolescents rated their baseline motivation as moderately high, it is possible we did not do enough motivational interviewing and preparation specifically around skills group prior to adolescents starting the group component. Indeed, low adolescent motivation has been found to predict premature treatment termination in previous DBT-A studies (Charles et al, 2021). Despite hopes that the virtual delivery of DBT-A would increase feasibility of DBT-A, more needs to be done to prevent premature termination, such as considering how to increase engagement, group cohesion, and satisfaction for adolescents participating in virtual groups.…”

Section: Service User Outcomes Of Remote-delivered Dbt-amentioning

confidence: 99%

An exploratory study of service user and clinical outcomes in telehealth-delivered dialectical behavior therapy for adolescents skills groups.

Shaw,

Hare,

Conroy

et al. 2024

Psychological Services

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The COVID-19 pandemic led many in-office therapeutic programs to pivot to virtual programming without empirical data supporting the acceptability and efficacy of the remote-delivered adaptations. These adaptations were essential for continuing care and addressing surging youth psychological problems at the time. To serve adolescents with comorbid psychiatric disorders and associated problems (e.g., emotion dysregulation), we adapted and implemented virtual and hybrid formats of a dialectical behavior therapy for adolescents (DBT-A; Rathus & Miller, 2015) program within a public university training clinic, such as separating the traditional multifamily group into adolescent-only and caregiver-only groups. Building on qualitative reports on virtual DBT-A, we explored preliminary service user and clinical outcomes of the virtual and hybrid DBT-A adolescent skills group component in a longitudinal retrospective cohort study for teenagers treated during the first 2 years of the pandemic (N = 21; 81% Hispanic/Latinx; 100% White). Aim 1 described service user outcomes (e.g., retention, group cohesion, client satisfaction) in the remote-delivered skills groups. Most youth completed treatment. Caregiver satisfaction was high, whereas adolescent satisfaction was mild. Aim 2 explored preliminary clinical outcomes of remote-delivered skills group adaptations. Overall anxiety, panic, and two emotion regulation facets (i.e., emotional awareness; goal pursuit when upset) significantly reduced across treatment. There were no significant reductions in depression. No suicide attempts or suicides occurred during the program. Further work is needed to clarify the efficacy of telehealth formats of DBT-A skills groups in larger, more racially diverse samples and to identify which adolescents are most appropriate for virtual and/or hybrid DBT-A.

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Section: Service User Outcomes Of Remote-delivered Dbt-amentioning

confidence: 99%