Symptom reduction in DBT-informed partial hospital, intensive outpatient, and step-down programs: Mindfulness matters

Few studies to date have examined Partial Hospital (PH) and Intensive Outpatient (IOP) programs that utilize a Dialectical Behavior Therapy (DBT)-informed model. Preliminary findings suggest that DBT-informed PH programs are effective in reducing clinical symptoms; however, less is known about IOP programs as well as step-down care models. The present study utilized clinically relevant outcome indices and included a heterogeneous clinical sample. Specifically, the present study assessed pre-post data to examine changes in symptoms of depression, anxiety, hopelessness, and overall degree of suffering from intake to discharge in DBT-informed PH and IOP programs as well as a step-down condition (PH to IOP). Participants included 205 adults (ages M = 35.28, SD = 12.49). The sample was predominantly female (N = 139, 67.8%) and Caucasian (N = 181, 88.3%). The sample was divided into three distinct groups: PH program patients, PH to IOP program step-down patients, and IOP patients. Findings indicated significant symptom reduction from intake to discharge for all three conditions. There were no significant differences in mean change scores in symptom reduction between the three groups. Severity of depression symptoms at intake predicted program placement. However, type of program did not predict significant changes in symptoms from intake to discharge. This DBT-informed PH and IOP program was successful at reducing various psychiatric symptoms in the sample. Clinicians might consider the advantages of placing patients with higher symptoms of depression into PH programs with the intention of transitioning to step-down care through IOP programs that utilize DBT.

Download Full-text

From the hospital to the clinic: The impact of mindfulness on symptom reduction in a DBT partial hospital program

Journal of Clinical Psychology ◽

10.1002/jclp.22774 ◽

2019 ◽

Vol 75 (7) ◽

pp. 1169-1178 ◽

Cited By ~ 2

Author(s):

Kirk D. Mochrie ◽

John Lothes ◽

Emalee J. W. Quickel ◽

Jane John ◽

Carlie Carter

Keyword(s):

Symptom Reduction ◽

Partial Hospital ◽

Partial Hospital Program ◽

The Impact

Download Full-text

Measuring Changes in Symptoms Relevant to Borderline Personality Disorder Following Short-Term Treatment across Partial Hospital and Intensive Outpatient Levels of Care

Journal of Psychiatric Practice ◽

10.1097/00131746-200605000-00004 ◽

2006 ◽

Vol 12 (3) ◽

pp. 153-159 ◽

Cited By ~ 30

Author(s):

KIM L. GRATZ ◽

DONNA M. LACROCE ◽

JOHN G. GUNDERSON

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Term Treatment ◽

Borderline Personality ◽

Short Term ◽

Short Term Treatment ◽

Levels Of Care ◽

Partial Hospital ◽

Intensive Outpatient

Download Full-text

Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2016.219 ◽

2016 ◽

Vol 19 (2) ◽

Cited By ~ 2

Author(s):

John E. Lothes II ◽

Kirk D. Mochrie ◽

Emalee J.W. Quickel ◽

Jane St. John

Keyword(s):

Dialectical Behavior Therapy ◽

Behavioral Therapy ◽

Cost Effective ◽

Outcome Data ◽

Symptom Reduction ◽

Post Discharge ◽

Significant Interaction Effect ◽

Discharge Data ◽

Partial Hospital ◽

Lengths Of Stay

The use of dialectical behavioral therapy (DBT) among a variety of programs and patients has recently exploded. Of particular interest is the use of DBT in partial hospital (PH) programs due to the high number of severely ill and suicidal patients who participate in these programs. Recently, Lothes, Mochrie and St. John (2014) examined data from a local DBT-informed PH program and found significant reductions in depression, anxiety, hopelessness, and degree of suffering from intake to discharge. The present study examined these same four symptom constructs by assessing intake and discharge data for additional individuals enrolled in this DBT-informed PH program. In addition, lengths of stay and acuity ratings were analyzed to explore the relationship between these variables and symptom constructs. Significant symptom reduction in depression, anxiety, hopelessness, and degree of suffering from intake to discharge was found among high and medium acuity patients, replicating the results of Lothes et al. (2014). Further, individuals with the highest acuity saw the largest reduction in hopelessness symptoms the longer they participated in the program (i.e., a significant interaction effect between acuity and length of stay). This is meaningful given the connection between hopelessness and suicidal ideation/action, which is of particular concern for those charged with treating clinical populations. DBT-informed PH programs may be a cost-effective and useful way to treat high-risk patients who come from inpatient facilities. Future studies may wish to create follow-up periods (i.e., 3 months, 6 months) post-discharge to assess if symptom reduction remains.

Download Full-text

Rem Study of Current Effect on the Structure of Clean Si(111) Surface

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100180288 ◽

1990 ◽

Vol 48 (1) ◽

pp. 306-307

Author(s):

A. Yamanaka ◽

H. Ohse ◽

K. Yagi

Keyword(s):

The Other ◽

Current Direction ◽

Clean Surface ◽

Current Effect ◽

Atomic Steps ◽

Step Bunching ◽

Terrace Width ◽

Step Down ◽

A Current

Recently current effects on clean and metal adsorbate surfaces have attracted much attention not only because of interesting phenomena but also because of practically importance in treatingclean and metal adsorbate surfaces [1-6]. In the former case, metals deposited migrate on the deposit depending on the current direction and a patch of the deposit expands on the clean surface [1]. The migration is closely related to the adsorbate structures and substrate structures including their anisotropy [2,7]. In the latter case, configurations of surface atomic steps depends on the current direction. In the case of Si(001) surface equally spaced array of monatom high steps along the [110] direction produces the 2x1 and 1x2 terraces. However, a relative terrace width of the two domain depends on the current direction; a step-up current widen terraces on which dimers are parallel to the current, while a step-down current widen the other terraces [3]. On (111) surface, a step-down current produces step bunching at temperatures between 1250-1350°C, while a step-up current produces step bunching at temperatures between 1050-1250°C [5].In the present paper, our REM observations on a current induced step bunching, started independently, are described.Our results are summarized as follows.(1) Above around 1000°C a step-up current induces step bunching. The phenomenon reverses around 1200 C; a step-down current induces step bunching. The observations agree with the previous reports [5].

Download Full-text