Feasibility of dialectical behavior therapy skills training as an outpatient program in treating alcohol use disorder: The role of difficulties with emotion regulation and experiential avoidance

2019 ◽  
Vol 28 (2) ◽  
pp. 103-115 ◽  
Author(s):  
Marco Cavicchioli ◽  
Mariagrazia Movalli ◽  
Pietro Ramella ◽  
Giulia Vassena ◽  
Francesca Prudenziati ◽  
...  
Author(s):  
María V. Navarro-Haro ◽  
Nuria Pérez-Hernández ◽  
Susana Serrat ◽  
Miquel Gasol-Colomina

 Abstract: Effectivity and acceptability of dialectical behavioral therapy skills training for family members of people with borderline personality disorder. Social and family environment is fundamental in the development and maintenance of Borderline Personality Disorder (BPD). Despite family members of people with BPD have more risk of suffering from psychological problems, there are not empirically-supported interventions for this population. Dialectical Behavior Therapy (DBT) has been adapted for families of people with BPD with encouraging results. The main goal of this study was to evaluate the effectiveness and acceptability of a 25-session intervention based on DBT in a sample of 7 family members of people with BPD and in a Spanish context. Pre-post treatment changes in the variables: emotional burden, depression, anxiety, difficulties in emotion regulation, and mindfulness skills, were measured. Preliminary results showed significant improvements in anxiety, emotion regulation and mindfulness and good implementation of the intervention. This study may benefit the implementation of family interventions for family members of people with BPD.Resumen: El ambiente social y familiar es fundamental en el desarrollo y mantenimiento del Trastorno Límite de la Personalidad (TLP). A pesar de que los familiares de personas con TLP tienen más riesgo de padecer problemas psicológicos, no existen intervenciones empíricamente validadas para esta población. La Terapia Dialéctica Comportamental (Dialectical Behavior Therapy, DBT) se ha adaptado para familiares de personas con TLP con resultados alentadores. El objetivo principal del estudio fue evaluar la efectividad y la aceptabilidad de una intervención de 25 sesiones basada en DBT en una muestra de 7 familiares de personas con TLP y en un contexto español. Se midieron los cambios pre-post tratamiento en las variables agotamiento emocional, depresión, ansiedad, desregulación emocional y atención plena. Los resultados mostraron mejoras significativas en ansiedad, regulación emocional y atención plena y una buena aceptación de la intervención. Este estudio podría favorecer la implantación de intervenciones para familiares de personas con TLP. 


2018 ◽  
Vol 8 (3) ◽  
pp. 22
Author(s):  
Katembu Stephen ◽  
Okunya Luke Odiemo

Alcohol is a widely used and abused substance globally. Deficits in cognitive reappraisal ability are assumed to mark the onset, maintenance, and relapse to alcohol use disorder. Alcohol may therefore be a means to escape from and self-medicate painful inner emotional states. The purpose of this study was to explore the relationship between and alcohol use disorder and cognitive reappraisal among youth seeking help in rehabilitation centers in Kiambu county. To establish any such relationships, this study utilised the Emotion Regulation Questionnaire (ERQ), and the Alcohol Use Disorder Identification Test (AUDIT). Data was collected from 33 (23Males/10Females) youths between 15-35 years seeking help in three rehabilitation centers for alcohol abuse. These youths were compared to a similar group of 33 (20 Females/13Males) youths who had never used alcohol, or any other substance of abuse, and 12 (8 Females/4 Males) others who had stayed alcohol free for at least three years after rehabilitation or quitting alcohol. Correlation research design was found appropriate for this study. A Pearson’s correlation coefficient indicated a negative and significant correlation between AUD and reappraisal, showing that inability to utilise reappraisal is related to AUD. Integrating adaptive emotion regulation skills training, and especially the use of cognitive reappraisal in healthcare and rehabilitation settings, it seems, may lead to higher success rates in rehabilitation. 


Author(s):  
Noha F. M. Fnoon ◽  
Mai A. Eissa ◽  
Ehab E. Ramadan ◽  
Hossam E. El-Sawy ◽  
Ahmed M. A. Abd El-Karim

Background: Researchers have proved the role of dialectical behavior therapy (DBT) in improving emotion regulation skills in patients with borderline personality disorder (BPD). Further researches for its effect in different cultures was needed. The current study aimed to examine the effectiveness of DBT relative to treatment as usual “TAU” in improving emotional regulation in BPD patients of the delta region of Egypt. Subjects and Methods: We conducted a prospective, comparative, non-randomized study. Eligible patients were assigned at their convenience or according to the immediate availability of treatment slots to a comprehensive DBT program integrating DBT skills into skills training schedule or treatment as usual (TAU). Patients were assessed at baseline, and follow up assessment at 4, 8, 12, and 16 months was done using the Arabic version of, Difficulties in Emotion Regulation Scale (DERS), Results: DBT patients showed better and lower scores of emotion regulation and distress tolerance scales in comparison to TAU. Overall, these positive outcomes were maintained in follow-up for four months post-treatment year. Conclusions: We provide the superior efficacy of DBT in improving emotion regulation in delta region's patients with BPD in comparison to TAU.


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