Dialectical behaviour therapy skills training for individuals with substance use disorder: A systematic review

Context: Emotion regulation deficits are increasingly recognized as an underlying mechanism of many disorders. Dialectical behaviour therapy (DBT) holds potential as a transdiagnostic treatment for disorders with underlying emotion regulation deficits.Objective: Systematically review the evidence for DBT skills training groups as a transdiagnostic treatment for common mental health disorders via meta-analysis. Study Selection: Randomized control trials (RCTs) of DBT skills training groups for adults with common mental health disorders, and no comorbid personality disorder, were included. Data Synthesis: Twelve RCTs met inclusion criteria (N = 425 participants). DBT had a moderate-to-large effect on symptom reduction (g = 0.79, 95% CI [0.52, 1.06], p < .0001). Improvements in emotion regulation yielded a small-to-moderate effect (g = 0.48, 95% CI [0.22, 0.74], p < .01). Results showed significant effects of DBT on depression (g = 0.50, 95% CI [0.25, 0.75], p = .002), eating disorders (g = 0.83, 95% CI [0.49, 1.17], p = .001) and anxiety (g = 0.45, 95% CI [0.08, 0.83], p = .03).Conclusions: Findings suggest DBT is an effective treatment for common mental health disorders and may be considered as a promising transdiagnostic therapy.

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Adapted dialectical behaviour therapy skills group service evaluation

Advances in Mental Health and Intellectual Disabilities ◽

10.1108/amhid-06-2020-0015 ◽

2021 ◽

Vol 15 (1) ◽

pp. 1-7

Author(s):

Robert John Searle ◽

Ianiv Borseti

Keyword(s):

Intellectual Disability ◽

Psychological Intervention ◽

Training Group ◽

Skills Training ◽

Well Being ◽

Service Evaluation ◽

Behaviour Therapy ◽

Dialectical Behaviour Therapy ◽

Content Type ◽

Friedman Analysis

Purpose The purpose of this paper is to determine the effectiveness of an adapted dialectical behaviour therapy (DBT) treatment programme for individuals with an intellectual disability, via completion of a service evaluation. Design/methodology/approach Outcome measurements were competed at pre-, post- and 12 months follow-up, and the effectiveness of the intervention was assessed using a Friedman analysis. Findings Findings demonstrated that the treatment group showed significant differences in their “psychological distress” scores, but no significant differences were found in their “psychological well-being”, “anxiety” or “quality of life” (WHO-QOL) scores over time. Originality/value Overall, the current study adds to the small but growing literature that supports using the skills training group part of DBT as a stand-alone psychological intervention when working with people with an intellectual disability.

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Innovations in Practice: Dialectical behaviour therapy - skills training for emotional problem solving for adolescents (DBT STEPS-A): evaluation of a pilot implementation in Irish post-primary schools

Child and Adolescent Mental Health ◽

10.1111/camh.12284 ◽

2018 ◽

Vol 23 (4) ◽

pp. 376-380 ◽

Cited By ~ 11

Author(s):

Daniel Flynn ◽

Mary Joyce ◽

Mareike Weihrauch ◽

Paul Corcoran

Keyword(s):

Problem Solving ◽

Primary Schools ◽

Emotional Problem ◽

Skills Training ◽

Behaviour Therapy ◽

Dialectical Behaviour Therapy ◽

Pilot Implementation

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Psychological treatments for concurrent posttraumatic stress disorder and substance use disorder: A systematic review

Clinical Psychology Review ◽

10.1016/j.cpr.2012.01.004 ◽

2012 ◽

Vol 32 (3) ◽

pp. 202-214 ◽

Cited By ~ 89

Author(s):

Debora van Dam ◽

Ellen Vedel ◽

Thomas Ehring ◽

Paul M.G. Emmelkamp

Keyword(s):

Systematic Review ◽

Posttraumatic Stress Disorder ◽

Substance Use ◽

Posttraumatic Stress ◽

Substance Use Disorder ◽

Stress Disorder ◽

Psychological Treatments

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A systematic review of community-based interventions to improve oral chronic disease medication regimen adherence among individuals with substance use disorder

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2018.03.039 ◽

2018 ◽

Vol 188 ◽

pp. 141-152 ◽

Cited By ~ 4

Author(s):

Karen M. Clements ◽

Tasmina Hydery ◽

Mark A. Tesell ◽

Bonnie C. Greenwood ◽

Michael C. Angelini

Keyword(s):

Systematic Review ◽

Substance Use ◽

Chronic Disease ◽

Substance Use Disorder ◽

Medication Regimen ◽

Community Based Interventions ◽

Community Based ◽

Regimen Adherence

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The Effectiveness of Interventions Intended to Improve Employment Outcomes for Persons with Substance Use Disorder: An Updated Systematic Review

Substance Use & Misuse ◽

10.1080/10826084.2020.1797810 ◽

2020 ◽

Vol 55 (13) ◽

pp. 2230-2236

Author(s):

Stephen Magura ◽

Tina Marshall

Keyword(s):

Systematic Review ◽

Substance Use ◽

Substance Use Disorder ◽

Employment Outcomes

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A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service

Australian & New Zealand Journal of Psychiatry ◽

10.1177/0004867420931164 ◽

2020 ◽

Vol 54 (10) ◽

pp. 1020-1034

Author(s):

Carla J Walton ◽

Nick Bendit ◽

Amanda L Baker ◽

Gregory L Carter ◽

Terry J Lewin

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Randomised Trial ◽

Skills Training ◽

Borderline Personality ◽

Individual Therapy ◽

Behaviour Therapy ◽

Psychotherapeutic Treatment ◽

Dialectical Behaviour Therapy ◽

Self Injury

Objectives: Borderline personality disorder is a complex mental disorder that is associated with a high degree of suffering for the individual. Dialectical behaviour therapy has been studied in the largest number of controlled trials for treatment of individuals with borderline personality disorder. The conversational model is a psychodynamic treatment also developed specifically for treatment of borderline personality disorder. We report on the outcomes of a randomised trial comparing dialectical behaviour therapy and conversational model for treatment of borderline personality disorder in a routine clinical setting. Method: Participants had a diagnosis of borderline personality disorder and a minimum of three suicidal and/or non-suicidal self-injurious episodes in the previous 12 months. Consenting individuals were randomised to either dialectical behaviour therapy or conversational model and contracted for 14 months of treatment ( n = 162 commenced therapy). Dialectical behaviour therapy involved participants attending weekly individual therapy, weekly group skills training and having access to after-hours phone coaching. Conversational model involved twice weekly individual therapy. Assessments occurred at baseline, mid-treatment (7 months) and post-treatment (14 months). Assessments were conducted by a research assistant blind to treatment condition. Primary outcomes were change in suicidal and non-suicidal self-injurious episodes and severity of depression. We hypothesised that dialectical behaviour therapy would be more effective in reducing suicidal and non-suicidal self-injurious behaviour and that conversational model would be more effective in reducing depression. Results: Both treatments showed significant improvement over time across the 14 months duration of therapy in suicidal and non-suicidal self-injury and depression scores. There were no significant differences between treatment models in reduction of suicidal and non-suicidal self-injury. However, dialectical behaviour therapy was associated with significantly greater reductions in depression scores compared to conversational model. Conclusion: This research adds to the accumulating body of knowledge of psychotherapeutic treatment of borderline personality disorder and supports the use of both dialectical behaviour therapy and conversational model as effective treatments in routine clinical settings, with some additional benefits for dialectical behaviour therapy for persons with co-morbid depression.

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