scholarly journals Wellness and resilience for college and beyond: protocol for a quasi-experimental pilot study investigating a dialectical behaviour therapy skill-infused college course

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036833
Author(s):  
Carla D. Chugani ◽  
Barbara Fuhrman ◽  
Kaleab Z. Abebe ◽  
Janine Talis ◽  
Elizabeth Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Undergraduate Students ◽  
Emotion Dysregulation ◽  
Mental Health Problems ◽  
Behaviour Therapy ◽  
Learning Collaborative ◽  
Dialectical Behaviour Therapy ◽  
University Of Pittsburgh ◽  
College Course ◽  
The University

IntroductionCollege students’ mental health problems and suicidal behaviour are serious, persistent and prevalent public health issues. With the need for mental health support greatly exceeding the availability of on-campus treatment, a recent trend on college campuses is to offer courses designed to teach students strategies for developing mental health or resilience. While these courses are exceptionally popular among students, a paucity of research investigates the health outcomes associated with participation. The purpose of this study is to investigate the acceptability, appropriateness, feasibility and preliminary effectiveness of a college course grounded in skills from dialectical behaviour therapy (DBT) titled, ‘Wellness and Resilience for College and Beyond’.Methods and analysisDuring the spring and fall 2020 semesters, the course will be offered on five campuses in Southwestern Pennsylvania and West Virginia. The course consists of 15 weekly 2.5-hour lessons, weekly homework assignments and a final examination with content drawn from DBT, acceptance and commitment therapy and positive psychology. Undergraduate students aged 18–24 will self-select into the course and control subjects receiving ‘university as usual’ will be recruited to serve as a comparison group. Students who receive the course will complete measures of course acceptability, appropriateness and feasibility. All study participants will complete measures of adaptive coping skills use, emotion dysregulation and suicidality.Ethics and disseminationAll of the study procedures were approved as an exempt protocol for evaluation of educational curricula by the University of Pittsburgh Human Research Protections Office (HRPO); the study was approved as a research study by the institutional review board (IRB) of the fifth study site. The University of Pittsburgh HRPO served as the IRB of record for all except one study site, which required standard IRB review. Data from this study will be disseminated via conference presentations, peer-reviewed publications and via our online stakeholder learning collaborative.Trial registration numberNCT04338256.

scholarly journals Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot

2019 ◽  
Vol 47 (5) ◽  
pp. 616-621 ◽  
Author(s):  
Suzanne E. Decker ◽  
Lynette Adams ◽  
Laura E. Watkins ◽  
Lauren M. Sippel ◽  
Jennifer Presnall-Shvorin ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Pilot Study ◽  
Suicidal Ideation ◽  
Emotion Dysregulation ◽  
Coping Skills ◽  
Post Treatment ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy

AbstractBackground:Veterans are at high risk for suicide; emotion dysregulation may confer additional risk. Dialectical behaviour therapy (DBT) is a well-supported intervention for suicide attempt reduction in individuals with emotion dysregulation, but is complex and multi-component. The skills group component of DBT (DBT-SG) has been associated with reduced suicidal ideation and emotion dysregulation. DBT-SG for Veterans at risk for suicide has not been studied.Aims:This study sought to evaluate the feasibility and acceptability of DBT-SG in Veterans and to gather preliminary evidence for its efficacy in reducing suicidal ideation and emotion dysregulation and increasing coping skills.Method:Veterans with suicidal ideation and emotion dysregulation (N = 17) enrolled in an uncontrolled pilot study of a 26-week DBT-SG as an adjunct to mental health care-as-usual.Results:Veterans attended an average 66% of DBT-SG sessions. Both Veterans and their primary mental health providers believed DBT-SG promoted Veterans’ use of coping skills to reduce suicide risk, and they were satisfied with the treatment. Paired sample t-tests comparing baseline scores with later scores indicated suicidal ideation and emotion dysregulation decreased at post-treatment (d = 1.88, 2.75, respectively) and stayed reduced at 3-month follow-up (d = 2.08, 2.59, respectively). Likewise, skillful coping increased at post-treatment (d = 0.85) and was maintained at follow-up (d = 0.91).Conclusions:An uncontrolled pilot study indicated DBT-SG was feasible, acceptable, and demonstrated potential efficacy in reducing suicidal ideation and emotion dysregulation among Veterans. A randomized controlled study of DBT-SG with Veterans at risk for suicide is warranted.

Dialectical Behaviour Therapy Skills Training Groups for Common Mental Health Disorders: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Chantal P Delaquis ◽  
Kayla M. Joyce ◽  
Maureen Zalewski ◽  
Laurence Katz ◽  
Julia Sulymka ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Meta Analysis ◽  
Skills Training ◽  
Mental Health Disorders ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Transdiagnostic Treatment ◽  
Training Groups ◽  
Health Disorders

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.

scholarly journals Understanding Black and Minority Ethnic service user's experience of racism as part of the assessment, formulation and treatment of mental health problems in cognitive behaviour therapy

2019 ◽  
Vol 12 ◽  
Author(s):  
Andrew Beck
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Cumulative Risk ◽  
Health Problems ◽  
Service Users ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Engagement Process ◽  
Minority Ethnic

AbstractExperiences of racism can be a cumulative risk factor for developing mental health problems. Cognitive Behaviour Therapists working with Black and Minority Ethnic (BME) service users should be confident in their ability to establish the necessary rapport to ask about these experiences and be able to incorporate this information into longitudinal formulations and as part of maintenance cycles. This paper sets out guidelines as to how to do this as part of a wider engagement process.

Student mental health and the general practitioner

1975 ◽  
Vol 13 (25) ◽  
pp. 99-100
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
General Practitioner ◽  
Health Service ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Student Health ◽  
Student Health Services ◽  
The University

Although most universities run a health service, students with important mental health problems are often seen by their general practitioner. There are a number of reasons for this; first, health services in the colleges of higher education outside universities are still patchy and incomplete. Second, students are on vacation for up to 24 weeks a year. Third, a student may choose to consult anyone, and may prefer someone unconnected with the university. Last, many students live at home and continue to see their general practitioner. This underlines the need for close liason between the general practitioner and student health services.

Modifying CBT to Meet the Challenge of Treating Emotion Dysregulation

2018 ◽  
pp. 106-118
Author(s):  
Jennifer H. R. Sayrs ◽  
Marsha M. Linehan
Keyword(s):  
Emotion Dysregulation ◽  
World View ◽  
Therapy Session ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Essential Component ◽  
Solution Generation ◽  
Flexible Thinking

Dialectics are a cornerstone of dialectical behaviour therapy (DBT; Linehan, 1993), and are considered an essential component of treating emotion dysregulation. Incorporating dialectics may enhance therapeutic collaboration, increase flexible thinking, and maximize solution generation. This chapter briefly describes a dialectical world view, then lays out steps for incorporating dialectics into a therapy session, including adopting a dialectical world view, maintaining balance in treatment, working toward synthesis whenever polarization occurs, and utilizing dialectical strategies. Dialectical strategies are any strategies that involve looking for what is left out, synthesizing two poles, and allowing the synthesis to move the interaction forward to a new position. These strategies include magnifying the tension between opposites (such as devil’s advocate and extending strategies), entering the paradox (such as ‘and versus but’ and ‘making lemonade out of lemons’ strategies), and the use of metaphors. While these strategies were developed within DBT, other treatments utilize dialectical approaches, as well.

scholarly journals @Home eTherapy Service for People with Common Mental Health Problems: an Evaluation

2017 ◽  
Vol 46 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Judith Gellatly ◽  
Leanne Chisnall ◽  
Nic Seccombe ◽  
Kathryn Ragan ◽  
Nicola Lidbetter ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Third Sector ◽  
Health Problems ◽  
Initial Assessment ◽  
Successful Implementation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Common Mental Health Problems

Background: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. Aims: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. Method: Supported CCBT packages with telephone support were delivered over a 30-month period. Self-complete measures identifying levels of depression, anxiety and functioning were administered at each treatment appointment. Results: Over 2000 people were referred to the @Home eTherapy service; two-thirds attended an initial assessment and 53.4% of referrals assigned to CCBT completed treatment. Statistically significant improvements in anxiety, depression and functioning were found, with 61.6% of treated clients meeting recovery criteria. Conclusions: The service meets Improving Access to Psychological Therapies (IAPT) key performance targets, and is comparable to other IAPT services using CCBT. Evidence for the successful implementation of such a service by a third sector organization is provided.

scholarly journals University Managed Minds: The Colonial Reproduction of Students as Mental Health Problems

2020 ◽  
pp. 1-29
Author(s):  
Tanya Titchkosky ◽  
Madeleine De Welles
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Ways Of Knowing ◽  
Student Body ◽  
Student Difficulties ◽  
University Of Toronto ◽  
Colonial Theory ◽  
Mental Health Programs ◽  
Administrative Task ◽  
The University

This paper, informed by disability studies and de-colonial theory, examines the appearance of the counselling paradigm in the University of Toronto administrative archive. We begin from the assumption that an administrative treatment of the general student body as potentially disordered is a disabling orientation which makes student difficulties into individual problems to be managed through a mental health orientation. We show how this form of human resource management through the mental health regime is essentially tied to the “coloniality of power” as theorized by Mignolo. Such an analysis allows us to uncover the colonial machine from which the Modern University sprung as it remains hidden in place. We theorize how these mental health programs developed through the coloniality of our past are very much part of our present making the student body always potentially disabled and thus an administrative task to be governed while perpetuating Eurocentric ways of knowing, governing, and being.

Is there a relationship between cannabis use problems, emotion dysregulation, and mental health problems among adults with chronic pain?

2019 ◽  
Vol 25 (6) ◽  
pp. 742-755 ◽  
Author(s):  
Michael F. Orr ◽  
Andrew H. Rogers ◽  
Justin M. Shepherd ◽  
Julia D. Buckner ◽  
Joseph W. Ditre ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Emotion Dysregulation ◽  
Mental Health Problems ◽  
Health Problems ◽  
Cannabis Use
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