Dialectical behaviour therapy-informed skills training for deliberate self-harm: a controlled trial with 3-month follow-up data.

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Authors

Gibson, Jennifer
Booth, Richard
Davenport, John
Keogh, Karen
Owens, Tara

Issue Date

2014-07-02

Type

Controlled Clinical Trial
Journal Article

Language

en

Keywords

Deliberate self-harm , Dialectical behaviour therapy , Emotional regulation

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Abstract

Dialectical Behaviour Therapy (DBT) has been shown to be an effective treatment for deliberate self-harm (DSH) and emerging evidence suggests DBT skills training alone may be a useful adaptation of the treatment. DBT skills are presumed to reduce maladaptive efforts to regulate emotional distress, such as DSH, by teaching adaptive methods of emotion regulation. However, the impact of DBT skills training on DSH and emotion regulation remains unclear. This study examined the Living Through Distress (LTD) programme, a DBT-informed skills group provided in an inpatient setting. Eighty-two adults presenting with DSH or Borderline Personality Disorder (BPD) were offered places in LTD, in addition to their usual care. A further 21 clients on the waiting list for LTD were recruited as a treatment-as-usual (TAU) group. DSH, anxiety, depression, and emotion regulation were assessed at baseline and either post-intervention or 6 week follow-up. Greater reductions in the frequency of DSH and improvements in some aspects of emotion regulation were associated with completion of LTD, as compared with TAU. Improvements in DSH were maintained at 3 month follow-up. This suggests providing a brief intensive DBT-informed skills group may be a useful intervention for DSH.

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Citation

Gibson, J., Booth, R., Davenport, J., Keogh, K., & Owens, T. (2014). Dialectical behaviour therapy-informed skills training for deliberate self-harm: a controlled trial with 3-month follow-up data. Behaviour research and therapy, 60, 8–14. https://doi.org/10.1016/j.brat.2014.06.007

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Copyright © 2014 Elsevier Ltd. All rights reserved.

Journal

Behaviour research and therapy

Volume

60

Issue

PubMed ID

ISSN

1873-622X

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