Mechanisms of change in treatments for transdiagnostic emotion dysregulation: The roles of skills use, perceived control and mindfulness.

Autor: Wyatt KP; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, USA.; Arise Psychological Wellness and Consulting, PLLC, Carrboro, North Carolina, USA., Eberle JW; Department of Psychology, University of Virginia, Charlottesville, Virginia, USA., Ruork AK; Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, New Jersey, USA., Neacsiu AD; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, USA.; Department of Family Medicine and Community Health, Duke University, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: Clinical psychology & psychotherapy [Clin Psychol Psychother] 2023 Nov-Dec; Vol. 30 (6), pp. 1380-1392. Date of Electronic Publication: 2023 Jul 05.
DOI: 10.1002/cpp.2879
Abstrakt: Emotion dysregulation (ED) is a key target for change among empirically supported treatments for emotional disorders, including dialectical behaviour therapy skills training (DBT-ST), yet how treatments improve ED is poorly understood. Using data from a randomised trial of DBT-ST versus supportive group therapy for transdiagnostic ED, we tested whether three mechanistic variables-behavioural skills use, mindfulness, and perceived control-explain variability in ED within people over time. We additionally explored the mediating roles of these variables between conditions. Adults with transdiagnostic ED (N = 44) participated in weekly groups for 4 months, with assessments at pre-, mid- and post-treatment and at 2-month follow-up. As hypothesised, multilevel models disaggregating within- and between-person effects indicated that skills use, mindfulness, and perceived control each had significant total and unique within-person associations with ED at concurrent time points, net the effect of time. Unexpectedly, these within-person relations were not significant for mechanistic variables predicting ED 2 months later. Further, unique between-person variability in skills use, mindfulness, and perceived control did not significantly mediate the relationship between condition and ED improvements. The present study is an important step in clarifying ED mechanisms of change, both within and between persons.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje