Treatment Effects Following Residential Dialectical Behavior Therapy for Adolescents with Borderline Personality Disorder
| Autor: | Lyndsey Moran, Randy P. Auerbach, Cynthia Kaplan, Jeremy G. Stewart, Blaise Aguirre, Gillian Galen, Naomi Tarlow |
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| Rok vydání: | 2018 |
| Předmět: |
Child abuse
050103 clinical psychology business.industry medicine.medical_treatment 05 social sciences Moderation medicine.disease Article Dialectical behavior therapy 030227 psychiatry Arousal 03 medical and health sciences Psychiatry and Mental health Distress 0302 clinical medicine mental disorders Pediatrics Perinatology and Child Health medicine Anxiety 0501 psychology and cognitive sciences medicine.symptom business Borderline personality disorder Depression (differential diagnoses) Clinical psychology |
| Zdroj: | Evidence-Based Practice in Child and Adolescent Mental Health. 3:117-128 |
| ISSN: | 2379-4933 2379-4925 |
| Popis: | Dialectical behavior therapy (DBT) is an empirically supported treatment for borderline personality disorder (BPD) in adults, however fewer studies have examined outcomes in adolescents. This study tested the effectiveness of an intensive 1-month, residential DBT treatment for adolescent girls meeting criteria for BPD. Additionally, given well-established associations between BPD symptoms and childhood abuse, the impact of abuse on treatment outcomes was assessed. Participants were female youth (n = 53) aged 13–20 years (M = 17.00, SD = 1.89) completing a 1-month residential DBT program. At pre-treatment, participants were administered a diagnostic interview and self-report measures assessing BPD, depression, and anxiety symptom severity. Following one month of treatment, participants were re-administered the self-report instruments. Results showed significant pre- to post-treatment reductions in both BPD and depression symptom severity with large effects. However, there was no significant change in general anxious distress or anxious arousal over time. The experience of childhood abuse (sexual, physical, or both) was tested as moderator of treatment effectiveness. Although experiencing multiple types of abuse was related to symptom severity, abuse did not moderate the effects of treatment. Collectively, results indicate that a 1-month residential DBT treatment with adolescents may result in reductions in BPD and depression severity but is less effective for anxiety. Moreover, while youth reporting abuse benefitted from treatment, they were less likely to achieve a clinically significant reduction in symptoms. |
| Databáze: | OpenAIRE |
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