How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group.

IF 4 2区 医学 Q1 PSYCHIATRY
Yoel Everett, Olivia A Frigoletto, Jacqueline R O'Brien, Amy L Byrd, Stephanie D Stepp, Maureen Zalewski
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引用次数: 0

Abstract

Background: Dialectical Behavior Therapy's (DBT) well established effectiveness in reducing emotion dysregulation, and the growing recognition that parental emotion regulation is critical to effective parenting has led to increasing interest in the applicability of DBT skills to parenting. Efforts to integrate DBT and parenting interventions would benefit from an empirical examination of which DBT skills are most useful to parents with emotion dysregulation.

Methods: This study used clinician-rated observational coding of skill use examples that were provided by mothers with severe emotion dysregulation (n = 16) who participated in a standard 48-week DBT Skills Training (DBT-ST) program in the context of a larger randomized controlled trial (NCT03060902). Mothers described their use of DBT skills during the homework review portion of DBT-ST sessions and video-recordings were then examined and coded to identify which DBT skills mothers most frequently described using in parenting situations (vs. non-parenting situations) and which skills were used to either increase positive parenting behaviors or to decrease negative parenting behaviors.

Results: A total of 220 skill use examples were coded and approximately one-quarter described skill use in parenting situations. Mindfulness, Distress Tolerance, and Emotion Regulation skills were the most frequently described skills used in parenting situations, while Interpersonal Effectiveness skills were rarely coded. Mindfulness and Emotion Regulation skills were most often coded when mothers' parenting goal was to increase positive parenting, while Distress Tolerance skills were most often coded when mothers' parenting goal was to decrease negative parenting behaviors.

Conclusions: Results provide an empirical basis which clinicians and treatment developers can use when selecting DBT skills to apply towards parenting challenges.

有严重情绪失调的母亲如何在育儿环境中使用DBT技能:DBT技能训练组中技能使用的观察编码。
背景:辩证行为疗法(DBT)在减少情绪失调方面已经建立了良好的效果,并且越来越多的人认识到父母情绪调节对有效育儿至关重要,这导致了对DBT技能在育儿中的适用性的兴趣日益增加。对哪些DBT技能对情绪失调的父母最有用进行实证检验,将DBT与育儿干预相结合的努力将会受益。方法:本研究采用临床评价的观察性技能使用示例编码,这些示例由参加标准的48周DBT技能培训(DBT- st)项目的严重情绪失调母亲(n = 16)提供,该项目在一个更大的随机对照试验(NCT03060902)的背景下进行。母亲在DBT- st课程的家庭作业复习部分描述了她们使用DBT技能的情况,然后对录像进行了检查和编码,以确定母亲在养育子女的情况下(与非养育子女的情况相比)最常使用哪些DBT技能,以及哪些技能用于增加积极的养育行为或减少消极的养育行为。结果:总共有220个技能使用示例被编码,大约四分之一描述了在育儿情况下的技能使用。正念、痛苦容忍和情绪调节技能是在养育子女的情况下最常被描述的技能,而人际关系效率技能则很少被编码。当母亲的育儿目标是增加积极的育儿行为时,正念和情绪调节技能最常被编码,而当母亲的育儿目标是减少消极的育儿行为时,痛苦容忍技能最常被编码。结论:研究结果为临床医生和治疗开发人员在选择DBT技能以应对育儿挑战时提供了经验基础。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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