The Effectiveness of Dialectical Behavior Therapy With Adolescents in a Psychiatric Residential Treatment Center.

IF 1.7 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-06-01 Epub Date: 2026-02-23 DOI:10.1176/appi.psychotherapy.20250014

Nicholas Williams, Maya L Hubbard, Edmund Fanslau, Xinxin Wu, Justin Romano, Geoffrey Allison, Lark Reasoner, Allie Burt, Michelle E Roley-Roberts

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引用次数: 0

Abstract

Objective: This study focused on the implementation of dialectical behavior therapy (DBT), an evidence-based treatment for youths with nonsuicidal self-injury and suicidal ideation, in a psychiatric residential treatment center (RTC) for children and adolescents who have complex psychological, psychiatric, substance use, and developmental disorders.

Methods: In a pilot hybrid effectiveness-implementation trial, the authors compared functioning scores of adolescent patients who received DBT (N=113) with the scores of those who received treatment as usual (N=114) in an RTC. Data were collected from 227 adolescents admitted to the RTC over a 2-year period (July 2018-June 2020). Chi-square and t-test analyses were used to explore demographic differences and differences in functioning between the two groups.

Results: Adolescents in the DBT group demonstrated improved overall functioning between admission and discharge, but analyses indicated a nonsignificant difference between adolescents who received DBT and those who received treatment as usual.

Conclusions: This nonrandomized study suggests that DBT may be a useful psychotherapeutic treatment for adolescents, although findings are preliminary.

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精神科住院治疗中心青少年辩证行为治疗的效果。

目的：探讨辩证行为疗法（DBT）在精神科住院治疗中心（RTC）对具有复杂心理、精神、物质使用和发育障碍的儿童和青少年非自杀自残和自杀意念的循证治疗方法的实施情况。方法：在一项混合有效性-实施试验中，作者比较了在RTC中接受DBT治疗的青少年患者（N=113）和接受常规治疗的青少年患者（N=114）的功能评分。数据收集自2年期间（2018年7月至2020年6月）入院的227名青少年。使用卡方检验和t检验分析来探讨两组之间的人口统计学差异和功能差异。结果：DBT组的青少年在入院和出院期间表现出整体功能的改善，但分析表明，接受DBT的青少年与接受常规治疗的青少年之间没有显著差异。结论：这项非随机研究表明，DBT可能是一种有用的青少年心理治疗方法，尽管研究结果是初步的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

期刊介绍： Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.