Dialectical Behavioral Skills Group Therapy for Parents of Adolescents With Borderline Personality Disorder: A Pilot Study.

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2024-07-01 Epub Date: 2023-06-02 DOI:10.1177/13591045231177329

Sara Marco, María Mayoral, Gonzalo Hervás

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引用次数: 0

Abstract

Research has indicated the effectiveness of Dialectical behavior therapy in adolescents (DBT-A) with severe emotion dysregulation and other symptoms of Borderline Personality Disorder (BPD). The objective was to determine if DBT skills group with caregivers only could influence in potential mediators of DBT outcomes including rearing styles, emotion regulation and mindfulness skills, evaluated in both parents and adolescents. We implemented a 12-week group intervention based on DBT-A addressed to seven parents of adolescents with features of BPD. We tested differences after treatment using the non-parametric Wilcoxon test and calculated effect sizes. To understand individual changes, we reported clinical reliable change (CRC). The intervention was effective for improving rearing styles, emotion regulation and mindfulness skills in adolescents. Changes were stable after 6 months. The intervention showed good levels of satisfaction reported by parents. A short DBT group-only intervention with caregivers could modify relevant processes related with features of BPD in adolescents. Early interventions with adolescents with symptoms of BPD could prevent the development of BPD influencing in potential mediation mechanisms.

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针对边缘型人格障碍青少年家长的辩证行为技能小组疗法：试点研究

研究表明，辩证行为疗法（DBT-A）对有严重情绪失调和其他边缘型人格障碍（BPD）症状的青少年很有效。我们的目的是要确定，仅针对照顾者的 DBT 技能小组能否影响 DBT 结果的潜在中介因素，包括对父母和青少年的抚养方式、情绪调节和正念技能的评估。我们对七名有 BPD 特征的青少年的父母实施了为期 12 周的基于 DBT-A 的小组干预。我们使用非参数 Wilcoxon 检验测试了治疗后的差异，并计算了效应大小。为了解个体变化，我们报告了临床可靠变化（CRC）。干预对改善青少年的养育方式、情绪调节和正念技能非常有效。6 个月后，这些变化保持稳定。家长对干预的满意度很高。针对照顾者的短期 DBT 小组干预可以改变与青少年 BPD 特征相关的过程。对有 BPD 症状的青少年进行早期干预，可以预防 BPD 的发展，影响潜在的调解机制。

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

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.