Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot.

Abstract:

BACKGROUND:Veterans are at high risk for suicide; emotion dysregulation may confer additional risk. Dialectical behaviour therapy (DBT) is a well-supported intervention for suicide attempt reduction in individuals with emotion dysregulation, but is complex and multi-component. The skills group component of DBT (DBT-SG) has been associated with reduced suicidal ideation and emotion dysregulation. DBT-SG for Veterans at risk for suicide has not been studied. AIMS:This study sought to evaluate the feasibility and acceptability of DBT-SG in Veterans and to gather preliminary evidence for its efficacy in reducing suicidal ideation and emotion dysregulation and increasing coping skills. METHOD:Veterans with suicidal ideation and emotion dysregulation (N = 17) enrolled in an uncontrolled pilot study of a 26-week DBT-SG as an adjunct to mental health care-as-usual. RESULTS:Veterans attended an average 66% of DBT-SG sessions. Both Veterans and their primary mental health providers believed DBT-SG promoted Veterans' use of coping skills to reduce suicide risk, and they were satisfied with the treatment. Paired sample t-tests comparing baseline scores with later scores indicated suicidal ideation and emotion dysregulation decreased at post-treatment (d = 1.88, 2.75, respectively) and stayed reduced at 3-month follow-up (d = 2.08, 2.59, respectively). Likewise, skillful coping increased at post-treatment (d = 0.85) and was maintained at follow-up (d = 0.91). CONCLUSIONS:An uncontrolled pilot study indicated DBT-SG was feasible, acceptable, and demonstrated potential efficacy in reducing suicidal ideation and emotion dysregulation among Veterans. A randomized controlled study of DBT-SG with Veterans at risk for suicide is warranted.

journal_name

Behav Cogn Psychother

authors

Decker SE,Adams L,Watkins LE,Sippel LM,Presnall-Shvorin J,Sofuoglu M,Martino S

doi

10.1017/S1352465819000122

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

616-621

issue

5

eissn

1352-4658

issn

1469-1833

pii

S1352465819000122

journal_volume

47

pub_type

临床试验,杂志文章
  • The role of predisposition to hallucinations on non-clinical paranoid vs. socially anxious individuals after hearing negative affective-laden sounds: an experimental investigation.

    abstract:BACKGROUND:Research suggested that negative affective-laden sounds act as environmental stressors that elicit negative affect (Bradley and Lang, 2000a). AIMS:We tried to test for the role of an interaction between predisposition to hallucinatory experiences and exposure to negative affective laden sounds for the prese...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000483

    authors: Lopes B,Pinto-Gouveia J

    更新日期:2013-03-01 00:00:00

  • Are context-specific measures of positive emotion regulation more predictive of mania risk and mood symptoms than trait measures?

    abstract:BACKGROUND:A number of strategies used to regulate positive affect (i.e. dampening and positive rumination) have been identified as having particular relevance to hypomanic personality (a proxy measure of mania risk). However, previous findings have been mixed and it is suggested that this may be the result of lack of ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000855

    authors: McGrogan CL,Dodd AL,Smith MA

    更新日期:2020-12-09 00:00:00

  • Utilization of learned skills in cognitive behavioural therapy for panic disorder.

    abstract:BACKGROUND:Research has long investigated the cognitive processes in the treatment of depression, and more recently in panic disorder (PD). Meanwhile, other studies have examined patients' cognitive therapy skills in depression to gain insight into the link between acquiring such skills and treatment outcome. AIMS:Giv...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S135246581900033X

    authors: Halaj A,Yekutiel N,Strauss AY,Huppert JD

    更新日期:2019-11-01 00:00:00

  • Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis.

    abstract:BACKGROUND:Previous studies have demonstrated that acceptance and commitment therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. AIMS:To conduct a preliminary evaluation of whether ACT is feasible and effective when delivered by psychologists and non-psychologists for compl...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000285

    authors: Richardson T,Bell L,Bolderston H,Clarke S

    更新日期:2018-01-01 00:00:00

  • The Content, Quality and Impact of Cognitive Behavioural Case Formulation During Treatment of Obsessive Compulsive Disorder.

    abstract:BACKGROUND:Case formulation (CF) is considered a core component of cognitive behavioural therapy (CBT). Despite this, few studies have explored the content and quality of CFs in routine practice and any associated impact on treatment outcome. AIMS:This study investigated (1) the content, timing and quality of CF for p...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S135246581400006X

    authors: Nattrass A,Kellett S,Hardy GE,Ricketts T

    更新日期:2015-09-01 00:00:00

  • Perceived group climate as a predictor of long-term outcome in a randomized controlled trial of cognitive-behavioural group therapy for patients with comorbid psychiatric disorders.

    abstract:BACKGROUND:Research on group therapy indicates that various dimensions of the helpful relationship qualities (cohesion, climate, empathy, alliance) are associated with outcome. However, the use of a wide variety of empirical scales makes comparisons between studies as well as generalizations somewhat difficult. Althoug...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465809990208

    authors: Ryum T,Hagen R,Nordahl HM,Vogel PA,Stiles TC

    更新日期:2009-10-01 00:00:00

  • Pilot study of group cognitive behaviour therapy for heterogeneous acute psychiatric inpatients: treatment in a sole-standalone session allowing patients to choose the therapeutic target.

    abstract:BACKGROUND:Group CBT (G-CBT) for heterogeneous acute psychiatric inpatients (HAPIs), which allows patients to choose the group therapeutic target, might have clinical utility but is empirically untested. AIMS:To test the feasibility, acceptability and patient-rated effectiveness of G-CBT for HAPIs in which patients' t...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465810000834

    authors: Raune D,Daddi I

    更新日期:2011-05-01 00:00:00

  • Cognitive behavioural responses to envy: development of a new measure.

    abstract:BACKGROUND:Envy is depicted as motivating destructive desires and actions intended to spoil or destroy that which is envied. AIM:To develop a new valid and reliable measure of malicious envy (C-BRES), which included items representing the cognitive, emotional and behavioural responses empirically associated with this ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000614

    authors: Jordan C,Vitoratou S,Siew Y,Chalder T

    更新日期:2020-07-01 00:00:00

  • Does perfectionism impact adherence to homework assignment? A preliminary pilot study of perfectionism and procrastination of CBT homework.

    abstract:BACKGROUND:Homework assignments are generally viewed as an important factor of cognitive behaviour therapy (CBT). AIM:This study examined whether perfectionists procrastinate homework assignments. METHOD:Thirty-eight university students attended two sessions, 7 days apart from each other. After completing perfectioni...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000547

    authors: Kobori O,Dighton G,Hunter R

    更新日期:2020-03-01 00:00:00

  • Comparing two brief psychological interventions to usual care in panic disorder patients presenting to the emergency department with chest pain.

    abstract:BACKGROUND:Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment is rarely initiated. We are unaware of studies that evaluated the efficacy of brief cognitive-behavioural therapy (CBT) for this pop...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1017/S1352465811000506

    authors: Lessard MJ,Marchand A,Pelland MÈ,Belleville G,Vadeboncoeur A,Chauny JM,Poitras J,Dupuis G,Fleet R,Foldes-Busque G,Lavoie KL

    更新日期:2012-03-01 00:00:00

  • The Negative Effects Questionnaire: psychometric properties of an instrument for assessing negative effects in psychological treatments.

    abstract:BACKGROUND:Psychological treatments provide many benefits for patients with psychiatric disorders, but research also suggests that negative effects might occur from the interventions involved. The Negative Effects Questionnaire (NEQ) has previously been developed as a way of determining the occurrence and characteristi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000018

    authors: Rozental A,Kottorp A,Forsström D,Månsson K,Boettcher J,Andersson G,Furmark T,Carlbring P

    更新日期:2019-09-01 00:00:00

  • Using a semi-structured interview to explore imagery experienced during social anxiety for clients with a diagnosis of psychosis: an exploratory study conducted within an early intervention for psychosis service.

    abstract:BACKGROUND:Social phobia frequently occurs as a comorbid condition, with high rates reported among people with psychosis. Little is known about the nature of social anxiety in this population or whether current psychological theories apply. AIMS:This paper aims to develop and pilot a suitable measure to explore imager...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465811000439

    authors: Lockett SH,Hatton J,Turner R,Stubbins C,Hodgekins J,Fowler D

    更新日期:2012-01-01 00:00:00

  • Training frontline mental health staff to deliver "low intensity" psychological therapy for psychosis: a qualitative analysis of therapist and service user views on the therapy and its future implementation.

    abstract:BACKGROUND:Increasing access to evidence-based talking therapies for people with psychosis is a national health priority. We have piloted a new, "low intensity" (LI) CBT intervention specifically designed to be delivered by frontline mental health staff, following brief training, and with ongoing supervision and suppor...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000908

    authors: Waller H,Garety P,Jolley S,Fornells-Ambrojo M,Kuipers E,Onwumere J,Woodall A,Craig T

    更新日期:2015-05-01 00:00:00

  • Does intolerance of uncertainty mediate improvement in anger during group CBT for GAD? A preliminary investigation.

    abstract:BACKGROUND:Individuals with generalized anxiety disorder (GAD) have elevated intolerance of uncertainty (IU) and anger, and IU mediates the relationship between GAD symptoms and anger. AIMS:The current pilot study examined whether group cognitive behavioural therapy (CBT) improves anger in people with GAD, and the deg...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000249

    authors: Laposa JM,Fracalanza K

    更新日期:2019-09-01 00:00:00

  • Exploring service users' perceptions of cognitive behavioural therapy for psychosis: a user led study.

    abstract:BACKGROUND AND AIMS:This study explored individuals' subjective experiences of Cognitive Behavioural Therapy for psychosis (CBTp) with the aim of identifying coherent themes consistent across individual accounts and any potential barriers to CBTp effectiveness. METHOD:Semi-structured interviews were conducted with nin...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000495

    authors: Kilbride M,Byrne R,Price J,Wood L,Barratt S,Welford M,Morrison AP

    更新日期:2013-01-01 00:00:00

  • Do symptom interpretations mediate the relationship between panic attack symptoms and agoraphobic avoidance?

    abstract:BACKGROUND:There is little consensus as to whether agoraphobic avoidance in panic disorder is characterized by a prominence of particular symptoms and interpretations of those symptoms. AIMS:We sought to clarify the relationship between symptoms and agoraphobic avoidance and to establish whether catastrophic interpret...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S135246581000007X

    authors: Berle D,Starcevic V,Milicevic D,Hannan A,Moses K

    更新日期:2010-05-01 00:00:00

  • Preliminary Findings of a New Primary and Community Care Psychological Service in Northern Ireland: Low-Intensity Cognitive Behavioural Therapy for Common Mental Health Difficulties.

    abstract:BACKGROUND:The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this. AIMS:The current study aims to evaluate the effectiveness of an 'Im...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465818000322

    authors: McDevitt-Petrovic O,Kirby K,McBride O,Shevlin M,McAteer D,Gorman C,Murphy J

    更新日期:2018-11-01 00:00:00

  • Reliability and validity of the short Schema Mode Inventory (SMI).

    abstract:BACKGROUND:This study presents a new questionnaire to assess schema modes: the Schema Mode Inventory (SMI). METHOD:First, the construction of the short SMI (118 items) was described. Second, the psychometric properties of this short SMI were assessed. More specifically, its factor structure, internal reliability, inte...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465810000226

    authors: Lobbestael J,van Vreeswijk M,Spinhoven P,Schouten E,Arntz A

    更新日期:2010-07-01 00:00:00

  • How technology influences the therapeutic process: evaluation of the patient-therapist relationship in augmented reality exposure therapy and in vivo exposure therapy.

    abstract:BACKGROUND:New technologies have slowly become a part of psychologists' therapeutic office. However, many therapists still have doubts about the possibility of creating a good therapeutic relationship with patients in the presence of technology. AIMS:This study evaluates the development of the therapeutic alliance in ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000088

    authors: Wrzesien M,Bretón-López J,Botella C,Burkhardt JM,Alcañiz M,Pérez-Ara MÁ,Del Amo AR

    更新日期:2013-07-01 00:00:00

  • Treatment of monozygotic twins with obsessive compulsive disorder using cognitive therapy and exposure with ritual prevention.

    abstract:BACKGROUND:Assessment and treatment of cohabiting monozygotic (MZ) twins with obsessive compulsive disorder (OCD) is a possible challenge for clinical psychologists. AIMS:This study aims to present a detailed history of two sets of cohabiting MZ twins with OCD, and describe the adaption of cognitive behavior therapy i...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809990117

    authors: Twohig MP,Whittal ML,Peterson KA

    更新日期:2009-07-01 00:00:00

  • Rumination-focused cognitive behaviour therapy for non-responsive chronic depression: an uncontrolled group study.

    abstract:BACKGROUND:One-third of patients with depression do not respond satisfactorily to treatment, and approximately 20% of all patients treated for depression develop a chronic depression. One approach to more effective treatment of chronic and treatment-resistant depression is to target rumination - an underlying mechanism...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000584

    authors: Moeller SB,Austin SF,Hvenegaard M,Kistrup M,Gran S,Watkins E

    更新日期:2020-05-01 00:00:00

  • Therapy contamination as a measure of therapist treatment adherence in a trial of cognitive behaviour therapy versus befriending for psychosis.

    abstract:BACKGROUND:High quality randomized controlled trials (RCT) of psychotherapeutic interventions should ensure that the therapy being tested is what is actually delivered. However, contamination of one therapy into the other, a critical component of treatment adherence, is seldom measured in psychotherapy trials of psycho...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/S1352465813000921

    authors: Bendall S,Allott K,Jovev M,Marois MJ,Killackey EJ,Gleeson JF,Alvarez-Jimenez M,McGorry PD,Jackson HJ

    更新日期:2015-05-01 00:00:00

  • Cognitive predictors of change in cognitive behaviour therapy and mindfulness-based cognitive therapy for depression.

    abstract:BACKGROUND:An appreciation of cognitive predictors of change in treatment outcome may help to better understand differential treatment outcomes. The aim of this study was to examine how rumination and mindfulness impact on treatment outcome in two group-based interventions for non-melancholic depression: Cognitive Beha...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465811000634

    authors: Manicavasagar V,Perich T,Parker G

    更新日期:2012-03-01 00:00:00

  • Physical appearance anxiety impedes the therapeutic effects of video feedback in high socially anxious individuals.

    abstract:BACKGROUND:Video feedback (VF) interventions effectively reduce social anxiety symptoms and negative self-perception, particularly when they are preceded by cognitive preparation (CP) and followed by cognitive review. AIMS:In the current study, we re-examined data from a study on the efficacy of a novel VF interventio...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465812001038

    authors: Orr EM,Moscovitch DA

    更新日期:2014-01-01 00:00:00

  • Social anxiety disorder in children: investigating the relative contribution of automatic thoughts, repetitive negative thinking and metacognitions.

    abstract:BACKGROUND:Social anxiety disorder (SAD) is common in youths. However, our understanding of SAD in children is inferior to that of SAD in adolescents or adults, and it is unclear if known adult SAD maintenance mechanisms may also operate in children with SAD. AIM:The paper sets out to investigate the specificity of po...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000430

    authors: Esbjørn BH,Falch A,Walczak MA,Normann N,Breinholst S

    更新日期:2020-07-28 00:00:00

  • Effects of appraisals of anomalous experience on distress in people at risk of psychosis.

    abstract:BACKGROUND:A cognitive model of psychosis suggests that appraisals of psychotic-like experiences (PLEs), and the subsequent responses adopted, are responsible for the maintenance of distress and disability associated with psychosis. AIMS:This study aimed to investigate whether it is possible to manipulate appraisals o...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465812000227

    authors: Taylor HE,Parker S,Mansell W,Morrison AP

    更新日期:2013-01-01 00:00:00

  • Brief mindfulness-based therapy for chronic tension-type headache: a randomized controlled pilot study.

    abstract:BACKGROUND:Mindfulness-based therapy (MBT) has been demonstrated to be effective for reducing chronic pain symptoms; however, the use of MBT for Chronic Tension-Type Headache (CTH) exclusively has to date not been examined. Typically, MBT for chronic pain has involved an 8-week program based on Mindfulness Based Stress...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465813000234

    authors: Cathcart S,Galatis N,Immink M,Proeve M,Petkov J

    更新日期:2014-01-01 00:00:00

  • The Maintaining Factors of Social Anxiety: A Three-Group Comparison of a Clinical Sample with Highly Socially Anxious Students and Non-Anxious Students.

    abstract:BACKGROUND:Clark and Wells' (1995) cognitive model of social anxiety (CWM) explains the maintenance of social anxiety and has been used as a guide for treatment of Social Anxiety Disorder (SAD). Few studies have examined the components of the model together across different samples. AIMS:This study had two distinct ai...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465815000685

    authors: Skocic S,Jackson H,Hulbert C,Faber C

    更新日期:2016-07-01 00:00:00

  • Helping Aged Victims of Crime (the HAVoC Study): Common Crime, Older People and Mental Illness.

    abstract:BACKGOUND:Limited data suggest that crime may have a devastating impact on older people. Although identification and treatment may be beneficial, no well-designed studies have investigated the prevalence of mental disorder and the potential benefits of individual manualized CBT in older victims of crime. AIMS:To ident...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465814000514

    authors: Serfaty M,Ridgewell A,Drennan V,Kessel A,Brewin CR,Leavey G,Wright A,Laycock G,Blanchard M

    更新日期:2016-03-01 00:00:00

  • Geographic inequity in the availability of cognitive behavioural therapy in England and Wales: a 10-year update.

    abstract:BACKGROUND:Improving access to psychological therapies, and in particular cognitive behavioural therapy (CBT), has been a health service priority in England and Wales over the past decade. The delivery of CBT has been limited by a scarcity of resources and further limited by the inequitable geographic distribution of C...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000568

    authors: Cavanagh K

    更新日期:2014-07-01 00:00:00