American journal of psychotherapy · 2026
The Effectiveness of Dialectical Behavior Therapy With Adolescents in a Psychiatric Residential Treatment Center.
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Williams Nicholas, Hubbard Maya L, Fanslau Edmund, Wu Xinxin, Romano Justin, Allison Geoffrey, Reasoner Lark, Burt Allie, Roley-Roberts Michelle E
Аннотация
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.
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.