Dialectical behavior therapy in an intensive outpatient program with a mixed-diagnostic sample
Abstract
Objectives Intensive outpatient programs (IOPs) have become increasingly common for treating highly distressed patients, and a burgeoning number of IOPs are based on, or informed by, dialectical behavior therapy (DBT). The goal of the present study was to evaluate the effectiveness of DBT in a community mental health center IOP for patients with heterogeneous diagnoses. Method Using a within-subjects design, we examined changes in depression, anxiety, mindfulness, and hope during DBT treatment in a community mental health center in the Midwestern United States. The final sample comprised 56 participants (59% female) ranging in age from 18 to 73 years, with a mean age of 36.8 years (standard deviation = 13.7). The majority of participants (80%) met criteria for a mood disorder, just over half met criteria for an anxiety disorder, and 20% met criteria for comorbid substance abuse or dependence. Over half met criteria for more than one diagnosis. Length of treatment varied based on the needs of the individual patient; treatment ranged from 2 to 16 weeks, with an average stay of 6 weeks. Results Depression and anxiety scores decreased significantly and hope scores increased significantly over the course of treatment (all p's Conclusions Results suggest that this DBT-informed intervention was effective in reducing depression and anxiety and increasing hope. Because of the move away from inpatient hospitalizations over the last few decades, it is incumbent on the field to find alte…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Dialectical behavior therapy skills have therapeutic benefit in alleviating depression and anxiety in mixed samples of depressed and anxious adults.
“there is growing evidence of the therapeutic benefit of dialectical behavior therapy (DBT) skills in alleviating depression and anxiety in mixed samples of depressed and anxious adults (Neacsiu, Eberle, Kramer, Weismann, & Linhean, 2014; Ritschel, Cheavens, & Nelson, 2012).”
From Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement (2016) · cites this paper as Ritschel, Cheavens, & Nelson, 2012
DBT skills training is effective for decreasing anxiety in adults with affective disorders.
“there is also emerging evidence that DBT skills training is effective for decreasing anxiety in adults with affective disorders (Neacsiu, Eberle, Kramer, Weismann, & Linhean, 2014; Ritschel, Cheavens, & Nelson, 2012).”
From Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement (2016) · cites this paper as Ritschel, Cheavens, & Nelson, 2012
No citation lists for this paper
No citation lists for this paper yet — checked again daily.
References 64 · Cited by 52
- Authors
- Ritschel, L. A., Cheavens, J. S., & Nelson, J.
- Affiliations
- Emory University (US)
- The Ohio State University (US)
- Bert Nash Community Mental Health Center
- Corresponding author
- Ritschel, Lorie A.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2012-03
- Volume
- 68
- Issue
- 3
- Pages
- 221-235
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W1941905500
- Cited by
- 52
- References
- 64
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 3 · 2015: 7 · 2014: 2 · 2013: 2
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- dialectical behavior therapy, intensive outpatient treatment, depression, anxiety, hope, mindfulness, community mental health centers, mood disorders, anxiety disorders, substance use comorbidity, group therapy, treatment effectiveness
- MeSH terms
- Adolescent, Adult, Aged, Ambulatory Care, Anxiety, Anxiety Disorders, Behavior Therapy, Mental Disorders, Community Mental Health Centers, Depression, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychological Tests, Mood Disorders, Substance-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
