A modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings
Abstract
A modified skills training component of dialectical behavior therapy (DBT) was implemented in a group therapy format for non-suicidal outpatient young adolescents who met criteria for oppositional defiant disorder (ODD). Thirty-two youths completed the 16-week program, as well as pre- and post-treatment measures. The treatment was effective not only in decreasing negative behaviors, but also in increasing positive behaviors, per caregiver report. The youths reported a significant reduction in externalizing and internalizing symptoms and in depression. Reliable change indices indicated that far more participants were in the improved category than in the deteriorated category on the measures of interest. Despite the absence of control groups but consistent with the treatment outcome research literature for DBT-based treatments for other disorders, this study demonstrated that DBT skills training is feasible and shows promise in improving the behavior of ODD young adolescents.
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?
Other research supports use of DBT with adolescents diagnosed with eating disorders, bipolar disorder, and oppositional defiant disorder.
“Other research supports the use of DBT with adolescents diagnosed with the following Axis I disorders: eating disorders (Salbach-Andrae et al., 2009), bipolar disorder (Goldstein, Axelson, Birmaher, & Brent, 2007), and oppositional defiant disorder (Nelson-Gray et al., 2006).”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Nelson-Gray et al., 2006
Cites
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
Gray, J. A. (1982) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00013066 · Cited by 4,477 · see citing works
Des Jarlais, D. C., Lyles, C., Crepaz, N., & the TREND Group (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.361 · Cited by 2,817 · see citing works
Cognitive-behavioral treatment of chronically parasuicidal borderline patients
Linehan, M. M. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810360024003 · Cited by 2,203 · see citing works
Empirically supported psychological interventions: Controversies and evidence
Chambless, D. L., & Ollendick, T. H. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.685 · Cited by 2,097 · see citing works
Dialectical behavior therapy for binge eating disorder.
Telch, C. F., Agras, W. S., & Linehan, M. M. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.6.1061 · Cited by 780 · see citing works
Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K. A., Welch, S. S., Heagerty, P., & Kivlahan, D. R. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00011-x · Cited by 741 · cited 1× · see citing works
“…posttraumatic stress disorder (PTSD) (Becker & Zayfert, 2001), medically hospitalized patients (Huffman, Stern, Harley, & Lundy, 2003), substance abuse (Linehan et al., 2002), eating disorder (Telch, Agras, & Linehan, 2001), and elderly depressed patients (Lynch, Morse, Mendelson, & Robins, 2003).”
Dialectical Behavior Therapy for Depressed Older Adults: A Randomized Pilot Study
Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J. (2003) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200301000-00006 · Cited by 384 · see citing works
Feasibility of dialectical behavior therapy for suicidal adolescent inpatients
Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200403000-00008 · Cited by 334 · see citing works
Dialectical behavior therapy: Current status, recent developments, and future directions
Robins, C. J., & Chapman, A. L. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.1.73.32771 · Cited by 275 · cited 3× · see citing works
“Linehan’s (1993a, b) DBT was first found to be effective with adults diagnosed with borderline personality disorder (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991; Robins & Chapman, 2004).”
BackgroundResultInfluentialIntegrating DBT-based techniques and concepts to facilitate exposure treatment for PTSD
Becker, C. B., & Zayfert, C. (2001) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(01)80017-1 · Cited by 138 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032210-104449 · Cited by 800 · see citing works
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., Larsson, B. S., Stanley, B. H., Miller, A. L., Sund, A. M., et al. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.07.003 · Cited by 616 · see citing works
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.05.017 · Cited by 426 · see citing works
Neacsiu, A. D., Eberle, J. W., Kramer, R., Wiesmann, T., & Linehan, M. M. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.005 · Cited by 394 · see citing works
ADHD and emotion dysregulation among children and adolescents
Bunford, N., Evans, S. W., & Wymbs, F. (2015) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-015-0187-5 · Cited by 306 · see citing works
Hawkins, E. H. (2009) · Annual Review of Psychology · doi:10.1146/annurev.psych.60.110707.163456 · Cited by 233 · see citing works
Valentine, S. E., Bankoff, S. M., Poulin, R. M., Reidler, E. B., & Pantalone, D. W. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22114 · Cited by 219 · see citing works
Mindfulness-Based Approaches for Children and Youth
Perry-Parrish, C., Copeland-Linder, N., Webb, L., & Sibinga, E. M. S. (2016) · Current Problems in Pediatric and Adolescent Health Care · doi:10.1016/j.cppeds.2015.12.006 · Cited by 128 · see citing works
Woodberry, K. A., & Popenoe, E. J. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2007.08.004 · Cited by 118 · see citing works
Shelton, D., Kesten, K., Zhang, W., & Trestman, R. (2011) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/j.1744-6171.2011.00275.x · Cited by 115 · see citing works
Transdiagnostic applications of DBT for adolescents and adults
Ritschel, L. A., Lim, N. E., & Stewart, L. M. (2015) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2015.69.2.111 · Cited by 112 · see citing works
Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study.
Burckhardt, R., Manicavasagar, V., Batterham, P. J., Hadzi-Pavlovic, D., & Shand, F. (2017) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-017-0164-5 · Cited by 65 · see citing works
Emerging Approaches to Counseling Intervention: Dialectical Behavior Therapy
Neacsiu, A. D., Ward-Ciesielski, E. F., & Linehan, M. M. (2012) · The Counseling Psychologist · doi:10.1177/0011000011421023 · Cited by 30 · see citing works
Burckhardt, R., Manicavasagar, V., Shaw, F., Fogarty, A., Batterham, P. J., Dobinson, K., & Karpin, I. (2018) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2017.1292927 · Cited by 26 · see citing works
“those diagnosed with borderline personality disorder (Cook & Gorraiz, 2016), oppositional-defiance disorder (Nelson-Gray et al., 2006), bipolar disorder (Goldstein, Axelson, Birmaher, & Brent, 2007), binge eating disorder (Safer, Couturier, & Lock, 2007), anorexia nervosa and bulimia (Salbach-Andrae,”
BackgroundKamody, R. C., Thurston, I. B., & Burton, E. T. (2020) · Eating Disorders · doi:10.1080/10640266.2020.1731055 · Cited by 16 · see citing works
Dallenbach, M. L., Moeller, K., & Givens, A. (2025) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-024-00961-4 · Cited by 4 · see citing works
- Authors
- Nelson-Gray, R. O., Keane, S. P., Hurst, R. M., Mitchell, J. T., Warburton, J. B., Chok, J. T., & Cobb, A. R.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2006-12
- Volume
- 44
- Issue
- 12
- Pages
- 1811-1820
- ISSN
- 0005-7967
- Cited by
- 126
- References
- 11
- Language
- en
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