Dialectical behaviour therapy-informed skills training for deliberate self-harm: A controlled trial with 3-month follow-up data

Gibson, Jennifer; Booth, Richard; Davenport, John; Keogh, Karen; Owens, Tara

doi:10.1016/j.brat.2014.06.007

Cited by 46Personality Disorders and PsychopathologySuicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Dialectical behaviour therapy-informed skills training for deliberate self-harm: A controlled trial with 3-month follow-up data

Gibson, Jennifer, Booth, Richard, Davenport, John, Keogh, Karen, Owens, Tara·2014·Behaviour Research and Therapy

DOI 10.1016/j.brat.2014.06.007

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Abstract

Dialectical Behaviour Therapy (DBT) has been shown to be an effective treatment for deliberate self-harm (DSH) and emerging evidence suggests DBT skills training alone may be a useful adaptation of the treatment. DBT skills are presumed to reduce maladaptive efforts to regulate emotional distress, such as DSH, by teaching adaptive methods of emotion regulation. However, the impact of DBT skills training on DSH and emotion regulation remains unclear. This study examined the Living Through Distress (LTD) programme, a DBT-informed skills group provided in an inpatient setting. Eighty-two adults presenting with DSH or Borderline Personality Disorder (BPD) were offered places in LTD, in addition to their usual care. A further 21 clients on the waiting list for LTD were recruited as a treatment-as-usual (TAU) group. DSH, anxiety, depression, and emotion regulation were assessed at baseline and either post-intervention or 6 week follow-up. Greater reductions in the frequency of DSH and improvements in some aspects of emotion regulation were associated with completion of LTD, as compared with TAU. Improvements in DSH were maintained at 3 month follow-up. This suggests providing a brief intensive DBT-informed skills group may be a useful intervention for DSH.

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Among shorter and less intensive versions of DBT, group skills training has received more attention and empirical support.
“Among the shorter and less intensive versions of DBT, group skills training has received more attention and empirical supports (Gibson, Booth, Davenport, Keogh, & Owens, 2014; Krantz, Mcmain, & Kuo, 2018; Soler et al., 2009).”
From Effectiveness of Zhong-Yong thinking based dialectical behavior therapy group skills training versus supportive group therapy for lowering suicidal risks in Chinese young adults: A randomized controlled trial with a 6-month follow-up (2020) · cites this paper as Gibson et al., 2014
In other clinical samples than autistic adults, previous findings suggest that DBT may have a significant positive effect on some (i.e., "Strategies" and "Goals") or all of the DERS subscales.
“In other clinical samples than autistic adults, previous findings suggest that DBT may have a significant positive effect on some (i.e., “Strategies” and “Goals”) or all of the DERS subscales (e.g. Gibson et al., 2014; Neacsiu et al., 2014; Alavi et al., 2021).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Gibson et al., 2014

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Bravo, I. E., Rodríguez, A. M., Vilar, A., Salvador, A., Biempica, M., García, K. M., Martín, L. M., & Batlle, S. (2023) · European Psychiatry · doi:10.1192/j.eurpsy.2023.1517 · Cited by 1 · see citing works

Authors: Gibson, J., Booth, R., Davenport, J., Keogh, K., & Owens, T.
Affiliations: St. Patrick's Hospital (IE)
Trinity College Dublin (IE)
Corresponding author: Gibson, Jennifer
ORCID: Davenport, John
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2014-09
Volume: 60
Pages: 8-14
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2014.06.007
OpenAlex: W2035533198
Cited by: 46
References: 32
Citations by year: 2026: 2 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 2
FWCI: 2.36
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
Funders: St Patrick's University Hospital
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: dialectical behavior therapy, DBT skills training, self-harm, emotion regulation, borderline personality disorder, inpatient care, anxiety, depression
MeSH terms: Adolescent, Adult, Anxiety, Behavior Therapy, Depression, Emotions, Female, Follow-Up Studies, Humans, Male, Middle Aged, Self-Injurious Behavior, Treatment Outcome, Young Adult

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Dialectical behaviour therapy-informed skills training for deliberate self-harm: A controlled trial with 3-month follow-up data

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