The Effectiveness of Dialectical Behavior Therapy in a Mental Health Community Setting in Hong Kong
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Patient Health Questionnaire 9 (PHQ9)
研究概览
简要总结
Dialectical Behavior Therapy (DBT) is an evidence-based treatment for individuals with symptoms of different psychiatric diagnoses (e.g., Cristea et al., 2017), particular those at risks for suicide or parasuicidal behavior (e.g., DeCou et al., 2019; Stanley et al., 2007) and those reporting emotion dysregulation (e.g., Kells et al., 2020). A transdiagnostic treatment that meets the needs of clinical populations at various risk levels can potentially mitigate the associated high cost to the health system as a whole.
Considering the various components of DBT, establishment of a standard DBT program can be a multi-phasic project. Stand-alone DBT skills training groups have been found effective in reducing symptoms of mental health disorders (Valentine et al., 2014) and strengthening emotion regulation (Kells et al., 2020). Therefore, this study serves as a pilot and focuses on the effectiveness of skills training groups. Preliminary data collected will not only inform the projects subsequent phase(s) of expansion into a standard DBT program but also shed light on the implementation of DBT in an outpatient community setting in Hong Kong.
研究设计
- 研究类型
- Interventional
- 主要目的
- 单臂
- 盲法
- N/a
入排标准
- 年龄范围
- 18 至 —（—）
- 性别
- Male
入选标准
- •Aged 18 years or up;
- •Speak, read, and write Chinese;
- •Meet diagnostic criteria of Borderline Personality Disorder;
- •OR show traits of pervasive dysregulation (e.g., behavioral, emotional, relational, etc.) with functional impairment in at least one domain (e.g., work, family, relationship, etc.);
- •Present treatment needs related to Stage 1 treatment targets as defined in DBT, such as life-threatening concerns, therapy-interfering behaviors, quality-of-life-interfering behaviors;
- •Show elevation on screening measures such as the Borderline Symptom List 23 (BSL-23).
排除标准
- •Present with active psychosis without insight;
- •Demonstrate sub-average intelligence;
- •Decline to commit on Stage 1 treatment targets; that is, targets related to areas such as life-threatening concerns, therapy-interfering behaviors, quality-of-life-interfering behaviors;
- •Concurrently receive other psychological services.
研究组 & 干预措施
Case series
Dialectical Behavior Therapy Skills Groups
结局指标
主要结局
Patient Health Questionnaire 9 (PHQ9)
时间窗: Baseline, every session, and termination
Generalized Anxiety Disorder 7 (GAD7)
时间窗: Baseline, every session, and termination
Borderline Symptom List 23 (BSL-23)
时间窗: Baseline, every 3 months during active phase, termination, and every 3 months for a year after termination
Dialectical Behavior Therapy - Ways of Coping Checklist (DBT-WCCL)
时间窗: Pre- and post-group
Psychiatric history
时间窗: Baseline, every 3 months during active phase, termination, and every 3 months for a year after termination
Demographic background and medical history
时间窗: Baseline
次要结局
未报告次要终点