Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences.

IF 2.3 Q2 PSYCHOLOGY, CLINICAL AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-15 DOI:10.1176/appi.psychotherapy.20230058
Hilary B Vidair, Jill H Rathus, Chani Goldfeder, Erika Rooney, Katerina Levy, Alexander Dorfman
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Abstract

Objective: Dialectical behavior therapy for adolescents (DBT-A) is an evidence-based treatment for adolescents with multiple emotional and behavioral problems. Research has demonstrated the posttreatment acceptability of DBT-A by parents and adolescents. However, no study has systematically explored the expectations and preferences of adolescents before beginning DBT-A treatment. The goals of this study were to investigate adolescents' pretreatment expectations for DBT-A by developing the Adolescent Expectancies for Therapy Scale (AETS), adapted from the Parent Expectancies for Therapy Scale, and to explore their preferences regarding treatment delivery format.

Methods: Participants were 21 adolescents (ages 13-18) with varying race-ethnicities who were referred for DBT-A in either a group private practice or a community mental health clinic. Participants completed the AETS and the Preferences Rating Form, which examined the extent to which participants preferred each of seven treatment modifications or preferred to keep DBT-A as is.

Results: Findings indicated that, before beginning DBT-A, adolescents had moderate expectations for the outcome and process of the therapy, and approximately half reported that they preferred to be separate from their parents during multifamily skills group sessions (for at least part of the time) and to add weekly teen-only support groups to DBT-A. The AETS had adequate internal consistency (Cronbach's α=0.88).

Conclusions: Understanding adolescents' pretreatment expectations and preferences for the format in which DBT-A is delivered can help clinicians better engage adolescents during the intake and orientation process.

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青少年辩证行为疗法:检查治疗前的初步预期和偏好。
目的:青少年辩证行为疗法(DBT-A)是一种针对有多种情绪和行为问题的青少年的循证治疗方法。研究表明,DBT-A 治疗后可被家长和青少年接受。然而,还没有研究系统地探讨过青少年在开始 DBT-A 治疗前的期望和偏好。本研究的目的是通过开发改编自家长治疗期望量表的青少年治疗期望量表(AETS),调查青少年在治疗前对 DBT-A 的期望,并探索他们对治疗形式的偏好:参与者为 21 名不同种族的青少年(13-18 岁),他们被转介到一家团体私人诊所或社区心理健康诊所接受 DBT-A。参与者填写了 AETS 和偏好评级表,该表调查了参与者对七种治疗方法中的每种方法的偏好程度,或对保持 DBT-A 治疗方法原样的偏好程度:研究结果表明,在开始 DBT-A 治疗之前,青少年对治疗的结果和过程抱有适度的期望,约有一半的青少年表示,他们更希望在多家庭技能小组课程中与父母分开(至少部分时间),并在 DBT-A 中增加每周一次的青少年支持小组。AETS具有足够的内部一致性(Cronbach's α=0.88):了解青少年在治疗前对 DBT-A 治疗形式的期望和偏好,有助于临床医生在接纳和指导过程中更好地吸引青少年。
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来源期刊
AMERICAN JOURNAL OF PSYCHOTHERAPY
AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
4.00%
发文量
39
期刊介绍: Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.
期刊最新文献
Guarding the Guidelines: Objectivity in Treatment Recommendations. Trauma-Focused ACT: A Practitioner's Guide to Working With Mind, Body, and Emotion Using Acceptance and Commitment Therapy. Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences. Implementing a Problem-Oriented Integrative Therapy: Flexible Care for Patients Experiencing Complex Psychiatric Conditions. Problem-Oriented Integrative Therapy: Maximizing Clinical Flexibility in Treating Complex Psychiatric Conditions.
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