Coping with Transitions: A Promising Intensive Outpatient DBT Program for Emerging Adults and Their Families.

IF 1.5 Q3 PSYCHOLOGY, CLINICAL JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2023-05-18 DOI:10.1007/s10879-023-09583-w
Joseph R Taliercio, Talia Wigod, Joy Shen, Lauren Yang, Suzanne Davino, Elaina Servidio, Lata K McGinn, Alec L Miller
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Abstract

Emerging adulthood is a period of significant exploration, transformation, variability, and growth. Simultaneously, this developmental period presents unique challenges as emerging adults work to achieve developmental milestones including self-identity formation, the establishment of long-term intimate relationships, career advancement, and independence from parents. For those who are vulnerable, this period is also marked by the development of significant mental health problems and associated impairment, which prevents individuals from successfully reaching these developmental milestones. To address the various challenges unique to this developmental period, we created and implemented a multifaceted DBT treatment protocol to specifically address emotional dysregulation within emerging adults. The current study presents an evaluation of a novel, intensive, outpatient DBT program called System for Adult Growth and Emergence-Foundations (SAGE-F). We aim to first introduce the SAGE-F treatment protocol, and then to assess both its short and long-term therapeutic value. Participants enrolled in SAGE-F were administered a testing battery assessing symptom severity, functioning capacities, and coping strategies at intake, upon completion of the program 6-weeks later, and at 3-month follow-up. It was found participants who completed SAGE-F reported significant reductions in depression and anxiety symptoms, as well as non-suicidal self-injurious behaviors. Simultaneously, participants also reported improvements in their daily functioning and coping capacities. Follow-up assessments indicated therapeutic progress remained.

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应对转型:一项针对新兴成年人及其家庭的有前景的强化门诊DBT计划。
成年期是一个探索、转变、变化和成长的时期。与此同时,随着新兴成年人努力实现发展里程碑,包括自我认同的形成、长期亲密关系的建立、职业发展和脱离父母的独立,这一发展时期也面临着独特的挑战。对于那些易受伤害的人来说,这一时期还出现了严重的心理健康问题和相关的障碍,这阻碍了个人成功达到这些发展里程碑。为了应对这一发展时期特有的各种挑战,我们制定并实施了一项多方面的DBT治疗方案,专门解决新兴成年人的情绪调节障碍问题。目前的研究对一项名为“成人成长和急救基础系统”(SAGE-F)的新型强化门诊DBT项目进行了评估。我们的目标是首先介绍SAGE-F治疗方案,然后评估其短期和长期治疗价值。参加SAGE-F的参与者在摄入时、6周后完成项目后和3个月随访时接受了一组测试,评估症状严重程度、功能能力和应对策略。研究发现,完成SAGE-F的参与者报告说,抑郁和焦虑症状以及非自杀自残行为显著减少。同时,参与者还报告说,他们的日常功能和应对能力有所改善。随访评估显示治疗仍有进展。
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来源期刊
CiteScore
4.40
自引率
5.00%
发文量
44
期刊介绍: Journal of Contemporary Psychotherapy provides an international forum to critique the complexities and controversies facing psychotherapists. The journal publishes original peer-reviewed articles that critically analyze theory, research, or clinical practice. Empirical studies, panel discussions, essays, case studies, brief reports, and theoretical articles are published. Psychotherapists and clinical researchers will find this journal an important vehicle to review the problems of treating a variety of patients.
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