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Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study / Doha BEMMOUNA in Journal of Autism and Developmental Disorders, 52-10 (October 2022)
[article]
Titre : Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study Type de document : Texte imprimé et/ou numérique Auteurs : Doha BEMMOUNA, Auteur ; Romain COUTELLE, Auteur ; Sébastien WEIBEL, Auteur ; Luisa WEINER, Auteur Article en page(s) : p.4337-4354 Langues : Anglais (eng) Mots-clés : Adults Autism spectrum disorder Dialectical behavior therapy Emotion dysregulation Self-harm Suicidality Index. décimale : PER Périodiques Résumé : Self-harm and suicidal behaviors are prevalent among autistic adults without intellectual disability (ID). Emotion dysregulation (ED), the difficulty in modulating emotions, has been identified as an important risk factor. Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder. Our study aimed at assessing the feasibility, acceptability and preliminary efficacy of DBT in seven autistic adults without ID exhibiting self-harm and/or suicidal behaviors linked to severe ED. Our results suggest that DBT is feasible and highly acceptable to autistic adults without ID. Additionally, mean scores on the Difficulties in Emotion Regulation Scale decreased significantly post-treatment and at 4-month follow-up, suggesting that DBT might be efficacious in reducing ED in this population. En ligne : http://dx.doi.org/10.1007/s10803-021-05317-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486
in Journal of Autism and Developmental Disorders > 52-10 (October 2022) . - p.4337-4354[article] Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study [Texte imprimé et/ou numérique] / Doha BEMMOUNA, Auteur ; Romain COUTELLE, Auteur ; Sébastien WEIBEL, Auteur ; Luisa WEINER, Auteur . - p.4337-4354.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-10 (October 2022) . - p.4337-4354
Mots-clés : Adults Autism spectrum disorder Dialectical behavior therapy Emotion dysregulation Self-harm Suicidality Index. décimale : PER Périodiques Résumé : Self-harm and suicidal behaviors are prevalent among autistic adults without intellectual disability (ID). Emotion dysregulation (ED), the difficulty in modulating emotions, has been identified as an important risk factor. Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder. Our study aimed at assessing the feasibility, acceptability and preliminary efficacy of DBT in seven autistic adults without ID exhibiting self-harm and/or suicidal behaviors linked to severe ED. Our results suggest that DBT is feasible and highly acceptable to autistic adults without ID. Additionally, mean scores on the Difficulties in Emotion Regulation Scale decreased significantly post-treatment and at 4-month follow-up, suggesting that DBT might be efficacious in reducing ED in this population. En ligne : http://dx.doi.org/10.1007/s10803-021-05317-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions / Molly ADRIAN in Journal of Child Psychology and Psychiatry, 60-10 (October 2019)
[article]
Titre : Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions Type de document : Texte imprimé et/ou numérique Auteurs : Molly ADRIAN, Auteur ; E. MCCAULEY, Auteur ; Michele S. BERK, Auteur ; J. R. ASARNOW, Auteur ; K. KORSLUND, Auteur ; C. AVINA, Auteur ; R. GALLOP, Auteur ; Marsha M. LINEHAN, Auteur Article en page(s) : p.1123-1132 Langues : Anglais (eng) Mots-clés : Moderators dialectical behavior therapy predictors treatment response Index. décimale : PER Périodiques Résumé : BACKGROUND: In primary analyses, dialectical behavior therapy (DBT) was associated with greater reduction in self-harm during treatment than individual/group supportive therapy (IGST). The objective of this paper was to examine predictors and moderators of treatment outcomes for suicidal adolescents who participated in a randomized controlled trial evaluating DBT and IGST. METHODS: Adolescents (N = 173) were included in the intent-to-treat sample and randomized to receive 6 months of DBT or IGST. Potential baseline predictors and moderators were identified within four categories: demographics, severity markers, parental psychopathology, and psychosocial variables. Primary outcomes were suicide attempts (SA) and nonsuicidal self-injury evaluated at baseline, midtreatment (3 months), and end of treatment (6 months) via the Suicide Attempt and Self-Injury Interview (Psychological Assessment, 18, 2006, 303). For each moderator or predictor, a generalized linear mixed model was conducted to examine main and interactive effects of treatment and the candidate variable on outcomes. RESULTS: Adolescents with higher family conflict, more extensive self-harm histories, and more externalizing problems produced on average more reduction on SH frequency from baseline to post-treatment. Adolescents meeting BPD diagnosis were more likely to have high SH frequency at post-treatment. Analyses indicated significant moderation effects for emotion dysregulation on NSSI and SH. DBT was associated with better rates of improvement compared to IGST for adolescents with higher baseline emotion dysregulation and those whose parents reported greater psychopathology and emotion dysregulation. A significant moderation effect for ethnicity on SA over the treatment period was observed, where DBT produced better rate of improvement compared to IGST for Hispanic/Latino individuals. CONCLUSIONS: These findings may help to inform salient treatment targets and guide treatment planning. Adolescents that have high levels of family conflict, externalizing problems, and increased level of severity markers demonstrated the most change in self-harm behaviors over the course of treatment and benefitted from both treatment interventions. Those with higher levels of emotion dysregulation and parent psychopathology may benefit more from the DBT. En ligne : http://dx.doi.org/10.1111/jcpp.13099 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406
in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1123-1132[article] Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions [Texte imprimé et/ou numérique] / Molly ADRIAN, Auteur ; E. MCCAULEY, Auteur ; Michele S. BERK, Auteur ; J. R. ASARNOW, Auteur ; K. KORSLUND, Auteur ; C. AVINA, Auteur ; R. GALLOP, Auteur ; Marsha M. LINEHAN, Auteur . - p.1123-1132.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1123-1132
Mots-clés : Moderators dialectical behavior therapy predictors treatment response Index. décimale : PER Périodiques Résumé : BACKGROUND: In primary analyses, dialectical behavior therapy (DBT) was associated with greater reduction in self-harm during treatment than individual/group supportive therapy (IGST). The objective of this paper was to examine predictors and moderators of treatment outcomes for suicidal adolescents who participated in a randomized controlled trial evaluating DBT and IGST. METHODS: Adolescents (N = 173) were included in the intent-to-treat sample and randomized to receive 6 months of DBT or IGST. Potential baseline predictors and moderators were identified within four categories: demographics, severity markers, parental psychopathology, and psychosocial variables. Primary outcomes were suicide attempts (SA) and nonsuicidal self-injury evaluated at baseline, midtreatment (3 months), and end of treatment (6 months) via the Suicide Attempt and Self-Injury Interview (Psychological Assessment, 18, 2006, 303). For each moderator or predictor, a generalized linear mixed model was conducted to examine main and interactive effects of treatment and the candidate variable on outcomes. RESULTS: Adolescents with higher family conflict, more extensive self-harm histories, and more externalizing problems produced on average more reduction on SH frequency from baseline to post-treatment. Adolescents meeting BPD diagnosis were more likely to have high SH frequency at post-treatment. Analyses indicated significant moderation effects for emotion dysregulation on NSSI and SH. DBT was associated with better rates of improvement compared to IGST for adolescents with higher baseline emotion dysregulation and those whose parents reported greater psychopathology and emotion dysregulation. A significant moderation effect for ethnicity on SA over the treatment period was observed, where DBT produced better rate of improvement compared to IGST for Hispanic/Latino individuals. CONCLUSIONS: These findings may help to inform salient treatment targets and guide treatment planning. Adolescents that have high levels of family conflict, externalizing problems, and increased level of severity markers demonstrated the most change in self-harm behaviors over the course of treatment and benefitted from both treatment interventions. Those with higher levels of emotion dysregulation and parent psychopathology may benefit more from the DBT. En ligne : http://dx.doi.org/10.1111/jcpp.13099 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation / Amy L. BYRD in Development and Psychopathology, 33-5 (December 2021)
[article]
Titre : Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation Type de document : Texte imprimé et/ou numérique Auteurs : Amy L. BYRD, Auteur ; Angela H. LEE, Auteur ; Olivia A. FRIGOLETTO, Auteur ; Maureen ZALEWSKI, Auteur ; Stephanie D. STEPP, Auteur Article en page(s) : p.1821-1836 Langues : Anglais (eng) Mots-clés : dialectical behavior therapy emotion regulation externalizing problems intergenerational transmission longitudinal trajectory preschool Index. décimale : PER Périodiques Résumé : While the Research Domain Criteria (RDoC) acknowledges that environmental and developmental influences represent important elements of the RDoC framework, there is little specificity regarding how and when to systematically examine the impact of these dimensions on domains of function. The primary aims of this paper are to demonstrate the ways in which the RDoC can be expanded to include an explicit emphasis on (a) assessing within-individual change in developmental processes over time and (b) evaluating the extent to which selective and measurable environmental influences drive meaningful change during key developmental periods. We provide data from an ongoing randomized control trial as a proof of concept to highlight how repeated assessments within an experimental intervention design affords the unique opportunity to test the impact of environmental influences on within-individual change. Using preliminary data from 77 mother–child dyads repeatedly assessed across 12 months during the sensitive preschool period, we demonstrate the impact of change in maternal emotion regulation (ER) on within-individual growth in child ER and link that growth to fewer teacher-reported externalizing problems. In line with this Special Issue, findings are discussed within the context of expanding and clarifying the existing RDoC framework to explicitly incorporate environmental and developmental dimensions. En ligne : http://dx.doi.org/10.1017/S0954579421000948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458
in Development and Psychopathology > 33-5 (December 2021) . - p.1821-1836[article] Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation [Texte imprimé et/ou numérique] / Amy L. BYRD, Auteur ; Angela H. LEE, Auteur ; Olivia A. FRIGOLETTO, Auteur ; Maureen ZALEWSKI, Auteur ; Stephanie D. STEPP, Auteur . - p.1821-1836.
Langues : Anglais (eng)
in Development and Psychopathology > 33-5 (December 2021) . - p.1821-1836
Mots-clés : dialectical behavior therapy emotion regulation externalizing problems intergenerational transmission longitudinal trajectory preschool Index. décimale : PER Périodiques Résumé : While the Research Domain Criteria (RDoC) acknowledges that environmental and developmental influences represent important elements of the RDoC framework, there is little specificity regarding how and when to systematically examine the impact of these dimensions on domains of function. The primary aims of this paper are to demonstrate the ways in which the RDoC can be expanded to include an explicit emphasis on (a) assessing within-individual change in developmental processes over time and (b) evaluating the extent to which selective and measurable environmental influences drive meaningful change during key developmental periods. We provide data from an ongoing randomized control trial as a proof of concept to highlight how repeated assessments within an experimental intervention design affords the unique opportunity to test the impact of environmental influences on within-individual change. Using preliminary data from 77 mother–child dyads repeatedly assessed across 12 months during the sensitive preschool period, we demonstrate the impact of change in maternal emotion regulation (ER) on within-individual growth in child ER and link that growth to fewer teacher-reported externalizing problems. In line with this Special Issue, findings are discussed within the context of expanding and clarifying the existing RDoC framework to explicitly incorporate environmental and developmental dimensions. En ligne : http://dx.doi.org/10.1017/S0954579421000948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458