Citation

Fleischhaker C, Munz M, Böhme R, Sixt B, Schulz E. Z. Kinder Jugendpsychiatr Psychother. 2006; 34(1): 15-25.

Vernacular Title

Dialektisch-Behaviorale Therapie fur Adoleszente (DBT-A)--Eine Pilotstudie zur

Affiliation

Universitätsklinikum Freiburg, Universitätsklinik für Psychiatrie und Psychosomatik, Abteilung für Psychiatrie und Psychotherapie im Kindes- und Jugendalter, Freiburg. fleischhaker@psyallg.ukl.uni-freiburg.de

Copyright

(Copyright © 2006, Verlag Hans Huber)

DOI

unavailable

PMID

16485610

Abstract

OBJECTIVES: In Germany suicide ranks as the second leading cause of death in adolescents. Risk factors for suicide are impulsive and self-injurious behaviour, depression, and conduct disorder. The main hypothesis of our study is that Dialectical Behavior Therapy (DBT) for adolescents is an effective method of treatment for these patients. METHODS: DBT was developed by Marsha Linehan specifically for the outpatient treatment of chronically parasuicidal female patients with a diagnosis of borderline personality disorder. Miller & Rathus modified DBT for use with adolescents (DBT-A). and our group adapted the DBT-A for use in an outpatient treatment setting in Germany. In a pre-post comparison, the efficacy of treatment was measured using standardized instruments (SCL-90-R, CBCL, YSR, ILK, CGI, etc.). RESULTS: In a pilot study of 12 adolescents, we found effect sizes between 1.1 and 2.9. During treatment, self-injurious behaviour declined significantly. Prior to entering therapy, 8 of the 12 patients had attempted suicide at least once. During treatment according to DBT-A there were no suicide attempts. CONCLUSIONS: These results are so promising that we are now planning a randomized, multi-centre study.

Language: de