Citation

Long CG, Fulton B, Dolley O, Hollin CR. Behav. Cognit. Psychother. 2011; 39(2): 243-247.

Copyright

(Copyright © 2011, British Association for Behavioural and Cognitive Psychotherapies, Publisher Cambridge University Press)

DOI

10.1017/S1352465810000573

PMID

21114895

Abstract

BACKGROUND: Women in secure psychiatric settings have gender specific treatment needs. The current study examined the feasibility of a Dealing with Feelings Skills Group training for dual diagnosis women admitted to a medium secure setting.
METHOD: A pre-test--post-test design was used to evaluate a group programme adapted from dialectical behaviour therapy skills training.
RESULTS: Most patients had a primary diagnosis of personality disorder. Treatment completers (n = 29) were compared with non-completers (n = 15). Clinically significant changes in treatment completers were apparent on coping response measures of positive reappraisal, problem solving and alternative rewards; on measures of anxiety and suicidality; on self-reported ability to engage in activities to reduce negative mood and to recognize mood changes. Self-harming and aggressive behaviours also reduced in the 3 months following group treatment.
CONCLUSION: An adapted coping skills component of DBT benefit many dual diagnosis patients: issues related to treatment drop-out and failure to benefit are discussed.

Language: en

Keywords

Humans; Adult; Female; Self Concept; Emotions; Anxiety; Young Adult; Sex Factors; Risk-Taking; Pilot Projects; Self-Injurious Behavior; Feasibility Studies; Suicidal Ideation; Aggression; Affect; Schizophrenia; Reward; Psychometrics; Adaptation, Psychological; Personality Inventory; Brief Psychiatric Rating Scale; Commitment of Mentally Ill; Personality Disorders; Diagnosis, Dual (Psychiatry); Problem Solving; Schizophrenic Psychology; Psychotic Disorders; Prisoners; Security Measures; Bipolar Disorder; Psychotherapy, Group; Cognitive Behavioral Therapy