A Proof of Concept for Using Brief Dialectical Behavior Therapy as a Treatment for Problem Gambling

2013 ◽  
Vol 30 (2) ◽  
pp. 117-137 ◽  
Author(s):  
Darren R. Christensen ◽  
Nicki A. Dowling ◽  
Alun C. Jackson ◽  
Meredith Brown ◽  
James Russo ◽  
...  
Keyword(s):  
Problem Gambling ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Distress Tolerance ◽  
Gambling Behaviour ◽  
Problem Gamblers ◽  
Gambling Expenditure ◽  
Clinically Significant ◽  
Negative Relationships

Fourteen ‘treatment resistant’ problem gamblers received 9 weeks of Dialectical Behavior Therapy (DBT) at specialist problem gambling services delivered in Melbourne, Australia. This study is the first to investigate the effectiveness of a brief DBT treatment for problem gambling, with a focus on measuring change in the four DBT process skills (mindfulness, distress tolerance, emotion dysregulation, and negative relationships). Although there were no statistically significant improvements in measures of gambling behaviour, 83% of participants were abstinent or reduced their gambling expenditure pre- to post-treatment. Participants also reported statistically and clinically significant improvements in psychological distress, mindfulness, and distress tolerance. Moreover, there were no increases in alcohol or substance use. These results are discussed in the context of focusing on a single DBT process skill, and the benefits of using group-based approaches.

Dialectical Behavior Therapy and Treatment of Emotion Dysregulation

2019 ◽  
pp. 462-476
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Distress Tolerance ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Cognitive Behavioral Treatment ◽  
Multimethod Research

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

scholarly journals PERAN PENDEKTAN KONSELING BERBASIS DIALECTICAL BEHAVIOR THERAPY (DBT) DALAM MENDUKUNG PEMULIHAN TRAUMA PADA PEREMPUAN YANG MENGALAMI KDRT

2019 ◽  
Vol 3 (1) ◽  
pp. 116
Author(s):  
Diana Christina ◽  
Irwanto Irwanto
Keyword(s):  
Domestic Violence ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Distress Tolerance ◽  
Psychological Impact ◽  
Gain Control ◽  
Abusive Behavior ◽  
Self Confidence ◽  
Depression Level ◽  
Counseling Technique

Kekerasan dalam rumah tangga mengacu pada segala bentuk perilaku semena-mena yang tidak hanya berupa kekerasan fisik, tetapi juga kekerasan verbal dan seksual. Kekerasan dalam rumah tangga adalah sebuah fenomena yang telah menarik perhatian dunia karena perilaku kasar yang diterima perempuan dari pasangannya dalam jangka panjang, yang mengarah pada konsekuensi buruk kesehatan mental seperti PTSD dalam bentuk pikiran yang mengganggu, mimpi buruk, kilas balik, hypervigilances, dan emosi-emosi negatif berlebih (kesedihan, kemarahan, kekecewaan, keputusasaan) yang dapat menyebabkan pikiran untuk bunuh diri. Dua wanita yang mengalami kekerasan dalam rumah tangga dan saat ini tinggal di tempat penampungan berpartisipasi dalam penelitian ini. Mereka diberikan teknik konseling berbasis Dialectical Behavior Therapy (DBT) untuk membantu mereka menerima pengalaman mereka tanpa dihakimi dan untuk meningkatkan kapasitas mereka untuk mengendalikan pikiran dan emosi mereka. Konseling berbasis DBT diberikan dalam tiga sesi; toleransi terhadap tekanan, mindfulness, dan regulasi emosi. Kami melibatkan dua peserta perempuan yang diberi tempat tinggal sementara. Screening menggunakan Beck Depression Index (BDI-II) yang menunjukkan setidaknya tingkat depresi menengah atas, dan checklist tentang jenis kekerasan, dampak fisik dan psikologis yang disebabkan oleh perilaku pasangannya yang kasar. Setelah tiga sesi konseling berbasis DBT, peserta mulai mendapatkan kendali atas hidup mereka, menunjukkan peningkatan dalam kepercayaan diri dan menjunjung tinggi keyakinan bahwa mereka dapat maju. Domestic violence refers to any kind of abusive behavior that is not only physical, but also verbal and sexual violence. Domestic violence is a phenomenon that has garnered the worldwide attention due to the long term abusive behaviors that women have received from their partners, which leads to serious mental health consequences such as PTSD in the forms of intrusive thought, nightmares, flashback, hypervigilances, and overwhelming  negative emotions (sadness, anger, disappointment, hopelessness) that may lead to suicidal thoughts. Two women who experienced domestic abuse and currently living in a shelter particiated in this study. They were provided with a counseling technique based on (DBT) to help them accept their experiences without any judgement and to enhance their capacity to controlling their thoughts and emotion. Counseling based on DBT was given in three sessions; distress tolerance, mindfulness, and emotion regulation. We involved two female participants who were provided with a temporary shelter. Screening using a Beck Depression Index (BDI-II) showed at least moderate depression level and above, and a checklist form about the type of violence, physical and psychological impact caused by their abusive partner’s behavior. After three sessions of counseling based on DBT, participants started to gain control of their lives, show improvements in self-confidence and uphold a belief that they can move forward.

A Dialectical Behavior Therapy Skills Group Case Study on Mothers With Severe Emotion Dysregulation

2017 ◽  
Vol 24 (4) ◽  
pp. 405-415 ◽  
Author(s):  
Christina Gamache Martin ◽  
Leslie E. Roos ◽  
Maureen Zalewski ◽  
Nicole Cummins
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Group Case ◽  
Skills Group

The interactive effects of avoidance coping and dysphoric mood on problem gambling for female and male gamblers

2003 ◽  
Author(s):  
Anna Thomas ◽  
Susan Moore
Keyword(s):  
Problem Gambling ◽  
Negative Mood ◽  
Mood States ◽  
Interactive Effects ◽  
Gambling Behaviour ◽  
Avoidance Coping ◽  
Problem Gamblers ◽  
And Coping ◽  
Anxiety Depression ◽  
Dysphoric Mood

A study involving 83 female and 72 male gamblers tested the direct and interactional effects of avoidance coping and five dysphoric moods on problem gambling via regression analysis. Important differences were found between female and male gamblers. For female gamblers, loneliness, boredom, anxiety, depression and avoidance coping were all positively related to problem gambling. Additionally, interactions between these mood states and avoidance coping significantly predicted problem gambling; female gamblers with high dysphoria and high avoidance coping showed substantially more symptoms of problem gambling than those scoring high on only one variable. In contrast, loneliness and stress were the only significant predictors of problem gambling for males - neither avoidance coping nor any of the interactional relationships between mood and coping predicted problem gambling. These results support previous qualitative studies and suggest that female problem gamblers gamble as an escape from dysphoric moods. Even though male problem gamblers expressed more negative affect than male non-problem gamblers, there was no evidence to suggest that negative mood was a precursor rather than an outcome of gambling behaviour.

scholarly journals Dialectical Behavior Therapy Skills Training as a Standalone Therapy: a Scoping Review Protocol

2021 ◽  
Author(s):  
Branden Thorsteinson ◽  
M. Natalie Husarewycz ◽  
Hal Loewen ◽  
Maclean Thiessen
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Scoping Review ◽  
Emotion Dysregulation ◽  
Skills Training ◽  
Future Research ◽  
Summary Table ◽  
Problems In Living ◽  
Scoping Reviews ◽  
Core Elements

Abstract Background: Dialectical Behavior Therapy (DBT) Skills Training (DBT-ST) is one of the four core elements of standard DBT. Studies show that standalone DBT-ST appears to be a promising treatment in patients with emotion dysregulation by teaching them skills needed to change patterns associated with problems in living. It is not clear who benefits from this treatment and which components are most beneficial. Relevant studies will be easily navigated once mapped and summarized in this proposed scoping review.Methods:The proposed scoping review will be conducted following Joanna Briggs Institute (JBI) methodology for scoping reviews. Medical literature databases including MEDLINE, PsycINFO, EMBASE, CINAHL, SCOPUS, Web of Science, and Cochrane will be searched. Papers retrieved will be screened for inclusion by two independent reviewers and data will be extracted and reported in a summary table with supporting narrative. We aim to include all English academic papers addressing standalone DBT-ST including studies utilizing quantitative, qualitative, and mixed methods approaches. Discussion:The objective of this scoping review is to explore the literature, map, and summarize evidence pertaining to DBT-ST to help guide future research and treatment.

The Influence of Demographic, Behavioural and Treatment Characteristics on Problem Gambling Counselling Outcomes

2001 ◽  
Vol 7 (2) ◽  
pp. 32 ◽  
Author(s):  
Beth R. Crisp ◽  
Shane A. Thomas ◽  
Alun C. Jackson ◽  
Neil Thomason
Keyword(s):  
Problem Gambling ◽  
Treatment Programs ◽  
Gambling Behaviour ◽  
Publicly Funded ◽  
Client Characteristics ◽  
Data Set ◽  
Problem Gamblers ◽  
Problem Resolution ◽  
Counselling Services ◽  
Problematic Gambling

The paper considers the influence of client characteristics and gambling behaviour as well as treatment modality on the resolution of gambling behaviour for 591 clients who sought help from the publicly-funded BreakEven counselling services in the state of Victoria between 1 July 1996 and 30 June 1997. Statistical data about clients and their consultations was collected in the form of a Minimum Data Set. On their own, client demographics accounting for 12% of the variance were identified as discriminating between problem gamblers who achieved some resolution of their gambling behaviour and those whose behaviour did not change. Variables associated with gambling behaviour accounted for 10% of variance and treatment variables for 12% of variance in treatment outcomes. Collectively, the three types of data could explain 26% of the variance in problem resolution. Importantly, these findings demonstrate that the resolution of problematic gambling behaviour is affected by a complex interplay of client characteristics, their gambling behaviour and the treatment they receive. It is argued that the evaluation of treatment programs for problem gambling, and potentially all counselling programs in the primary health arena, needs to include measures from each of these domains.

A Condensed Dialectical Behavior Therapy Skills Group for Binge Eating Disorder: Overcoming Winter Challenges

2013 ◽  
Vol 27 (4) ◽  
pp. 338-358 ◽  
Author(s):  
Sarah Erb ◽  
Antonina Farmer ◽  
Robyn Mehlenbeck
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Binge Eating Disorder ◽  
Diagnostic Category ◽  
Future Research ◽  
Skills Group ◽  
Clinically Significant ◽  
Treatment Gains

Although binge eating disorder (BED) is a recent diagnostic category, research for efficacious and effective treatment is well underway. This case study describes a dialectical behavior therapy (DBT) skills group for BED implemented in an outpatient community clinic. Although based on Safer, Telch, and Chen’s (2009) manual for BED and bulimia nervosa (BN), notable adaptations included shortening the group’s duration from 20 to 12 weeks, adding an interpersonal effectiveness module and DBT-informed “Holiday Plan” worksheets, and providing inclement weather alternatives. Despite the added challenges associated with winter treatment of BED (e.g., holiday meals, weather-related schedule interruptions), the 3 women who completed treatment no longer met criteria for BED at termination and their feedback suggested that the treatment was highly acceptable. Group members demonstrated clinically significant reductions in disordered eating behavior and improvements in self-esteem, emotion regulation, and quality of life. Treatment gains were maintained at 1-year follow-up. Our discussion includes treatment implications and recommendations for future research.

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