Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses
The use of dialectical behavioral therapy (DBT) among a variety of programs and patients has recently exploded. Of particular interest is the use of DBT in partial hospital (PH) programs due to the high number of severely ill and suicidal patients who participate in these programs. Recently, Lothes,...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2016-11-01
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| Series: | Research in Psychotherapy |
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| Online Access: | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/219 |
| _version_ | 1811208875261558784 |
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| author | John E. Lothes II Kirk D. Mochrie Emalee J.W. Quickel Jane St. John |
| author_facet | John E. Lothes II Kirk D. Mochrie Emalee J.W. Quickel Jane St. John |
| author_sort | John E. Lothes II |
| collection | DOAJ |
| description | The use of dialectical behavioral therapy (DBT) among a variety of programs and patients has recently exploded. Of particular interest is the use of DBT in partial hospital (PH) programs due to the high number of severely ill and suicidal patients who participate in these programs. Recently, Lothes, Mochrie and St. John (2014) examined data from a local DBT-informed PH program and found significant reductions in depression, anxiety, hopelessness, and degree of suffering from intake to discharge. The present study examined these same four symptom constructs by assessing intake and discharge data for additional individuals enrolled in this DBT-informed PH program. In addition, lengths of stay and acuity ratings were analyzed to explore the relationship between these variables and symptom constructs. Significant symptom reduction in depression, anxiety, hopelessness, and degree of suffering from intake to discharge was found among high and medium acuity patients, replicating the results of Lothes et al. (2014). Further, individuals with the highest acuity saw the largest reduction in hopelessness symptoms the longer they participated in the program (i.e., a significant interaction effect between acuity and length of stay). This is meaningful given the connection between hopelessness and suicidal ideation/action, which is of particular concern for those charged with treating clinical populations. DBT-informed PH programs may be a cost-effective and useful way to treat high-risk patients who come from inpatient facilities. Future studies may wish to create follow-up periods (i.e., 3 months, 6 months) post-discharge to assess if symptom reduction remains. |
| first_indexed | 2024-04-12T04:29:23Z |
| format | Article |
| id | doaj.art-987260c7e58342caab402deb3d9b5e52 |
| institution | Directory Open Access Journal |
| issn | 2499-7552 2239-8031 |
| language | English |
| last_indexed | 2024-04-12T04:29:23Z |
| publishDate | 2016-11-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Research in Psychotherapy |
| spelling | doaj.art-987260c7e58342caab402deb3d9b5e522022-12-22T03:47:59ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312016-11-0119210.4081/ripppo.2016.219Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analysesJohn E. Lothes II0Kirk D. Mochrie1Emalee J.W. Quickel2Jane St. John3Department of Psychology, University of North Carolina Wilmington, Wilmington, NCPsychology Department, East Carolina University, Greenville, NCPsychology Department, Loyola University Maryland, Baltimore, MDDelta Behavioral Health, Wilmington, NCThe use of dialectical behavioral therapy (DBT) among a variety of programs and patients has recently exploded. Of particular interest is the use of DBT in partial hospital (PH) programs due to the high number of severely ill and suicidal patients who participate in these programs. Recently, Lothes, Mochrie and St. John (2014) examined data from a local DBT-informed PH program and found significant reductions in depression, anxiety, hopelessness, and degree of suffering from intake to discharge. The present study examined these same four symptom constructs by assessing intake and discharge data for additional individuals enrolled in this DBT-informed PH program. In addition, lengths of stay and acuity ratings were analyzed to explore the relationship between these variables and symptom constructs. Significant symptom reduction in depression, anxiety, hopelessness, and degree of suffering from intake to discharge was found among high and medium acuity patients, replicating the results of Lothes et al. (2014). Further, individuals with the highest acuity saw the largest reduction in hopelessness symptoms the longer they participated in the program (i.e., a significant interaction effect between acuity and length of stay). This is meaningful given the connection between hopelessness and suicidal ideation/action, which is of particular concern for those charged with treating clinical populations. DBT-informed PH programs may be a cost-effective and useful way to treat high-risk patients who come from inpatient facilities. Future studies may wish to create follow-up periods (i.e., 3 months, 6 months) post-discharge to assess if symptom reduction remains.https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/219Dialectical behavior therapyPartial hospitalSymptom reduction |
| spellingShingle | John E. Lothes II Kirk D. Mochrie Emalee J.W. Quickel Jane St. John Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses Research in Psychotherapy Dialectical behavior therapy Partial hospital Symptom reduction |
| title | Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses |
| title_full | Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses |
| title_fullStr | Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses |
| title_full_unstemmed | Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses |
| title_short | Evaluation of a dialectical behavior therapy-informed partial hospital program: outcome data and exploratory analyses |
| title_sort | evaluation of a dialectical behavior therapy informed partial hospital program outcome data and exploratory analyses |
| topic | Dialectical behavior therapy Partial hospital Symptom reduction |
| url | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/219 |
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