Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions (MDCE). However, there is limited evidence available for the effectiveness of DBT skills training for adolescents with MDCE who are resident within a secure impatient setting. The paper aims to discuss these issues.,A retrospective study investigated changes in aggressive and self-injurious behaviours in 22 adolescents within a secure inpatient mental health setting with MDCE who had completed one cycle of DBT skills training. Changes in symptomatic problems, behavioural and social impairment were also investigated in 17 of the 22 participants who completed the DBT skills training cycle.,There were statistically significant decreases in the frequencies of engagement in total aggressive and deliberate self-harm behaviours after the DBT skills training cycle. There was a significant improvement in symptomatic and behavioural impairment, but not in social impairment.,The findings of this study suggest that DBT skills training may be beneficial for behavioural and symptomatic outcomes in adolescent inpatients with MDCE.,This study provides preliminary evidence for the effectiveness of DBT skills training for adolescents with MDCE within a secure inpatient setting. Additional studies are required to investigate the clinical benefits of specific aspects of DBT for individual patients.

中文翻译：

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青少年住院患者辩证行为疗法

辩证行为疗法（DBT）旨在减少行为和情感混合障碍（MDCE）的成年人的情绪失调和参与度较低的适应性行为。但是，对于居住在安全的急躁环境中的MDCE青少年，DBT技能培训的有效性的证据有限。本文旨在讨论这些问题。一项回顾性研究调查了22名青少年在MDCE的安全住院精神健康环境中完成了一个DBT技能训练周期后其攻击性和自我伤害行为的变化。在完成DBT技能培训周期的22名参与者中，有17名参与者对症状问题，行为和社会障碍的变化进行了调查。在进行DBT技能培训后，参与全面的主动和故意自我伤害行为的频率有统计上的显着下降。在症状和行为障碍方面有显着改善，但在社会障碍方面没有改善。本研究的结果表明，DBT技能培训可能对MDCE的青少年住院患者的行为和症状结局有益。在安全住院环境中对MDCE青少年进行DBT技能培训的有效性。需要进行其他研究以调查DBT特定方面对个别患者的临床益处。在症状和行为障碍方面有显着改善，但在社会障碍方面没有改善。本研究的结果表明，DBT技能培训可能对MDCE的青少年住院患者的行为和症状结局有益。在安全住院环境中对MDCE青少年进行DBT技能培训的有效性。需要进行其他研究以调查DBT特定方面对个别患者的临床益处。在症状和行为障碍方面有显着改善，而在社会障碍方面则没有。在安全住院环境中对MDCE青少年进行DBT技能培训的有效性。需要进行其他研究以调查DBT特定方面对个别患者的临床益处。这项研究提供了初步的证据，证明了在安全的住院环境中对患有MDCE的青少年进行DBT技能培训的有效性。需要进行其他研究以调查DBT特定方面对个别患者的临床益处。这项研究提供了初步的证据，证明了在安全的住院环境中对患有MDCE的青少年进行DBT技能培训的有效性。需要进行其他研究以调查DBT特定方面对个别患者的临床益处。