Abstract

Objective

Preliminary evidence suggests the efficacy of Dialectical Behavior Therapy (DBT) to reduce clinical symptoms in Partial Hospital (PH) programs. However, less is known about DBT in Intensive Outpatient (IOP) programs, or in PH to IOP step-down models. The current study examined changes in depression, anxiety, stress, hopelessness, and mindfulness skills acquisition, from intake and discharge data of clients at a southeastern behavioral health clinic in the United States.

Method

The sample included 146 clients, 65.75% female (ages M = 33.88, SD = 12.34), who attended either a DBT-PH, -IOP, or -PH to IOP step-down program. Participants completed the Depression, Anxiety, Stress Scale (DASS-21), Beck Hopelessness Scale (BHS), and Five Facets of Mindfulness Questionnaire Short Form (FFMQ-SF).

Results

Depression, anxiety, and hopelessness decreased from intake to discharge in the PH program, while all symptoms decreased in the IOP and step-down programs. Mindfulness total scores, and most subscales, increased in each program. Mindfulness skills acquisition predicted decreases in depression and stress in the IOP group, and decreases in depression and hopelessness in the step-down group.

Conclusion

Overall, clinical symptoms and mindfulness skills acquisition improved over the course of the DBT-PH and—IOP programs.

中文翻译：

---

在 DBT 知情的部分医院、强化门诊和降级计划中减少症状：正念很重要

摘要

客观的

初步证据表明辩证行为疗法 (DBT) 可有效减轻部分医院 (PH) 项目的临床症状。然而，在重症门诊 (IOP) 计划或 PH 到 IOP 降压模型中，人们对 DBT 知之甚少。目前的研究从美国东南部行为健康诊所的客户进出数据中检查了抑郁、焦虑、压力、绝望和正念技能习得的变化。

方法

样本包括 146 名客户，其中 65.75% 为女性（年龄M  = 33.88，SD  = 12.34），他们参加了 DBT-PH、-IOP 或 -PH 到 IOP 降级计划。参与者完成了抑郁、焦虑、压力量表 (DASS-21)、贝克绝望量表 (BHS) 和正念五方面问卷简表 (FFMQ-SF)。

结果

在 PH 项目中，抑郁、焦虑和绝望从入院到出院有所减少，而在 IOP 和降级项目中所有症状均有所下降。每个项目的正念总分和大多数子量表都有所增加。正念技能的获得预示着眼压组的抑郁和压力减少，而降压组的抑郁和绝望减少。

结论

总体而言，在 DBT-PH 和 IOP 项目的过程中，临床症状和正念技能的获得有所改善。