TY - JOUR PY - 2006// TI - Dialectical Behaviour Therapy for adolescents (DBT-A)--a pilot study on the therapy of suicidal, parasuicidal, and self-injurious behaviour in female patients with a borderline disorder JO - Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie A1 - Fleischhaker, Christian A1 - Munz, M. A1 - Böhme, R. A1 - Sixt, Barbara A1 - Schulz, E. SP - 15 EP - 25 VL - 34 IS - 1 N2 - OBJECTIVES: In Germany suicide ranks as the second leading cause of death in adolescents. Risk factors for suicide are impulsive and self-injurious behaviour, depression, and conduct disorder. The main hypothesis of our study is that Dialectical Behavior Therapy (DBT) for adolescents is an effective method of treatment for these patients. METHODS: DBT was developed by Marsha Linehan specifically for the outpatient treatment of chronically parasuicidal female patients with a diagnosis of borderline personality disorder. Miller & Rathus modified DBT for use with adolescents (DBT-A). and our group adapted the DBT-A for use in an outpatient treatment setting in Germany. In a pre-post comparison, the efficacy of treatment was measured using standardized instruments (SCL-90-R, CBCL, YSR, ILK, CGI, etc.). RESULTS: In a pilot study of 12 adolescents, we found effect sizes between 1.1 and 2.9. During treatment, self-injurious behaviour declined significantly. Prior to entering therapy, 8 of the 12 patients had attempted suicide at least once. During treatment according to DBT-A there were no suicide attempts. CONCLUSIONS: These results are so promising that we are now planning a randomized, multi-centre study.

Language: de

LA - de SN - 1422-4917 UR - http://dx.doi.org/ ID - ref1 ER -