RESUMO
Dialectical behavior therapy (DBT) is an empirically supported treatment that was originally developed for chronically suicidal adults. Since the publication of the original treatment manual, DBT has been reconceptualized as a treatment that is broadly applicable for individuals who have difficulties regulating emotion. As such, the treatment can be applied transdiagnostically. Based on the flexibility and adaptability of the treatment, several adaptations have been made to the original protocol. Considerable empirical evidence now supports the use of DBT adapted for eating disorders, substance use disorders, and posttraumatic stress disorder. Moreover, developmentally appropriate adaptations have made the treatment applicable to youth samples. The current paper is geared toward practitioners and describes the various ways in which DBT has been modified for use with various populations and age ranges.
Assuntos
Controle Comportamental , Transtorno da Personalidade Borderline/terapia , Terapia Cognitivo-Comportamental/métodos , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Comportamento Autodestrutivo/prevenção & controle , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos Relacionados ao Uso de Substâncias/terapia , Adaptação Fisiológica , Adolescente , Adulto , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/etiologia , Sintomas Afetivos/terapia , Controle Comportamental/métodos , Controle Comportamental/psicologia , Transtorno da Personalidade Borderline/epidemiologia , Transtorno da Personalidade Borderline/psicologia , Comorbidade , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Masculino , Qualidade de Vida , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/etiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologiaRESUMO
The Difficulties in Emotion Regulation Scale (DERS) is commonly used to assess difficulties recognizing and managing negative affect. Scores on the scale are strongly correlated with measures of psychopathology and are inversely correlated with measures of psychological well-being. Evidence supports the use of the DERS with adolescents and adults; to date, however, few studies have investigated the extent to which the psychometric properties of the DERS are consistent across demographic groups. The overarching goal of the present study was to examine the extent to which the factor structure of the DERS and the reliability and validity of DERS scores are consistent across gender and race in a diverse sample of adults. A total of 1,050 students from a medium-sized, urban university were included in the present study. Participants included 75.6% women and 24.4% men; 42.5% of participants identified as Caucasian, 40.4% as African American, and 17.1% as Asian American. Results showed that the DERS exhibits similar psychometric properties across men and women and all 3 racial groups that were included in this study. As such, the overall scale, as well as the original 6-factor solution of the DERS, can be reliably applied to individuals from the demographic groups investigated in the current study, and results can be interpreted in accordance with those from the preliminary DERS validation sample.