An exploratory study of dialectical behaviour therapy for emotional dysregulation and challenging behaviours after acquired brain injury.

BACKGROUND: Challenging behaviours and emotional dysregulation are common sequelae of acquired brain injury (ABI), but treatment remain underdeveloped. Dialectical behaviour therapy is an evidence-based therapy for emotional dysregulation. OBJECTIVE: To explore the feasibility and preliminary effica...

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Publicado en:NeuroRehabilitation Vol. 55; no. 1; pp. 77 - 95
Autores principales: Kuppelin, Marie, Goetsch, Antoine, Choisel, Régine, Isner-Horobeti, Marie-Eve, Goetsch, Thibaut, Krasny-Pacini, Agata
Formato: clinical trial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-230383
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        atl: An exploratory study of dialectical behaviour therapy for emotional dysregulation and challenging behaviours after acquired brain injury.
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          Kuppelin, Marie
          Goetsch, Antoine
          Choisel, Régine
          Isner-Horobeti, Marie-Eve
          Goetsch, Thibaut
          Krasny-Pacini, Agata
        affil: INSERM UMR-S 1329, Strasbourg Translational Neuroscience and Psychiatry, University of Strasbourg, Strasbourg, France
      sug:
        subj:
          Brain Injuries Rehabilitation
          Dialectical Behavior Therapy
          Treatment Outcomes
          Emotional Regulation
          Quality of Life
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Exploratory Research
          Prospective Studies
          Comparative Studies
          Clinical Trials
          Individualized Medicine
          Repeated Measures
          Scales
          Descriptive Statistics
          Posttraumatic Growth, Psychological
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: BACKGROUND: Challenging behaviours and emotional dysregulation are common sequelae of acquired brain injury (ABI), but treatment remain underdeveloped. Dialectical behaviour therapy is an evidence-based therapy for emotional dysregulation. OBJECTIVE: To explore the feasibility and preliminary efficacy of dialectical behaviour therapy for ABI. METHODS: An exploratory longitudinal study that compared thirty adults with brain injury presenting persistent emotion dysregulation or challenging behaviours. Control group received a personalized multidisciplinary program only (n = 13). The dialectical behaviour therapy group received five months of emotion regulation skills learning as an add-on (n = 17). Preliminary efficacy was measured on Difficulties in Emotion Regulation Scale-16 and Quality of Life after Brain Injury total score and emotion subscore. RESULTS: Fourteen participants completed the dialectical behaviour therapy. This study provided preliminary evidence for the feasibility and acceptability of dialectical behaviour therapy. Repeated measures revealed improvement on the Difficulties in Emotion Regulation Scale-16 (–7.6 [–17.3; 1.7]; Pr = 0.95) and on the Quality Of Life emotion subscore (13.5 [–3.8; 30.9]; Pr = 0.94). CONCLUSION: This study raises important questions regarding the type of patients who can benefit from this intervention, necessary adaptations of dialectical behaviour therapy and the way it can help post-traumatic growth and identity reconstruction after ABI.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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