To Adopt or Adapt: A Scoping Review of Dialectical Behaviour Therapy With Patients With Minoritised Identity Constructs.

Objective: Dialectical behaviour therapy (DBT) is an evidence‐based psychological intervention (EBP) for reducing suicide behaviour. While DBT, like many EBPs, was developed and first evaluated in largely white samples in Western contexts, it is now broadly applied. This review assessed how DBT has...

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Publicado en:Counselling & Psychotherapy Research Vol. 25; no. 1; pp. 1 - 14
Autores principales: Aunon, Frances M., Ingram, Polly, Wolkowicz, Noah, Martino, Steve, Kacos, Heather, Spana, Ethan, Honsberger, Mark, Rielage, Jennifer Klosterman, Doran, Neal, Carretta, Rachel, Ridley, Josephine, Giovannelli, Thorayya Said, Bannister, Jenny, Merians, Addie, Howell, Brittany, Demirelli, Stacey, Smith, Jason G., Decker, Suzanne E.
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: To Adopt or Adapt: A Scoping Review of Dialectical Behaviour Therapy With Patients With Minoritised Identity Constructs.
      aug:
        au:
          Aunon, Frances M.
          Ingram, Polly
          Wolkowicz, Noah
          Martino, Steve
          Kacos, Heather
          Spana, Ethan
          Honsberger, Mark
          Rielage, Jennifer Klosterman
          Doran, Neal
          Carretta, Rachel
          Ridley, Josephine
          Giovannelli, Thorayya Said
          Bannister, Jenny
          Merians, Addie
          Howell, Brittany
          Demirelli, Stacey
          Smith, Jason G.
          Decker, Suzanne E.
        affil: VA Connecticut Healthcare System, West Haven Connecticut,, USA
      sug:
        subj:
          Suicidal Ideation Therapy
          Suicide Therapy
          Dialectical Behavior Therapy Methods
          Minority Groups Psychosocial Factors
          Transcultural Care
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Scoping Review
          PubMed
          Embase
          Psycinfo
          Suicide Prevention
          Descriptive Statistics
          Adaptation, Occupational
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: Dialectical behaviour therapy (DBT) is an evidence‐based psychological intervention (EBP) for reducing suicide behaviour. While DBT, like many EBPs, was developed and first evaluated in largely white samples in Western contexts, it is now broadly applied. This review assessed how DBT has been adopted or adapted when used with patient populations with minoritised identity constructs. Methods: We conducted a PRISMA‐guided scoping review of articles using DBT with a minoritised patient population. We used an implementation science framework, Framework for Reporting Adaptations and Modifications‐Enhanced, to characterise adaptations to the content and context of DBT application. Through PubMed, Embase and PsycINFO, we identified 273 articles where the title or abstract mentioned DBT and described a minoritised adult patient population. Principle Findings: We found 83.5% (228/273) articles reviewed reported adaptations to DBT content. Specifically, 66.3% (181/273), 44.6% (122/273) and 39.6% (108/273) of articles described reducing, expanding or changing DBT content, respectively. We found that 42.1% of articles (115/273) reported adaptations to the DBT context. Moreover, 57.5% of content adaptations and 65.3% of context adaptations did not specify a reason for adaptation. Conclusions: This scoping review indicates that the majority of articles of studies using DBT with patients with minoritised identity constructs made adaptations to DBT, but few provided justification for these adaptations. We encourage clinicians and clinical administrators, researchers and policymakers to document adaptations and justifications thereof, and evaluate clinical and implementation outcomes.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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