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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

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Published on: June 12, 2020

Dialectical behavior therapy in an intensive outpatient program with a mixed-diagnostic sample.

Lorie A Ritschel¹, Jennifer S Cheavens, Juliet Nelson

¹Emory University School of Medicine, Department of Psychiatryand Behavioral Sciences, Atlanta, GA 30306, USA. lorie.ritschel@emory.edu

Journal of Clinical Psychology

|March 17, 2012

Summary

Dialectical Behavior Therapy (DBT) in an intensive outpatient program (IOP) significantly reduced depression and anxiety while increasing hope in patients with diverse mental health diagnoses. This DBT-informed IOP offers a cost-effective alternative for acute care needs.

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Area of Science:

Psychiatry
Clinical Psychology
Mental Health Treatment

Background:

Intensive outpatient programs (IOPs) are increasingly utilized for highly distressed patients.
Many IOPs incorporate principles of Dialectical Behavior Therapy (DBT).
There is a growing need for effective, cost-efficient mental health services as inpatient care decreases.

Purpose of the Study:

To evaluate the effectiveness of a DBT-informed IOP for patients with heterogeneous diagnoses.
To assess changes in depression, anxiety, mindfulness, and hope during DBT treatment.
To determine if DBT-informed IOPs can serve as a viable alternative to inpatient hospitalization.

Main Methods:

A within-subjects design was employed to track changes in patient outcomes.
56 participants with heterogeneous diagnoses (mood, anxiety, substance use disorders) were included.
Treatment duration varied, averaging 6 weeks, with a range of 2-16 weeks.

Main Results:

Significant reductions in depression and anxiety scores were observed (p < .001).
Significant increases in hope scores were noted (p < .001).
Mindfulness scores showed a trend toward improvement, and increased hope/mindfulness predicted lower final depression/anxiety.

Conclusions:

DBT-informed IOPs are effective in reducing depression and anxiety and increasing hope.
These programs can provide a necessary bridge for patients requiring acute, intensive care.
DBT-informed IOPs represent a potentially cost-effective and amenable treatment option for this population.