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Adolescent experience of radically open dialectical behaviour therapy: a qualitative study.

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Summary

Radically Open Dialectical Behaviour Therapy (RO DBT) shows promise for adolescents with maladaptive overcontrol, improving social functioning and flexibility. However, some found the treatment content overwhelming, suggesting a need for adaptations.

Keywords:
AdolescentDepressionDialectical behaviour therapyEating disordersOvercontrolRadically open dialectical behaviour therapySelf-harm

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Radically Open Dialectical Behaviour Therapy (RO DBT) is a novel transdiagnostic treatment for maladaptive overcontrol.
  • It targets excessive emotional and behavioral inhibitory control, showing promise in adults with various psychiatric disorders.
  • No prior studies have investigated the adolescent experience of RO DBT.

Purpose of the Study:

  • To explore the experiences of adolescents undergoing Radically Open Dialectical Behaviour Therapy (RO DBT).
  • To identify perceived benefits and challenges of RO DBT in an adolescent population.
  • To inform potential adaptations of RO DBT for adolescent use.

Main Methods:

  • A qualitative approach using semi-structured interviews with 15 adolescents (14-17 years) who completed RO DBT.
  • Interviews were conducted within one month of discharge and analyzed using reflexive thematic analysis.
  • Participants primarily had a diagnosis of anorexia nervosa, with high rates of comorbidity.

Main Results:

  • Four themes emerged: Broadening Horizons, Building Connections, Flexibility, and Information Overload.
  • Adolescents generally found RO DBT helpful, appreciating its focus on social well-being and the group skills class format.
  • A significant minority experienced 'Information Overload,' finding the content overwhelming and difficult to retain.

Conclusions:

  • RO DBT is perceived as a relevant and beneficial treatment for adolescents with maladaptive overcontrol.
  • The broad focus on social functioning and flexibility is a key benefit.
  • The complexity and volume of material may necessitate modifications for adolescent accessibility.