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Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences
Hilary B Vidair1, Jill H Rathus1, Chani Goldfeder1
1Clinical Psychology Doctoral Program, Long Island University-Post, Brookville, New York (all authors); Cognitive Behavioral Associates, Great Neck, New York (Vidair, Rathus).
American Journal of Psychotherapy
|October 15, 2024
Summary
Adolescents undergoing Dialectical Behavior Therapy for Adolescents (DBT-A) have moderate expectations for treatment. Many prefer some parent-free time during sessions and additional teen-only support groups.
Area of Science:
- Psychiatry
- Clinical Psychology
- Adolescent Mental Health
Background:
- Dialectical Behavior Therapy for Adolescents (DBT-A) is an established treatment for adolescents with significant emotional and behavioral challenges.
- While posttreatment acceptance of DBT-A is documented, adolescent pretreatment expectations and format preferences remain under-explored.
Purpose of the Study:
- To develop the Adolescent Expectancies for Therapy Scale (AETS) to assess adolescent pretreatment expectations for DBT-A.
- To investigate adolescent preferences for DBT-A treatment delivery formats.
Main Methods:
- Twenty-one adolescents (ages 13-18) referred for DBT-A completed the AETS and a form assessing preferences for seven treatment modifications.
- Participants were recruited from group private practice and community mental health clinic settings.
Main Results:
- Adolescents reported moderate pretreatment expectations regarding DBT-A outcomes and processes.
- Approximately 50% of adolescents preferred some separation from parents during multifamily skills groups and desired weekly teen-only support groups.
Conclusions:
- Understanding adolescent expectations and format preferences is crucial for enhancing engagement during DBT-A intake and orientation.
- Tailoring treatment delivery based on adolescent preferences may improve therapeutic alliance and treatment adherence.
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