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Clinical outcomes for sexual and gender minority adolescents in a dialectical behaviour therapy programme.

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Title: Clinical outcomes for sexual and gender minority adolescents in a dialectical behaviour therapy programme.
Authors: Camp, J. (AUTHOR), Durante, G. (AUTHOR), Cooper, A. (AUTHOR), Smith, P. (AUTHOR), Rimes, K. A. (AUTHOR)
Source: Behavioural & Cognitive Psychotherapy. Jul2024, Vol. 52 Issue 4, p337-355. 19p.
Subjects: Dialectical behavior therapy, Behavior therapy, Sexual minorities, Young adults, Treatment effectiveness, End of treatment
Geographic Terms: United Kingdom
Abstract: Background: Sexuality and gender minoritised (SGM) adolescents are at increased risk of self-injury and suicide, and experience barriers to accessing mental health support. Dialectical behaviour therapy (DBT) is an effective treatment for self-injury and emotion dysregulation in adolescent populations, but few studies have published outcomes of DBT for SGM young people. Aims: This study aimed to investigate treatment outcomes and completion for SGM adolescents and their cisgender and heterosexual peers, in the National & Specialist CAMHS, DBT service (UK). Method: Treatment completion, and opting out before and during treatment were examined for sexual and gender identity groups, as well as changes by the end of treatment in emotion dysregulation, self-injury, in-patient bed-days, emergency department attendances, and borderline personality disorder, depression and anxiety symptoms. Results: SGM adolescents were over-represented in this service, even after considering their increased risk for self-injury. No statistically significant differences were found for treatment completion between the sexual orientation and gender identity groups, although there were patterns indicating possible lower treatment uptake and completion that warrant further investigation. Clinical outcomes for treatment-completers showed improvement by the end of DBT for each group, with few exceptions. Discussion: These results are from relatively small subsamples, and it was not possible to separate by sex assigned at birth. Findings should be treated tentatively and as early indications of effect sizes to inform future studies. This study suggests that DBT could be a useful treatment for SGM adolescents in a highly specialist treatment setting. [ABSTRACT FROM AUTHOR]
Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinical outcomes for sexual and gender minority adolescents in a dialectical behaviour therapy programme.
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  Data: <searchLink fieldCode="AR" term="%22Camp%2C+J%2E%22">Camp, J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Durante%2C+G%2E%22">Durante, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cooper%2C+A%2E%22">Cooper, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+P%2E%22">Smith, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rimes%2C+K%2E+A%2E%22">Rimes, K. A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioural+%26+Cognitive+Psychotherapy%22">Behavioural & Cognitive Psychotherapy</searchLink>. Jul2024, Vol. 52 Issue 4, p337-355. 19p.
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  Data: <searchLink fieldCode="DE" term="%22Dialectical+behavior+therapy%22">Dialectical behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Young+adults%22">Young adults</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22End+of+treatment%22">End of treatment</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
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  Data: Background: Sexuality and gender minoritised (SGM) adolescents are at increased risk of self-injury and suicide, and experience barriers to accessing mental health support. Dialectical behaviour therapy (DBT) is an effective treatment for self-injury and emotion dysregulation in adolescent populations, but few studies have published outcomes of DBT for SGM young people. Aims: This study aimed to investigate treatment outcomes and completion for SGM adolescents and their cisgender and heterosexual peers, in the National & Specialist CAMHS, DBT service (UK). Method: Treatment completion, and opting out before and during treatment were examined for sexual and gender identity groups, as well as changes by the end of treatment in emotion dysregulation, self-injury, in-patient bed-days, emergency department attendances, and borderline personality disorder, depression and anxiety symptoms. Results: SGM adolescents were over-represented in this service, even after considering their increased risk for self-injury. No statistically significant differences were found for treatment completion between the sexual orientation and gender identity groups, although there were patterns indicating possible lower treatment uptake and completion that warrant further investigation. Clinical outcomes for treatment-completers showed improvement by the end of DBT for each group, with few exceptions. Discussion: These results are from relatively small subsamples, and it was not possible to separate by sex assigned at birth. Findings should be treated tentatively and as early indications of effect sizes to inform future studies. This study suggests that DBT could be a useful treatment for SGM adolescents in a highly specialist treatment setting. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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      – SubjectFull: Sexual minorities
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: United Kingdom
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              Text: Jul2024
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