{
    "ok": true,
    "doi": "10.1176\/appi.psychotherapy.20230025",
    "status": "found",
    "title": "Telehealth-Delivered Radically Open Dialectical Behavior Therapy for Adolescents (RO DBT-A): A Pilot Mixed-Methods Study",
    "authors": [
        "Molly Fennig",
        "Uchechukwu Agali",
        "Melinda Looby",
        "Kirsten Gilbert"
    ],
    "container": "American Journal of Psychotherapy",
    "year": "2024",
    "doi_url": "https:\/\/doi.org\/10.1176\/appi.psychotherapy.20230025",
    "is_open_access": true,
    "oa_status": "bronze",
    "best_landing_page": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38507336",
    "best_pdf": "https:\/\/psychiatryonline.org\/doi\/pdf\/10.1176\/appi.psychotherapy.20230025?download=true",
    "abstract": "OBJECTIVE: Disorders related to overcontrol frequently first appear during adolescence, are highly comorbid, and show limited treatment response, necessitating the adaptation of radically open dialectical behavior therapy (RO DBT; a transdiagnostic treatment targeting overcontrol) for adolescents (RO DBT-A). This study tested the preliminary efficacy of telehealth-delivered RO DBT-A in a heterogeneous clinical sample of youths. METHODS: The sample consisted of 20 female participants ages 13-21 with elevated overcontrol; most were White (75%) and non-Hispanic\/Latino (80%). RO DBT-A was provided over 20 weeks via skills group and individual sessions (N=13 participants). Participants seeking other treatment or no treatment formed the control group (N=7). Outcomes included self-reported symptoms and overcontrol. Follow-up interviews were analyzed by using inductive, contextualist thematic analysis to examine participant perceptions and reasons for dropout. RESULTS: The RO DBT-A group showed significant improvements in depression (t=-1.78, df=10, p=0.011) and quality of life (QOL; Wilcoxon W=75, p=0.021) compared with the control group. From baseline to posttreatment, youths receiving RO DBT-A demonstrated significant improvements in maladaptive overcontrol (t=2.76, df=12, p=0.043), anxiety (t=2.91, df=12, p=0.043), depression (Wilcoxon signed rank V=82.5, p=0.043), and QOL (t=-3.01, df=12, p=0.043). Qualitative analysis revealed themes related to treatment barriers, facilitators, and timing. CONCLUSIONS: The findings provide preliminary evidence supporting telehealth-delivered RO DBT-A in targeting overcontrol, decreasing symptomatology, and improving QOL in a heterogeneous clinical sample of youths. Qualitative follow-ups highlighted that dropout was driven by barriers related to therapy (e.g., structure- and therapist-related issues) and the timing of RO DBT-A compared with other treatments.",
    "locations": [
        {
            "source": "American Journal of Psychotherapy",
            "landing_page_url": "https:\/\/doi.org\/10.1176\/appi.psychotherapy.20230025",
            "pdf_url": "https:\/\/psychiatryonline.org\/doi\/pdf\/10.1176\/appi.psychotherapy.20230025?download=true",
            "is_oa": true,
            "version": "publishedVersion"
        },
        {
            "source": "PubMed",
            "landing_page_url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38507336",
            "pdf_url": null,
            "is_oa": false,
            "version": "publishedVersion"
        },
        {
            "source": "PubMed Central",
            "landing_page_url": "https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/11325626",
            "pdf_url": "https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11325626\/pdf\/nihms-2013730.pdf",
            "is_oa": true,
            "version": "submittedVersion"
        },
        {
            "source": "Europe PMC (PubMed Central)",
            "landing_page_url": "https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/11325626",
            "pdf_url": null,
            "is_oa": false,
            "version": "submittedVersion"
        }
    ],
    "crossref_links": [],
    "pubmed_search": "https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=10.1176%2Fappi.psychotherapy.20230025",
    "google_scholar": "https:\/\/scholar.google.com\/scholar?q=Telehealth-Delivered%20Radically%20Open%20Dialectical%20Behavior%20Therapy%20for%20Adolescents%20%28RO%20DBT-A%29%3A%20A%20Pilot%20Mixed-Methods%20Study"
}