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Dealing with Feelings: The Effectiveness of Cognitive Behavioural Group Treatment for Women in Secure Settings

Published online by Cambridge University Press:  30 November 2010

Clive G. Long ,
Barbara Fulton ,
Olga Dolley  and
Clive R. Hollin
Clive G. Long*
Affiliation:
St Andrew's Healthcare, and King's College London, St Andrew's Academic Centre, Northampton, UK
Barbara Fulton
Affiliation:
St Andrew's Healthcare, Northampton, UK
Olga Dolley
Affiliation:
St Andrew's Healthcare, Northampton, UK
Clive R. Hollin
Affiliation:
University of Leicester, UK
*
Reprint requests to Clive G. Long, St Andrew's Healthcare, Billing Road, Northampton NN1 5DG, UK. E-mail: clong@standrew.co.uk
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Abstract

Background: Women in secure psychiatric settings have gender specific treatment needs. The current study examined the feasibility of a Dealing with Feelings Skills Group training for dual diagnosis women admitted to a medium secure setting. Method: A pre-test – post-test design was used to evaluate a group programme adapted from dialectical behaviour therapy skills training. Results: Most patients had a primary diagnosis of personality disorder. Treatment completers (n = 29) were compared with non-completers (n = 15). Clinically significant changes in treatment completers were apparent on coping response measures of positive reappraisal, problem solving and alternative rewards; on measures of anxiety and suicidality; on self-reported ability to engage in activities to reduce negative mood and to recognize mood changes. Self-harming and aggressive behaviours also reduced in the 3 months following group treatment. Conclusion: An adapted coping skills component of DBT benefit many dual diagnosis patients: issues related to treatment drop-out and failure to benefit are discussed.

Keywords

Cognitive behavioural group treatmentwomen in secure psychiatric caredual diagnosis
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 2 , March 2011 , pp. 243 - 247
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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