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Evaluating the Effectiveness of a Dialectical Behaviour Therapy (DBT) Informed Programme in a Community Perinatal Team

Published online by Cambridge University Press:  25 January 2018

Hannah Wilson  and
Alexandra L. Donachie
Hannah Wilson*
Affiliation:
Southern Health NHS Foundation Trust, Specialist Perinatal Mental Health Team, Melbury Lodge Mother and Baby Unit, Winchester, UK
Alexandra L. Donachie
Affiliation:
Southern Health NHS Foundation Trust, Specialist Perinatal Mental Health Team, Melbury Lodge Mother and Baby Unit, Winchester, UK
*
Correspondence to Dr Hannah Wilson, Mother and Baby Unit, Melbury Lodge, Royal Hampshire County Hospital, 61 Romsey Road, Winchester, Hampshire SO22 5DL. E-mail: hannah.wilson@southernhealth.nhs.uk
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Abstract

Background: Adapted DBT programmes have been well documented but little has been published on such programmes in the perinatal period. Aim: To assess the effectiveness of a stand-alone DBT skills group for perinatal women with emotion dysregulation. Method: A stand-alone DBT-informed skills training group was offered to 21 women with emotional dysregulation under the care of a perinatal community mental health team; 14 completed the programme. Staff received support via a consultation group. Modules included mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness adapted to the specific demands of parenting infants. Outcome measures were collected at three time points: assessment, start of the group and at the end. Results: Statistical analysis showed significant reduction in CORE scores over the intervention period (t (13) = 5.32, p < .001; Cohen's d = 0.83), with similar effects on the Mental Health Confidence Scale (t (13) = ‒8.03, p < .001, Cohen's d = 0.83) and Living with Emotions Scale (t (13) = ‒9.42, p < .001, Cohen's d = 0.93). There were no significant changes on these three measures from assessment to start of the group. Conclusions: In this uncontrolled study, the intervention period was associated with reduced distress, increased confidence and ability to regulate emotion. Recommendations for continuing this model of service delivery are made. Further research is needed.

Keywords

dialectical behaviour therapyperinatalcommunity mental healthparenting infantsemotion regulation
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 5 , September 2018 , pp. 541 - 553
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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