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2 results

  • Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: effectiveness in people with autism spectrum disorders

  • Peter L. Cornwall, Susan Simpson, Claire Gibbs, Valerie Morfee
  • Journal:
    BJPsych Bulletin / Volume 45 / Issue 3 / June 2021
    Published online by Cambridge University Press:
    02 December 2020, pp. 146-153
    Print publication:
    June 2021
    • Article
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  • Aims and method

    Radically open dialectical behaviour therapy (RO DBT) is a transdiagnostic treatment designed to address disorders associated with overcontrol, including autism spectrum disorders (ASD). To date, no studies have reported on the effectiveness of RO DBT for people with ASD. Forty-eight patients were referred to a RO DBT programme, of whom 23 had a diagnosis of ASD. Outcome was measured using the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE) and the Questionnaire about the Process of Recovery.

    Results

    The intervention was effective, with a medium effect size of 0.53 for improvement in CORE global distress. End-point CORE global distress score was predicted from initial severity and a diagnosis of ASD. Participants with a diagnosis of ASD who completed the therapy had significantly better outcomes than completing participants without an ASD diagnosis.

    Clinical implications

    These findings provide preliminary support for RO DBT as an effective intervention for ASD in routine settings.