Dialectical Behavior Therapy for Adolescents with Bipolar Disorder: Results from a Pilot Randomized Trial

Journal of Child and Adolescent Psychopharmacology

Volumn 25, Issue 2, 2015, Pages 140-149

  Goldstein, Tina R ^a   Fersch Podrat, Rachael K ^a   Rivera, Maribel ^a   Axelson, David A ^b   Merranko, John ^a   Yu, Haifeng ^a   Brent, David A ^a   Birmaher, Boris ^a  

^a UNIVERSITY OF PITTSBURGH   (United States)

^b NATIONWIDE CHILDREN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

PSYCHOTROPIC AGENT;

ADOLESCENT; ADOLESCENT BEHAVIOR; ARTICLE; AUTOMUTILATION; BEHAVIOR THERAPY; BIPOLAR DEPRESSION; BIPOLAR DISORDER; BIPOLAR DISORDER NOT OTHERWISE SPECIFIED; BIPOLAR I DISORDER; BIPOLAR II DISORDER; BIPOLAR MANIA; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; DIALECTICAL BEHAVIOR THERAPY; DISEASE SEVERITY; EFFECT SIZE; EMOTIONAL DISORDER; FAMILY THERAPY; FEMALE; FOLLOW UP; HUMAN; INTERMETHOD COMPARISON; MALE; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PILOT STUDY; PSYCHIATRIST; PSYCHOEDUCATION; PSYCHOSOCIAL CARE; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; SKILL; SUICIDAL BEHAVIOR; SUICIDAL IDEATION; SUICIDE ATTEMPT; TREATMENT RESPONSE; PROCEDURES; PSYCHOLOGY;

ADOLESCENT; ADOLESCENT BEHAVIOR; BEHAVIOR THERAPY; BIPOLAR DISORDER; CHILD; FEMALE; HUMANS; MALE; PILOT PROJECTS; SUICIDAL IDEATION;

EID: 84925069806     PISSN: 10445463     EISSN: 15578992     Source Type: Journal    
DOI: 10.1089/cap.2013.0145     Document Type: Article

References (67)

1. th ed. Washington, DC: American Psychiatric Association; 1994.
2. Axelson DA, Birmaher B, Brent D, Wassick S, Hoover C, Bridge J, Ryan N: A preliminary study of the Kiddie Schedule for Affective Disorders and Schizophrenia for School-age Children Mania Rating Scale for children and adolescents. J Child Adolesc Psychopharmacol 13:463-470, 2003.
3. Axelson DA, Birmaher B, Strober M, Gill MK, Valeri S, Chiappetta L, Ryan ND, Leonard H, Junt J, Iyengar S, Bridge J, Keller M: Phenomenology of children and adolescents with bipolar spectrum disorders. Arch Gen Psychiatry 63:1139-1148, 2006.
4. Bhangoo RK, Dell ML, Towbin KE, Myers F, Lowe C, Pine D, Leibenluft E: Clinical correlates of episodicity in juvenile mania. J Child Adolesc Psychopharmacol 13:507-514, 2003.
5. Birmaher B, Axelson D: Course and outcome of bipolar spectrum disorder in children and adolescents: A review of the existing literature. Dev Psychopathol 18:1023-1035, 2006.
6. Birmaher B, Axelson D, Strober M, Gill MK, Valeri S, Chiappetta L, Ryan ND, Leonard H, Hunt J, Iyengar S, Keller M: Clinical course of children and adolescents with bipolar spectrum disorders. Arch Gen Psychiatry 63:175-183, 2006.
7. Birmaher B, Axelson DA, Goldstein BI, Strober M, Gill MK, Hunt J, Houck M, Ha W, Iyengar S, Kim E, Yen S, Hower H, Smythers C, Goldstein T, Ryan N, Keller M: Four-year longitudinal course of children and adolescents with bipolar spectrum disorders: The Course and Outcome of Bipolar Youth (COBY) study. Am J Psychiatry 166:795-804, 2009.
8. Brent DA, Perper JA, Moritz G, Allman C, Roth C, Schweers J, Balach L, Baugher M: Psychiatric risk factors for adolescent suicide: A case-control study. J Am Acad Child Psychiatry 32:521-529, 1993.
9. Chambers WJ, Puig-Antich J, Hirsch M, Paez P, Tabrizi N, Johnson R: The schedule for affective disorders and schizophrenia for school age children. Arch Gen Psychiatry 42:696-702, 1985.
10. Cohen J: Statistical Power Analysis for the Behavioral Sciences, Vol.1. New York: Academic Press, Inc.; 1977.
11. DelBello MP, Hanseman D, Adler C, Fleck D, Strakowski S: Twelve month outcome of adolescents with bipolar disorder following first-hospitalization for a manic or mixed episode. Am J Psychiatry 164:582-590, 2007.
12. Dickstein DP, Leibenluft E: Emotion regulation in children and adolescents: Boundaries between normalcy and bipolar disorder. Dev Psychopathol 18:1105-1131, 2006.
13. Esposito C, Goldstein TR, Birmaher B, Goldstein B, Hunt J, Ryan N, Axelson D, Strober M, Gill M, Hanley A, Keller M: Clinical and psychosocial correlates of non-suicidal self-injury within a sample of children and adolescents with bipolar disorder. J Affect Disord 125:89-97, 2010.
14. Esposito C, Spirito A, Boergers J, Donaldson D: Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide Life Threat Behav 33:389-399, 2003.
15. Evans-Lacko S, dosReis S, Kastelic E, Riley A: Mental health service use before and after diagnosis of early-onset bipolar disorder. J Behav Health Serv Res 38:398-413, 2011.
16. Frank E: Treating Bipolar Disorder: A Clinician's Guide to Interpersonal and Social Rhythm Therapy. New York: Guilford Press, 2005.
17. Fristad MA, Verducci J, Walters K, Young M: Impact of multifamily psychoeducational psychotherapy in treating children aged 8 to 12 years with mood disorders. Arch Gen Psychiatry 66:1013-1021, 2009.
18. Fruzzetti AE: DBT individual therapy supervisor rating scale: Unpublished scale, University of Nevada, Reno, 2005a.
19. Fruzzetti AE: DBT skills training supervisor rating scale: Unpublished scale, University of Nevada, Reno, 2005b.
20. Geller B, Tillman R, Bolhofner K, Zimerman B: Child bipolar I disorder: Prospective continuity with adult bipolar I disorder; characteristics of second and third episodes; predictors of 8-year outcome. Arch Gen Psychiatry 65:1125-1133, 2008.
21. Geller B, Tillman R, Bolhofner K, Zimerman B: Pharmacological and non-drug treatment of child bipolar I disorder during prospective eight-year follow-up. Bipolar Disord 12:164-171, 2010.
22. Gerson AC, Gerring JP, Freund L, Joshi P: The children's affective lability scale: A psychometric evaluation of reliability. Psychiatry Res 65:189-197, 1996.
23. Goldstein BI, Strober MA, Birmaher B, Axelson D, Esposito-Smythers C, Goldstein T, Leonard H, Hunt J, Gill M, Iyengar S, Grim C, Yang M, Ryan N, Keller M: Substance use disorders among adolescents with bipolar spectrum disorders. Bipolar Disord 10:469-478, 2008.
24. Goldstein TR, Axelson DA, Birmaher B, Brent DA: Dialectical behavior therapy for adolescents with bipolar disorder: A one-year open trial. J Am Acad Child Adolesc Psychiatry 46:820-830, 2007.
25. Goldstein TR, Birmaher B, Axelson DA, Goldstein BI, Gill MK, Smythers C, Ryan ND, Strober M, Hunt J, Keller M: Psychosocial functioning among bipolar youth. J Affect Disord 114:174-183, 2009.
26. Goldstein TR, Birmaher B, Axelson D, Ryan N, Keller M, Strober M, Gill M, Bridge J, Valeri S, Chiappetta L, Leonard H, Hunt J, Brent DA: History of suicide attempts in pediatric bipolar disorder: Factors associated with increased risk. Bipolar Disord 7:525-535, 2005.
27. Goldstein TR, Fersch RK, Rivera M, Axelson DA, Goldstein BI, Birmaher B, Brent DA: Dialectical Behavior Therapy for adolescents with bipolar disorder. Paper presented at the annual meeting of the Association of Behavioral and Cognitive Therapies, San Francisco, CA, November, 2010.
28. Goldstein TR, Fersch-Podrat RK, Rivera M, Axelson DA, Goldstein BI, Birmaher B, Brent DA: Dialectical Behavior Therapy for adolescents with bipolar disorder: Preliminary findings on suicide-related outcomes, paper presented at the annual meeting of the Association for Behavioral and Cognitive Therapies, Toronto, Canada, November, 2011.
29. Goldstein TR, Ha W, Axelson DA, Goldstein BI, Liao F, Gill MK, Ryan ND, Yen S, Hunt J, Hower H, Keller M, Strober M, Birmaher B: Predictors of prospectively observed suicide attempts among youth with bipolar disorder. Arch Gen Psychiatry 69:1113-1122, 2012.
30. Herschell AD, Kogan JN, Celedonia K, Gavin J, Stein B: Understanding community mental health administrators' perspectives on Dialectical Behavior Therapy implementation. Psychiatr Serv 60:989-992, 2009.
31. Hlastala S, Kotler J, McClellan J, McCauley E: Interpersonal and social rhythm therapy for adolescents with bipolar disorder: Treatment development and results from an open trial. Depress Anxiety 27:457-464, 2010.
32. Hlastala SA, Frank E: Adapting interpersonal and social rhythm therapy to the developmental needs of adolescents with bipolar disorder. Dev Psychopathol 18:1267-1288, 2006.
33. Hlatky MA, Oewens DK, Sanders GD: Cost-effectiveness as an outcome in randomized clinical trials. Clin Trials 3:543-551, 2006.
34. Hollingshead A: Four-factor Index of Social Status. New Haven: Yale University; 1975.
35. Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N: Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL): Initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36:980-988, 1997.
36. Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreasen NC: The Longitudinal Interval Follow-Up Evaluation: A comprehensive method for outcome in prospective longitudinal studies. Arch Gen Psychiatry 44:540-548, 1987.
37. King CA, Kramer A, Preuss L, Kerr DC, Weisse L: Youth-nominated support team for suicidal adolescents: A randomized controlled trial. J Consult Clin Psychol 74:199-206, 2006.
38. Klein DA, Miller AL: Dialectical behavior therapy for suicidal adolescents with borderline personality disorder. Child Adolesc Psychiatr Clin N Am 20:205-216, 2010.
39. Kowatch R, Fristad MA, Birmaher B, Wagner KD, Findling R, Hellander M: Treatment guidelines for children and adolescents with bipolar disorder. J Am Acad Child Adolesc Psychiatry 44:213-235, 2005.
40. Leibenluft E, Charney DS, Pine D: Researching the pathophysiology of pediatric bipolar disorder. Biol Psychiatry 53:1009-1020, 2003.
41. Lewinsohn PM, Rohde P, Seeley JR, Klein DN, Gotlib IH: Natural course of adolescent major depressive disorder in a community sample: Predictors of recurrence in young adults. Am J Psychiatry 157:1584-1591, 2000.
42. Lewinsohn PM, Seeley JR, Klein DN: Bipolar disorder in adolescents: Epidemiology and suicidal behavior. In: Bipolar Disorder in Childhood and Early Adolescence, edited by B. Geller, M.P. Del-Bello. New York: Guilford Press, 7-24, 2003.
43. Linehan M, Comtois KA, Murray A, Brown MZ, Gallop R, Heard H, Korslund K, Tutek D, Reynolds S, Lindenboim N: Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Arch Gen Psychiatry 63:757-766, 2006.
44. Linehan MM: Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press, 1993.
45. Linehan MM, Tutek DA, Heard HL, Armstrong H: Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients. Am J Psychiatry 151:1771-1776, 1994.
46. McClellan J, Kowatch R, Findling RL, Workgroup on Quality Improvement: Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder. J Am Acad Child Adolesc Psychiatry 46:107-125, 2007.
47. Miklowitz DJ, Axelson DA, Birmaher B, George EL, Taylor DO, Schneck CD, Beresford CA, Dickinson LM, Craighead WE, Brent DA: Family-focused treatment for adolescents with bipolar disorder: Results of a two-year randomized trial. Arch Gen Psychiatry 65:1053-1061, 2008.
48. Miller AL, Rathus JH, Landsman M, Linehan MM: Dialectical Behavior Therapy: Multi-Family Skills Training Group. Unpublished manual, 2003.
49. Miller AL, Rathus JH, Linehan MM: Dialectical Behavior Therapy with Suicidal Adolescents. New York: Guilford Press, 2006.
50. Miller AL, Smith HL, Klein DA, German M: Engaging suicidal youth in outpatient treatment: theoretical and empirical underpinnings. Arch Suicide Res 14:111-119, 2010.
51. Nock MK, Prinstein MJ: Contextual features and behavioral functions of self-mutilation among adolescents. J Abnorm Psychol 114:140-146, 2005.
52. Pavuluri MN, Graczyk P, Henry D, Carbray JA, Heidenreich J, Miklowitz DJ: Child- and family-focused cognitive behavioral therapy for pediatric bipolar disorder: Development and preliminary results. J Am Acad Child Adolesc Psychiatry 43:528-537, 2004.
53. Peele PB, Axelson DA, Xu Y, Malley ER: Use of medical and behavioral health services by adolescents with bipolar disorder. Psychiatr Serv 55:1392-1396, 2004.
54. Rathus JH, Miller AL: Dialectical behavior therapy adapted for suicidal adolescents. Suicide Life Threat Behav 32:146-157, 2002.
55. Reynolds WM: Suicidal ideation Questionnaire-Junior. Odessa, FL: Psychological Assessment Resources Inc., 1987.
56. Richardson J: Eta squared and partial eta squared as measures of effect size in educational research. Educ Res Rev 6:135-147, 2011.
57. Rizzo CJ, Esposito-Smythers C, Swenson L, Birmaher B, Ryan ND, Strober M, Chiappetta L, Valeri S, Hunt J, Axelson D, Leonard H, Keller M: Factors associated with mental health service utilization among bipolar youth. Bipolar Disord 9:839-850, 2007.
58. Schottle D, Huber C, Bock T, Meyer T: Psychotherapy for bipolar disorder: A review of the most recent studies. Curr Opin Psychiatry 24:549-555, 2011.
59. Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H: A Children's Global Assessment Scale (C-GAS). Arch Gen Psychiatry 40:1228-1231, 1983.
60. Stanley B, Brown G, Brent D, Wells K, Poling K, Kennard B, Wagner A, Curry J, Cwik M, Goldstein T, Klomek-Brunstein A, Barnett S, Daniel S: Cognitive Behavior Therapy for Suicide Prevention (CBT-SP): Treatment model, feasibility and acceptability. J Am Acad Child Adolesc Psychiatry 48:1005-1013, 2009.
61. Stensland M, Ascher-Svanum H, Ball D: Costs associated with attempted suicide among individuals with bipolar disorder. J Ment Health Policy Econ 13:87-92, 2010.
62. Strober M, Schmidt-Lackner S, Freeman R, Bower S, Lampert C, DeAntonio M: Recovery and relapse in adolescents with bipolar affective illness: A five-year naturalistic, prospective follow-up. J Am Acad Child Adolesc Psychiatry 34:724-731, 1995.
63. Tamas Z, Kovacs M, Gentzler AL, Tepper P, Gagaros J, Kiss E, Kapornai K, Vetro A: The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. J Abnorm Psychol 35:640-652, 2007.
64. Van Dijk S, Jefferey J, Katz M: A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. J Affect Disord 145:386-393, 2013.
65. Warshaw MG, Keller MB, Stout RL: Reliability and validity of the longitudinal interval follow-up evaluation for assessing the outcome of anxiety disorders. J Psychiatr Res 28:531-545, 1994.
66. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB: Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res 35:297-305, 2001.
67. West AE, Jacobs R, Westerholm R, Lee A, Carbray J, Heidenreich J, Pavuluri M: Child and family-focused cognitive behavioral therapy for pediatric bipolar disorder: Pilot study of group treatment format. J Am Acad Child Adolesc Psychiatry 18:239-246, 2009.