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A Pilot Study of Dialectical Behavioral Therapy Group Skills Training in Patients with Substance Use Disorder: Changes in Substance Use Severity, Mood and Relationship Skills

Yıl 2022, Cilt: 23 Sayı: 3, 327 - 337, 30.09.2022
https://doi.org/10.51982/bagimli.1022854

Öz

Objective: This pilot study aimed to investigate effects of Dialectical Behavior Therapy Group Skills Training (DBT-ST) on patients’ severity of substance use status, mood and other psychological symptoms, difficulties in emotion regulation, interpersonal problem solving skills, and social competence. Method: Nine outpatient males with substance use disorders were administered the DBT-ST for 20 weeks. Age ranged between 17 and 34. Average years of substance use was 1.61 (SD=.29). DBT-ST modules (mindfulness, emotion regulation, interpersonal skills, and distress tolerance) were administered for 20 weeks. Urine toxicology screenings, the Addiction Profile Index (API), the Symptom Check List-90-Revised (SCL-90-R), the Beck Depression Inventory (BDI), the Difficulties in Emotion Regulation Scale (DERS), the Interpersonal Problem Solving Inventory, and the Perceived Social Competence Scale were administered at pre and post-treatment. Results: There were significant decreases in the severity of substance use with decreased number of positive drug screening test results and an increase in emotion regulation; decreases in the API total score, dependency diagnosis, and the effects of substance use on the user sub-scale scores; depression, hostility, and phobic anxiety sub-scale scores on the SCL-90-R; the BDI total score; and nonacceptance, strategies, clarity and impulsivity sub-scale scores of the DERS. Conclusion: The findings indicated a 20 week DBT-ST helped participants increase their days of abstinence, regulate emotional regulation, decrease depressive and anxiety symptoms, and substance related difficulties.

Kaynakça

  • Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press, 1993.
  • Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ, Heard HL, et al. 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 Psychiat 2006; 63:757-766.
  • Linehan MM. DBT Skills Training Manual Second Edition. New York, NY: Guilford Press, 2014.
  • Neacsiu AD, Lungu A, Harned MS, Rizvi SL, Linehan MM. Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behav Res Ther 2014; 53:47-54.
  • Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol 1996; 64:1152–68.
  • Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press, 1993.
  • Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ, Heard HL, et al. 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 Psychiat 2006; 63:757-766.
  • Linehan MM. DBT Skills Training Manual Second Edition. New York, NY: Guilford Press, 2014.
  • Neacsiu AD, Lungu A, Harned MS, Rizvi SL, Linehan MM. Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behav Res Ther 2014; 53:47-54.
  • Cavicchioli M, Movalli M, Ramella P, Vassena G, Prudenziati F, Maffei C. Feasibility of dialectical behavior therapy skills training as an outpatient program in treating alcohol use disorder: The role of difficulties with emotion regulation and experiential avoidance. Addict Res Theory 2020; 28:103-115.
  • Brem MJ, Shorey RC, Anderson S, Stuart GL. Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: the role of experiential avoidance. Clin Psychol Psychother 2017; 24:1246-1253.
  • Herpertz-Dahlmann B, Hebebrand J, Müller B, Herpertz S, Heussen N, Remschmidt H. Prospective 10-year follow-up in adolescent anorexia nervosa-course, outcome, psychiatric comorbidity, and psychosocial adaptation. J Child Psychol Psychiatry 2001;42:603-612.
  • Riley B. Experiential avoidance mediates the associa- tion between thought suppression and mindfulness with problem gambling. J Gambl Stud 2014;30:163-71.
  • Wetterneck CT, Burgess AJ, Short MB, Smith AH, Cervantes ME. The role of sexual compulsivity, impulsivity, and experiential avoidance in internet pornography use. Psychol Rec 2012;62:3-18.
  • Williams AD. Distress tolerance and experiential avoidance in compulsive acquisition behaviours. Aust J Psychol 2012;64:217-224.
  • Cavicchioli M, Movalli M, Maffei C. The clinical efficacy of mindfulness-based treatments for alcohol and drugs use disorders: a meta-analytic review of randomized and nonrandomized controlled trials. Eur Addict Res 2018;24:137-162.
  • Boulanger JL, Hayes SC, Pistorello J. Experiential avoidance as a functional contextual concept. In Kring AM, Sloan DM (editors). Emotion Regulation and Psychopathology: A Transdiagnostic Approach to Etiology and Treatment. New York (NY): Guilford Press, 2010, 107-136.
  • Cavicchioli M, Ramella P, Vassena G, Simone G, Prudenziati F, Sirtori F, et al. Dialectical behaviour therapy skills training for the treatment of addictive behaviours among individuals with alcohol use disorder: the effect of emotion regulation and experiential avoidance. Am J Drug Alcohol Abuse 2020 May 3;46:368-384.
  • Cavicchioli M, Movalli M, Vassena G, Ramella P, Prudenziati F, Maffei C. The therapeutic role of emotion regulation and coping strategies during a stand-alone DBT Skills training program for alcohol use disorder and concurrent substance use disorders. Addict Behav 2019; 98:106035.
  • Linehan MM, Schmidt H, Dimeff LA, Craft JC, Kanter J, Comtois KA. Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. Am J Addict 1999; 8:279-92.
  • Courbasson, C, Nishikawa Y, Dixon L. Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clin Psychol Psychother 2012; 19: 434-449.
  • Axelrod SR, Perepletchikova F, Holtzman K, Sinha R. Emotion regulation and substance use frequency in women with substance dependence and borderline personality disorder receiving dialectical behavior therapy. Am J Drug Alcohol Abuse 2011;37:37-42.
  • Rizvi SL, Dimeff LA, Skutch J, Carroll D, Linehan MM. A pilot study of the DBT coach: an interactive mobile phone application for individuals with borderline personality disorder and substance use disorder. Behav Ther 2011;42(4):589-600.
  • Beckstead DJ, Lambert MJ, DuBose AP, Linehan M. Dialectical behavior therapy with American Indian/Alaska Native adolescents diagnosed with substance use disorders: combining an evidence based treatment with cultural, traditional, and spiritual beliefs. Addict Behav 2015 Dec;51:84-87.
  • Nyamathi AM, Shin SS, Smeltzer J, Salem BE, Yadav K, Ekstrand ML, et al. Achieving drug and alcohol abstinence among recently incarcerated homeless women: A randomized controlled trial comparing dialectical behavioral therapy-case management with a health promotion program. Nurs Res 2017;66:432-441.
  • Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26: 41-54.
  • Maffei C, Cavicchioli M, Movalli M, Cavallaro R, Fossati A. Dialectical Behavior Therapy Skills Training in Alcohol Dependence treatment: findings based on an open trial. Subst Use Misuse 2018; 53:2368-2385.
  • Wilks CR, Lungu A, Ang SY, Matsumiya B, Yin Q, Linehan MM. A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. J Affect Disord 2018; 232:219-228.
  • Park J, Ju S, Kang G. The effects of dialectical behavior therapy (DBT) skill training on depression and alcohol abstinence self-efficacy of patients with alcohol use disorder. Medico-Legal Update 2020; 20: 1497-1503.
  • Ogel K, Evren C, Karadag F, Gurol DT. The development, validity, and reliability of the Addiction Profile Index (API). Turk Psikiyatri Derg 2012; 23:263-275.
  • Ogel K, Evren C, Karadag F, Gurol DT. Bagımlilik Profil Indeksi (BAPI). Uygulama Rehberi. Istanbul:Yeniden Yayinlari, 2012.
  • Beck AT, Ward CH, Mendelson M, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-571.
  • Hisli N. A study on the reliability and validity of the Beck Depression Inventory with depression patients. Psikoloji Dergisi 1988; 22: 118-126.
  • Hisli N. Reliability and validity of Beck Depression Inventory in university students. Psikoloji Dergisi 1989, 7, 3-13.
  • Derogatis LR. SCL-90: Administration, scoring, and procedure manual-I for the revised version. Baltimore, MD: John Hopkins University, 1977.
  • Dag I. Reliability and validity of the Symptom Check List (SCL-90-R) for university students. Turk Psikiyatri Derg 1991; 2: 5-12.
  • Rugancı RN, Gencoz T. Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. J Clinic Psychol 2010; 66: 442-455.
  • Cam S, Tumkaya S. Developing the Interpersonal Problem Solving Inventory (IPSI): The Validity and Reliability Process. Türk Psikolojik Danışma ve Rehberlik Dergisi 2007; 3: 95-111.
  • Anderson-Butcher D, Amorose AJ, Lower LM, Riley A, Gibson A, Ruch D. The case for the perceived social competence scale II. Res Social Work Prac 2014; 26: 419-428.
  • Saricam H, Akin A, Akin U, Cardak M. The adaptation of perceived social competence scale to Turkish: the study of validity and reliability. International Journal of Social Science 2013; 6: 591-600.
  • Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Subst Use Misuse 2014; 49: 492-512.
  • Haktanır A, Callender K . Meta-analysis of Dialectical Behavior Therapy (DBT) for treating substance use. Research on Education and Psychology 2020; 4(Special Issue): 74-87.
  • Tiffany ST, Carter BL (1998). Is craving the source of compulsive drug use? J Psychopharmacol 1998; 12: 23-30.
  • Russell BS, Hutchison M, Fusco A. Emotion regulation outcomes and preliminary feasibility evidence from a mindfulness intervention for adolescent substance use. J Child Adolesc Subst Abuse 2019; 28: 21-31.
  • Winstanley CA, Olausson P, Taylor JR, Jentsch JD. Insight into the relationship between impulsivity and substance abuse from studies using animal models. Alcohol Clin Exp Res 2010; 34:1306-1318.
  • Blackford JU, Love R. Dialectical behavior therapy group skills training in a community mental health setting: a pilot study. Int J Group Psychother 2011; 61:645-57.
  • Florsheim P, Moore DR. Observing differences between healthy and unhealthy adolescent romantic relationships: substance abuse and interpersonal process. J Adolesc 2008; 31: 795-814.
  • Fals-Stewart W, Birchler GR. Marital interactions of drug-abusing patients and their partners: Comparisons with distressed couples and relationship to drug-using behavior. Psychol Addict Behav 1998; 12: 28-38.
  • Rostosky SS, Welsh DP, Kawaguchi MC, Galliher RV. Commitment and sexual behaviors in adolescent dating relationships. In Adams JM, & Jones WH (editors). Handbook of interpersonal commitment and relationship stability. Dordrecht, Netherlands: Kluwer Academic Publishers, 1999, 323-338.
  • Bilican FI. Help-seeking attitudes and behaviors regarding mental health among Turkish college students. Int J Ment Health 2013; 42: 43-59.
  • Martikainen, P, Adda J, Ferrie JE, Smith GD, Marmot M. Effects of income and wealth on GHQ depression and poor self-rated health in white collar women and men in the Whitehall II study. J Epidemiol Public Health 2003; 57: 718-723.
  • Wood AM, Boyce CJ, Moore SC, Brown GD. An evolutionary based social rank explanation of why low income predicts mental distress: a 17 year cohort study of 30,000 people. J Affect Disord 2012; 136: 882-8.

Madde Kullanım Bozukluğu olan Hastalarda Diyalektik Davranış Terapisi Grup Becerileri Eğitimi Pilot Çalışması: Madde Kullanım Şiddeti, Duygudurum ve İlişki Becerilerindeki Değişiklikler

Yıl 2022, Cilt: 23 Sayı: 3, 327 - 337, 30.09.2022
https://doi.org/10.51982/bagimli.1022854

Öz

Amaç: Bu çalışmada, Diyalektik Davranışçı Terapi Grup Beceri eğitimi sonrasında (DBT-BE) bireylerin madde kullanım durumu, duygudurum ve diğer psikolojik semptomlar, duygu düzenlemede güçlükler, kişilerarası problem çözme becerileri ve sosyal etkinliklerindeki değişimleri incelemeyi amaçlamıştır.
Yöntem: Çoklu Madde Kullanım Bozukluğu olan ve ayakta tedavi edilen dokuz erkek hasta çalışmanın katılımcılarını oluşturmuştur. Katılımcıların yaşı 17 ve 34 arasında değişmiştir. Ortalama madde kullanım yılı 1.61’dir (SS=.29). DBT-BE modülleri (farkındalık, duygu düzenleme, kişilerarası ilişkiler ve stres toleransı) 20 hafta boyunca katılımcılara uygulanmıştır. Katılımcılara tedavi öncesi ve sonrasında idrar toksikoloji tarama testi, Bağımlılık Profil İndeksi (BAPİ), Belirti Tarama Listesi (SCL-90-R), Beck Depresyon Envanteri (BDE), Duygu Düzenleme Güçlüğü Ölçeği (DERS), Kişilerarası Problem Çözme Envanteri (KPÇE) ve Algılanan Sosyal Yetkinlik Ölçeği (ASYÖ) uygulanmıştır.
Bulgular: İdrar toksikoloji tarama testi sonuçları; BAPİ toplam puanı ile alt ölçekleri olan madde kullanımının kişinin yaşamına etkisi ve bağımlılık tanı ölçütleri; SCL-90-R’nin depresyon, hostilite ve fobik endişe alt ölçekleri; BDE toplam puanı; DERS kabul etmeme, stratejiler, açıklık ve dürtüsellik alt ölçeklerindeki düşüş madde kullanımının azaldığına, duygu düzenleme becerilerinin ise arttığına işaret etmiştir.
Sonuç: Bu pilot çalışmanın bulguları DBT-BE’nin bireylerin madde kullanmadığı günlerin sayısının ve duygu düzenlemenin artmasına, depresif ve endişe semptomlarının azalmasına ve madde kullanımın yarattığı sıkıntıların azalmasına yardımcı olabileceğini göstermiştir.

Kaynakça

  • Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press, 1993.
  • Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ, Heard HL, et al. 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 Psychiat 2006; 63:757-766.
  • Linehan MM. DBT Skills Training Manual Second Edition. New York, NY: Guilford Press, 2014.
  • Neacsiu AD, Lungu A, Harned MS, Rizvi SL, Linehan MM. Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behav Res Ther 2014; 53:47-54.
  • Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol 1996; 64:1152–68.
  • Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press, 1993.
  • Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ, Heard HL, et al. 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 Psychiat 2006; 63:757-766.
  • Linehan MM. DBT Skills Training Manual Second Edition. New York, NY: Guilford Press, 2014.
  • Neacsiu AD, Lungu A, Harned MS, Rizvi SL, Linehan MM. Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behav Res Ther 2014; 53:47-54.
  • Cavicchioli M, Movalli M, Ramella P, Vassena G, Prudenziati F, Maffei C. Feasibility of dialectical behavior therapy skills training as an outpatient program in treating alcohol use disorder: The role of difficulties with emotion regulation and experiential avoidance. Addict Res Theory 2020; 28:103-115.
  • Brem MJ, Shorey RC, Anderson S, Stuart GL. Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: the role of experiential avoidance. Clin Psychol Psychother 2017; 24:1246-1253.
  • Herpertz-Dahlmann B, Hebebrand J, Müller B, Herpertz S, Heussen N, Remschmidt H. Prospective 10-year follow-up in adolescent anorexia nervosa-course, outcome, psychiatric comorbidity, and psychosocial adaptation. J Child Psychol Psychiatry 2001;42:603-612.
  • Riley B. Experiential avoidance mediates the associa- tion between thought suppression and mindfulness with problem gambling. J Gambl Stud 2014;30:163-71.
  • Wetterneck CT, Burgess AJ, Short MB, Smith AH, Cervantes ME. The role of sexual compulsivity, impulsivity, and experiential avoidance in internet pornography use. Psychol Rec 2012;62:3-18.
  • Williams AD. Distress tolerance and experiential avoidance in compulsive acquisition behaviours. Aust J Psychol 2012;64:217-224.
  • Cavicchioli M, Movalli M, Maffei C. The clinical efficacy of mindfulness-based treatments for alcohol and drugs use disorders: a meta-analytic review of randomized and nonrandomized controlled trials. Eur Addict Res 2018;24:137-162.
  • Boulanger JL, Hayes SC, Pistorello J. Experiential avoidance as a functional contextual concept. In Kring AM, Sloan DM (editors). Emotion Regulation and Psychopathology: A Transdiagnostic Approach to Etiology and Treatment. New York (NY): Guilford Press, 2010, 107-136.
  • Cavicchioli M, Ramella P, Vassena G, Simone G, Prudenziati F, Sirtori F, et al. Dialectical behaviour therapy skills training for the treatment of addictive behaviours among individuals with alcohol use disorder: the effect of emotion regulation and experiential avoidance. Am J Drug Alcohol Abuse 2020 May 3;46:368-384.
  • Cavicchioli M, Movalli M, Vassena G, Ramella P, Prudenziati F, Maffei C. The therapeutic role of emotion regulation and coping strategies during a stand-alone DBT Skills training program for alcohol use disorder and concurrent substance use disorders. Addict Behav 2019; 98:106035.
  • Linehan MM, Schmidt H, Dimeff LA, Craft JC, Kanter J, Comtois KA. Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. Am J Addict 1999; 8:279-92.
  • Courbasson, C, Nishikawa Y, Dixon L. Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clin Psychol Psychother 2012; 19: 434-449.
  • Axelrod SR, Perepletchikova F, Holtzman K, Sinha R. Emotion regulation and substance use frequency in women with substance dependence and borderline personality disorder receiving dialectical behavior therapy. Am J Drug Alcohol Abuse 2011;37:37-42.
  • Rizvi SL, Dimeff LA, Skutch J, Carroll D, Linehan MM. A pilot study of the DBT coach: an interactive mobile phone application for individuals with borderline personality disorder and substance use disorder. Behav Ther 2011;42(4):589-600.
  • Beckstead DJ, Lambert MJ, DuBose AP, Linehan M. Dialectical behavior therapy with American Indian/Alaska Native adolescents diagnosed with substance use disorders: combining an evidence based treatment with cultural, traditional, and spiritual beliefs. Addict Behav 2015 Dec;51:84-87.
  • Nyamathi AM, Shin SS, Smeltzer J, Salem BE, Yadav K, Ekstrand ML, et al. Achieving drug and alcohol abstinence among recently incarcerated homeless women: A randomized controlled trial comparing dialectical behavioral therapy-case management with a health promotion program. Nurs Res 2017;66:432-441.
  • Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26: 41-54.
  • Maffei C, Cavicchioli M, Movalli M, Cavallaro R, Fossati A. Dialectical Behavior Therapy Skills Training in Alcohol Dependence treatment: findings based on an open trial. Subst Use Misuse 2018; 53:2368-2385.
  • Wilks CR, Lungu A, Ang SY, Matsumiya B, Yin Q, Linehan MM. A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. J Affect Disord 2018; 232:219-228.
  • Park J, Ju S, Kang G. The effects of dialectical behavior therapy (DBT) skill training on depression and alcohol abstinence self-efficacy of patients with alcohol use disorder. Medico-Legal Update 2020; 20: 1497-1503.
  • Ogel K, Evren C, Karadag F, Gurol DT. The development, validity, and reliability of the Addiction Profile Index (API). Turk Psikiyatri Derg 2012; 23:263-275.
  • Ogel K, Evren C, Karadag F, Gurol DT. Bagımlilik Profil Indeksi (BAPI). Uygulama Rehberi. Istanbul:Yeniden Yayinlari, 2012.
  • Beck AT, Ward CH, Mendelson M, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-571.
  • Hisli N. A study on the reliability and validity of the Beck Depression Inventory with depression patients. Psikoloji Dergisi 1988; 22: 118-126.
  • Hisli N. Reliability and validity of Beck Depression Inventory in university students. Psikoloji Dergisi 1989, 7, 3-13.
  • Derogatis LR. SCL-90: Administration, scoring, and procedure manual-I for the revised version. Baltimore, MD: John Hopkins University, 1977.
  • Dag I. Reliability and validity of the Symptom Check List (SCL-90-R) for university students. Turk Psikiyatri Derg 1991; 2: 5-12.
  • Rugancı RN, Gencoz T. Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. J Clinic Psychol 2010; 66: 442-455.
  • Cam S, Tumkaya S. Developing the Interpersonal Problem Solving Inventory (IPSI): The Validity and Reliability Process. Türk Psikolojik Danışma ve Rehberlik Dergisi 2007; 3: 95-111.
  • Anderson-Butcher D, Amorose AJ, Lower LM, Riley A, Gibson A, Ruch D. The case for the perceived social competence scale II. Res Social Work Prac 2014; 26: 419-428.
  • Saricam H, Akin A, Akin U, Cardak M. The adaptation of perceived social competence scale to Turkish: the study of validity and reliability. International Journal of Social Science 2013; 6: 591-600.
  • Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Subst Use Misuse 2014; 49: 492-512.
  • Haktanır A, Callender K . Meta-analysis of Dialectical Behavior Therapy (DBT) for treating substance use. Research on Education and Psychology 2020; 4(Special Issue): 74-87.
  • Tiffany ST, Carter BL (1998). Is craving the source of compulsive drug use? J Psychopharmacol 1998; 12: 23-30.
  • Russell BS, Hutchison M, Fusco A. Emotion regulation outcomes and preliminary feasibility evidence from a mindfulness intervention for adolescent substance use. J Child Adolesc Subst Abuse 2019; 28: 21-31.
  • Winstanley CA, Olausson P, Taylor JR, Jentsch JD. Insight into the relationship between impulsivity and substance abuse from studies using animal models. Alcohol Clin Exp Res 2010; 34:1306-1318.
  • Blackford JU, Love R. Dialectical behavior therapy group skills training in a community mental health setting: a pilot study. Int J Group Psychother 2011; 61:645-57.
  • Florsheim P, Moore DR. Observing differences between healthy and unhealthy adolescent romantic relationships: substance abuse and interpersonal process. J Adolesc 2008; 31: 795-814.
  • Fals-Stewart W, Birchler GR. Marital interactions of drug-abusing patients and their partners: Comparisons with distressed couples and relationship to drug-using behavior. Psychol Addict Behav 1998; 12: 28-38.
  • Rostosky SS, Welsh DP, Kawaguchi MC, Galliher RV. Commitment and sexual behaviors in adolescent dating relationships. In Adams JM, & Jones WH (editors). Handbook of interpersonal commitment and relationship stability. Dordrecht, Netherlands: Kluwer Academic Publishers, 1999, 323-338.
  • Bilican FI. Help-seeking attitudes and behaviors regarding mental health among Turkish college students. Int J Ment Health 2013; 42: 43-59.
  • Martikainen, P, Adda J, Ferrie JE, Smith GD, Marmot M. Effects of income and wealth on GHQ depression and poor self-rated health in white collar women and men in the Whitehall II study. J Epidemiol Public Health 2003; 57: 718-723.
  • Wood AM, Boyce CJ, Moore SC, Brown GD. An evolutionary based social rank explanation of why low income predicts mental distress: a 17 year cohort study of 30,000 people. J Affect Disord 2012; 136: 882-8.
Toplam 52 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Madde Bağımlılığı
Bölüm Araştırma
Yazarlar

F. Isil Bilican 0000-0003-4546-8304

Mustafa Çetinkaya 0000-0002-9791-3687

Elif Çelebi 0000-0002-9868-2091

Birgül Gülen 0000-0001-8430-7015

Huzeyfe Barham 0000-0002-9316-4295

Yayımlanma Tarihi 30 Eylül 2022
Kabul Tarihi 20 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 23 Sayı: 3

Kaynak Göster

AMA Bilican FI, Çetinkaya M, Çelebi E, Gülen B, Barham H. A Pilot Study of Dialectical Behavioral Therapy Group Skills Training in Patients with Substance Use Disorder: Changes in Substance Use Severity, Mood and Relationship Skills. Bağımlılık Dergisi. Eylül 2022;23(3):327-337. doi:10.51982/bagimli.1022854

Bağımlılık Dergisi - Journal of Dependence