{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:30:23Z","timestamp":1787869823385,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Dialectical behavior therapy (DBT) is an evidence\u2010based treatment for people with emerging borderline personality disorder (BPD). In \u201creal world\u201d clinical settings, standard DBT is resource intensive. Emerging evidence suggests that group\u2010based DBT skills training alone can lead to promising outcomes. This hybrid type 1 effectiveness\u2010implementation trial directly compared the effectiveness of an 8\u2010week group DBT\u2010skills training program and a 16\u2010week DBT\u2010informed program including individual treatment and group\u2010based skills training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This pragmatic trial employed a staggered, parallel\u2010groups design. We recruited 104 participants, aged 16\u201325 years, with emotion dysregulation or emerging BPD symptoms. Participants were randomized to receive either program at a youth mental health service located in the Gold Coast, Australia. Data was collected via online surveys at baseline, 8\u2010week, 16\u2010week, and 24\u2010week follow\u2010up. Mixed effect linear models compared groups on the primary outcomes of emotion dysregulation and BPD symptoms, and secondary outcomes of suicidal ideation, coping skills, depression, anxiety, and stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across groups there were significant and sustained improvements relating to emotion dysregulation, BPD symptoms, stress, depression, and emotion\u2010focused coping; but not suicide risk, anxiety, or task\u2010focused coping. There was no significant time by group differences between the 8\u2010week and 16\u2010week interventions on any primary or secondary outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The more intensive mode of delivering DBT was not more effective than the brief group\u2010based skills training. Both interventions resulted in significant improvements across both primary and most secondary outcomes. These results have implications for clinical practice regarding length and intensity of DBT treatment in young people.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23725","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T11:20:17Z","timestamp":1718364017000},"page":"2117-2133","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Randomized effectiveness\u2010implementation trial of dialectical behavior therapy interventions for young people with borderline personality disorder symptoms"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2674-5740","authenticated-orcid":false,"given":"Dominique","family":"de Andrade","sequence":"first","affiliation":[{"name":"National Centre for Youth Substance Use Research University of Queensland Brisbane Queensland Australia"},{"name":"School of Psychology Deakin University Geelong Victoria Australia"},{"name":"Griffith Criminology Institute Griffith University Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Davidson","sequence":"additional","affiliation":[{"name":"National Centre for Youth Substance Use Research University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlie","family":"Robertson","sequence":"additional","affiliation":[{"name":"Headspace Southport Gold Coast Queensland Australia"},{"name":"Lives Lived Well Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Williams","sequence":"additional","affiliation":[{"name":"Headspace Southport Gold Coast Queensland Australia"},{"name":"Lives Lived Well Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janni","family":"Leung","sequence":"additional","affiliation":[{"name":"National Centre for Youth Substance Use Research University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Walter","sequence":"additional","affiliation":[{"name":"National Centre for Youth Substance Use Research University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julaine","family":"Allan","sequence":"additional","affiliation":[{"name":"Lives Lived Well Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Hides","sequence":"additional","affiliation":[{"name":"National Centre for Youth Substance Use Research University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-015-9514-x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-0046"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20211"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/t67919-000"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2014.06.020"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15199"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcad.12186"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-017-0052-x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-017-0442-1"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2008.01231.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0245331"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajpy.12283"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721001355"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v054.i10"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0878-1"},{"key":"e_1_2_10_18_1","volume-title":"Cognitive\u2010behavioral treatment of borderline personality disorder","author":"Linehan M. 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