{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T02:24:23Z","timestamp":1769480663738,"version":"3.49.0"},"reference-count":86,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Mental disorders and emotion dysregulation are highly prevalent in adolescence, yet access to intensive, age-appropriate treatments remains limited. This pilot study examined the feasibility and preliminary effects of a creative, 8-week, DBT-based transdiagnostic skills group for adolescents (DBT-K). Methods: 53 outpatients (aged 13\u201318, 50 female) with heterogeneous psychiatric diagnoses completed baseline self-report measures of internet use, emotion regulation, self-esteem, temperament, and psychopathology. During eight weekly group sessions, positive and negative emotions were assessed before and after each session; self-esteem and emotion regulation strategies were reassessed at the final session. Linear mixed models were used to analyze trajectories of affect and self-esteem. Results: Adolescents showed high baseline internalizing symptoms, low adaptive emotion regulation, and low self-esteem, with a substantial proportion meeting criteria for problematic internet use. Across sessions, negative affect exhibited a significant reduction, with a significant main effect of time and pre- vs. post-session condition. Positive emotions showed no systematic pre-post change and a small decline over time. Self-esteem height remained stable across sessions. No significant changes emerged for total adaptive or maladaptive strategies, but expression of emotions increased significantly. Conclusions: These findings suggest that a brief, creative DBT-based group is feasible in a highly burdened, transdiagnostic outpatient sample and was associated with a reduction in negative affect and an increase in emotional expression. However, the lack of control group, high attrition, short duration, and absence of follow-up emphasize that conclusions are preliminary.<\/jats:p>","DOI":"10.3390\/children13020172","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T15:48:30Z","timestamp":1769442510000},"page":"172","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["DBT-K for Adolescents: Feasibility and Preliminary Outcomes of a Creative Eight-Week, DBT-Based Transdiagnostic Skills Group"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7204-2412","authenticated-orcid":false,"given":"Elias","family":"Legat","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas","family":"Rainer","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"},{"name":"Department of Neurology, Neurocritical Care and Neurorehabilitation, Salzburger Landeskliniken, Member of the European Reference Network, EpiCARE, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"},{"name":"Centre for Cognitive Neuroscience Salzburg, University of Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Huber","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Plattner","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"},{"name":"Centre for Cognitive Neuroscience Salzburg, University of Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Schaffer","sequence":"additional","affiliation":[{"name":"Department of Educational Science, University of Education Salzburg, Akademiestra\u00dfe 23-25, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Gampe","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2421-1944","authenticated-orcid":false,"given":"Kornelius","family":"Winds","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"},{"name":"Centre for Cognitive Neuroscience Salzburg, University of Salzburg, Ignaz-Harrer-Stra\u00dfe 79, 5020 Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"ref_1","unstructured":"National Academies of Sciences, Engineering and Medicine (2019). 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