{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:09:29Z","timestamp":1791997769578,"version":"4.4.0"},"reference-count":49,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: There is an established evidence-base for dialectical behaviour therapy for adolescents (DBT-A) in the treatment of young people with severe emotion dysregulation and related problems, including repeated self-harm and suicidal behaviours. However, few studies have reported on parental involvement in such treatments. This study aims to explore the outcomes and experiences of participants of a dedicated skills group for parents and carers embedded within an adapted DBT-A programme in the United Kingdom. Method: This study was conducted within a specialist outpatient Child and Adolescent Mental Health Services (CAMHS) DBT programme in the National Health Service (NHS) in London. Participants were parents and carers of adolescents engaged in the DBT-A programme. Participants attended a 6-month parent and carer skills group intervention and completed self-report measures relating to carer distress, communication and family functioning, at pre-intervention and post-intervention. Following the intervention, semi-structured interviews were also completed with a subgroup of participants to explore their experiences of the skills group and how they perceived its effectiveness. Quantitative and qualitative methods were used to analyse the data collected from participants. Results: Forty-one parents and carers completed the intervention. Participants reported a number of statistically significant changes from pre- to post-intervention: general levels of distress and problems in family communication decreased, while perceived openness of family communication and strengths and adaptability in family functioning increased. A thematic analysis of post-intervention interviews examining participant experiences identified six themes: (1) experiences prior to DBT; (2) safety in DBT; (3) experiences with other parents and carers; (4) new understandings; (5) changes in behaviours; and (6) future suggestions. Discussion: Parents and carers who attended a dedicated DBT skills groups, adapted for local needs, reported improvements in their wellbeing, as well as interactions with their adolescents and more general family functioning, by the end of the intervention. Further studies are needed which report on caregiver involvement in DBT.<\/jats:p>","DOI":"10.3390\/ijerph20146334","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T01:58:14Z","timestamp":1689040694000},"page":"6334","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Parent and Carer Skills Groups in Dialectical Behaviour Therapy for High-Risk Adolescents with Severe Emotion Dysregulation: A Mixed-Methods Evaluation of Participants\u2019 Outcomes and Experiences"],"prefix":"10.3390","volume":"20","author":[{"given":"Lindsay","family":"Smith","sequence":"first","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Hunt","sequence":"additional","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Parker","sequence":"additional","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"},{"name":"Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King\u2019s College London, London SE5 8AF, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jake","family":"Camp","sequence":"additional","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"},{"name":"Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King\u2019s College London, London SE5 8AF, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Stewart","sequence":"additional","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Morris","sequence":"additional","affiliation":[{"name":"National and Specialist Child and Adolescent Mental Health Services (CAMHS), South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, De Crespigny Park, London SE5 8AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1521\/suli.32.2.146.24399","article-title":"Dialectical behavior therapy adapted for suicidal adolescents","volume":"32","author":"Rathus","year":"2002","journal-title":"Suicide Life-Threat. Behav."},{"key":"ref_2","unstructured":"Miller, A.L., Rathus, J.H., and Linehan, M.M. (2007). Dialectical Behavior Therapy with Suicidal Adolescents, Guilford Press."},{"key":"ref_3","unstructured":"National Institute for Health and Care Excellence (2022). Self-Harm: Assessment, Management and Preventing Recurrence, National Institute for Health and Care Excellence. Available online: https:\/\/www.nice.org.uk\/guidance\/ng225."},{"key":"ref_4","unstructured":"Linehan, M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder, Guildford Press."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1001\/archpsyc.63.7.757","article-title":"Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder","volume":"63","author":"Linehan","year":"2006","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1176\/appi.ajp.2009.09010039","article-title":"A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder","volume":"166","author":"McMain","year":"2009","journal-title":"Am. J. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.jaac.2014.07.003","article-title":"Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trial","volume":"53","author":"Mehlum","year":"2014","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1001\/jamapsychiatry.2018.1109","article-title":"Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial","volume":"75","author":"McCauley","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1111\/sltb.12612","article-title":"Adapted Dialectical Behavior Therapy for Adolescents with a High Risk of Suicide in a Community Clinic: A Pragmatic Randomized Controlled Trial","volume":"50","author":"Mendez","year":"2020","journal-title":"Suicide Life Threat Behav."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e216614","DOI":"10.1001\/jamanetworkopen.2021.6614","article-title":"Comparative Efficacy and Acceptability of Psychotherapies for Self-harm and Suicidal Behavior Among Children and Adolescents: A Systematic Review and Network Meta-analysis","volume":"4","author":"Bahji","year":"2021","journal-title":"JAMA Netw. Open."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s13034-015-0066-3","article-title":"Parents of youth who self-injure: A review of the literature and implications for mental health professionals","volume":"9","author":"Arbuthnott","year":"2015","journal-title":"Child Adolesc. Psychiatry Ment. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1017\/S0954579413001041","article-title":"Reciprocal-effects of parenting and borderline personality disorder symptoms in adolescent girls","volume":"26","author":"Stepp","year":"2014","journal-title":"Dev. Psychopathol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/pmh.1473","article-title":"Support, interventions and outcomes for families\/carers of people with borderline personality disorder: A systematic review","volume":"14","author":"Sutherland","year":"2020","journal-title":"Personal. Ment. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000345857","article-title":"Longitudinal transmission pathways of borderline personality disorder symptoms: From mother to child","volume":"47","author":"Reinelt","year":"2013","journal-title":"Psychopathology"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1017\/S0954579409990174","article-title":"A prospective study of the development of borderline personality symptoms","volume":"21","author":"Carlson","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Snyder, D.K., Simpson, J., and Hughes, J.N. (2006). Emotion Regulation in Couples and Families: Pathways to Dysfunction and Health, American Psychological Association.","DOI":"10.1037\/11468-000"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1111\/j.1545-5300.2005.00055.x","article-title":"Family connections: A program for relatives of persons with borderline personality disorder","volume":"44","author":"Hoffman","year":"2005","journal-title":"Fam. Process."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s40479-017-0069-1","article-title":"Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: Non-randomised controlled study","volume":"4","author":"Flynn","year":"2017","journal-title":"Borderline Pers. Disord Emot. Dysregul."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1111\/hex.13205","article-title":"Evaluating the effectiveness of the Family Connections program for caregivers of youth with mental health challenges, part I: A quantitative analysis","volume":"24","author":"Boritz","year":"2021","journal-title":"Health Expect."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.cbpra.2007.08.004","article-title":"Implementing Dialectical Behavior Therapy With Adolescents and Their Families in a Community Outpatient Clinic","volume":"15","author":"Woodberry","year":"2008","journal-title":"Cogn. Behav. Pract."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1177\/0020764006074554","article-title":"Psychological distress in caretakers or relatives of patients with borderline personality disorder","volume":"53","author":"Scheirs","year":"2007","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1037\/a0029808","article-title":"An overview of dialectical behaviour therapy for professional psychologists","volume":"44","author":"Rizvi","year":"2013","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.apnu.2011.06.005","article-title":"A life tiptoeing: Being a significant other to persons with borderline personality disorder","volume":"25","author":"Ekdahl","year":"2011","journal-title":"Arch. Psychiatr. Nurs."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1177\/1359104508096765","article-title":"Deliberate self-harm in children and adolescents: A qualitative study exploring the needs of parents and carers","volume":"13","author":"Byrne","year":"2008","journal-title":"Clin. Child Psychol. Psychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1192\/bjp.bp.107.045930","article-title":"Parents\u2019 perspectives on adolescent self-harm: Qualitative study","volume":"193","author":"Oldershaw","year":"2008","journal-title":"Br. J. Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1017\/ipm.2019.62","article-title":"An evaluation of the skills group component of DBT-A for parent\/guardians: A mixed methods study","volume":"40","author":"Flynn","year":"2020","journal-title":"Ir. J. Psychol. Med."},{"key":"ref_27","unstructured":"First, M.B., Spitzer, R.L., Gibbon, M., and Williams, J.B.W. (1997). Structured Clinical Interview for DSM-IV Personality Disorders, (SCID-II), American Psychiatric Press, Inc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/1744629511410922","article-title":"Psychological well-being of caregivers of children with intellectual disabilities: Using parental stress as a mediating factor","volume":"15","author":"Cramm","year":"2011","journal-title":"J. Intellect. Disabil."},{"key":"ref_30","unstructured":"Olson, D. (1985). Family Inventories: Inventories Used in a National Survey of Families Across the Life Cycle, Family Social Science."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1590\/S0104-11692013000400004","article-title":"Translation and validation of the Parent-adolescent Communication Scale: Technology for DST\/HIV prevention","volume":"21","author":"Gubert","year":"2013","journal-title":"Rev. Lat. Am. Enferm."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1177\/1090198106293524","article-title":"Validation of a Parent-Adolescent Communication Scale for Use in STD\/HIV Prevention Interventions","volume":"35","author":"Sales","year":"2008","journal-title":"Health Educ. Behav."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1111\/j.1467-6427.2010.00507.x","article-title":"Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: The SCORE","volume":"32","author":"Stratton","year":"2010","journal-title":"J. Fam. Ther."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/famp.12200","article-title":"Systematic Review of Self-Report Family Assessment Measures","volume":"55","author":"Hamilton","year":"2016","journal-title":"Fam. Process"},{"key":"ref_35","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_36","unstructured":"SPSS. IBM Corp. (2013). IBM SPSS Statistics for Windows, IBM Corp.. Version 22.0; Released 2013."},{"key":"ref_37","unstructured":"Braun, V., and Clarke, V. (2013). Successful Qualitative Research: A Practical Guide for Beginners, SAGE Publications."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Swales, M.A. (2019). The Oxford Handbook of Dialectical Behaviour Therapy, Oxford University Press.","DOI":"10.1093\/oxfordhb\/9780198758723.013.45"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e009631","DOI":"10.1136\/bmjopen-2015-009631","article-title":"The impact of self-harm by young people on parents and families: A qualitative study","volume":"6","author":"Ferrey","year":"2016","journal-title":"BMJ Open"},{"key":"ref_40","first-page":"62","article-title":"Developing and Piloting Community-Based Self-Injury Treatment Groups for Adolescents and Their Parents","volume":"13","author":"Nixon","year":"2004","journal-title":"Can. Child Adolesc. Psychiatry Rev."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1001\/jamapsychiatry.2014.3039","article-title":"Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis","volume":"72","author":"Linehan","year":"2015","journal-title":"JAMA Psychiatry"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.cbpra.2016.06.004","article-title":"Dialectical behavior therapy skills for families of individuals with behavioral disorders: Initial feasibility and outcomes","volume":"24","author":"Wilks","year":"2017","journal-title":"Cogn. Behav. Pract."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1017\/S0954579405050479","article-title":"Family interaction and the development of borderline personality disorder: A transactional model","volume":"17","author":"Fruzzetti","year":"2005","journal-title":"Dev. Psychopathol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1093\/acprof:oso\/9780195380170.003.0005","article-title":"Accurate Expression and Validating Responses: A Transactional Model for Understanding Individual and Relationship Distress","volume":"11","author":"Fruzzetti","year":"2010","journal-title":"Support Process. Intim. Relatsh."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1111\/jcpp.12280","article-title":"Practitioner review: Engaging fathers\u2013recommendations for a game change in parenting interventions based on a systematic review of the global evidence","volume":"55","author":"Burgess","year":"2014","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1300\/J019v27n04_01","article-title":"The inclusion of fathers in behavioral parent training: A critical evaluation","volume":"27","author":"Tiano","year":"2005","journal-title":"Child Fam. Behav. Ther."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.cpr.2007.07.011","article-title":"Fathers\u2019 role in the etiology, prevention and treatment of child anxiety: A review and new model","volume":"28","author":"Phares","year":"2008","journal-title":"Clin. Psychol. Rev."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Tully, L.A., Piotrowska, P.J., Collins, D.A.J., Mairet, K.S., Black, N., Kimonis, E.R., Hawes, D.J., Moul, C., Lenroot, R.K., and Frick, P.J. (2017). Optimising child outcomes from parenting interventions: Fathers\u2019 experiences, preferences and barriers to participation. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4426-1"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Braun, V., and Clarke, V. (2022). Thematic Analysis: A Practical Guide, SAGE Publications.","DOI":"10.1007\/978-3-319-69909-7_3470-2"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/14\/6334\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:09:56Z","timestamp":1760126996000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/14\/6334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,10]]},"references-count":49,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["ijerph20146334"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20146334","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,10]]}}}