title: Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study of an intensive residential treatment program.
abstract: Dialectical behavior therapy for posttraumatic stress disorder (DBT-PTSD) is tailored for adults with PTSD from childhood sexual abuse (CSA). It uses principles from DBT and trauma-focused cognitive-behavioral approaches. To evaluate acceptance and safety, the authors treated 29 women with chronic CSA-related PTSD plus at least one other comorbid diagnosis. The Posttraumatic Diagnostic Scale (PDS), Symptom Checklist 90-Revised, Beck Depression Inventory, and State Trait Anxiety Inventory were administered prior to, at the end of, and 6 weeks after 3 months of intensive residential treatment. An effect size of 1.22 on the PDS was found between baseline and follow-up. Effect sizes for secondary outcomes ranged from medium to large. The results suggest that DBT-PTSD has promise for reducing severe and chronic PTSD after CSA.
authors.affiliation: Central Institute of Mental Health, Mannheim, Germany. steil@psych.uni-frankfurt.de
authors.forename: Regina
authors.initials: R
authors.lastname: Steil
authors.forename: Anne
authors.initials: A
authors.lastname: Dyer
authors.forename: Kathlen
authors.initials: K
authors.lastname: Priebe
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Kleindienst
authors.forename: Martin
authors.initials: M
authors.lastname: Bohus
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002650:Child Abuse, Sexual / Q000534:rehabilitation*; D015897:Comorbidity; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D016014:Linear Models; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D010865:Pilot Projects; D012114:Residential Treatment / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000628:therapy*