title: Group Dialectical-Behavior Therapy Skills Training for Conversion Disorder With Seizures.
abstract: Neuroimaging evidence suggests deficits in affective regulation in conversion disorder (CD). Dialectical-behavior therapy skills training (DBT-ST) was developed to target emotion dysregulation. This study was aimed to test the feasibility of stand-alone DBT-ST for CD using Linehan's manual for borderline personality disorder. In a prospective naturalistic design, 19 adult outpatients diagnosed with video EEG-confirmed seizure type CD were recruited and received weekly group DBT. Seventeen out of 19 subjects finished an average of 20.5 weeks of treatment. The mean seizure rate decreased by 66%. Cessation of seizures occurred in 35% of the sample. Completion rates reached 90%.
authors.affiliation: From the Dept. of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA (KDB, NM, CF, MT).
authors.forename: Kim D
authors.initials: KD
authors.lastname: Bullock
authors.affiliation: From the Dept. of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA (KDB, NM, CF, MT).
authors.forename: Nida
authors.initials: N
authors.lastname: Mirza
authors.affiliation: From the Dept. of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA (KDB, NM, CF, MT).
authors.forename: Craig
authors.initials: C
authors.lastname: Forte
authors.affiliation: From the Dept. of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA (KDB, NM, CF, MT).
authors.forename: Mickey
authors.initials: M
authors.lastname: Trockel
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D003291:Conversion Disorder / Q000150:complications* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012640:Seizures / Q000150:complications* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult