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Efficacy of dialectical behavior therapy-A in adolescents with dissociative disorder in India: An open-label trial
Sneha Das1, Nishant Goyal2, Neha Sayeed3
1 Assistant Professor, Indian Naval Hospital Ship Asvini, Centre of Excellence, Colaba, India
2 Associate Professor of Psychiatry, Central Institute of Psychiatry, Mumbai, India
3 Associate Professor, Department of Clinical Psychology, Central Institute of Psychiatry, Ranchi, Mumbai, India
Correspondence Address:
Sneha Das,
Assistant professor, Department of Clinical Psychology, Indian Naval Hospital Ship, Centre of Excellence, Mumbai
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/amh.amh_57_22
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Introduction: Dialectical behavior therapy-A (DBT-A) is a comprehensive, evidence-based treatment for children and adolescents. To date, there is no empirically validated research for adolescents diagnosed with dissociative disorder (DD) which implies the efficacy of DBT-A.
Methods: This was a hospital-based, prospective, open-label trial based on purposive sampling. It was conducted on 40 adolescents diagnosed with DD. They were divided into study group (N = 20) and treatment-as-usual (TAU; N = 20). The TAU group did not receive any psychotherapy apart from medications, but in the study group, they received pharmacotherapy along with DBT-A module (20 sessions). Multidimensional Inventory of Dissociation and Cognitive Emotion Regulation Questionnaire were used as outcome measures before and after the intervention and compared between the two groups.
Results: Findings suggested improvement in the spectrum of dissociative symptoms and cognitive emotion regulations (maladaptive) in sample over 8 weeks at the postassessment phase. However, the outcome measures did not reflect significant improvement in the case of adaptive emotion regulation skills at the post-tests. Further, analyses suggested a mild-to-moderate effect size in terms of therapeutic efficacy in the study group compared to TAU.
Conclusion: DBT-A intervention module is an effective addition to the management of adolescents diagnosed with DD.
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