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Applications of dialectical behavioural therapy in the perinatal period: A scoping review.

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Title: Applications of dialectical behavioural therapy in the perinatal period: A scoping review.
Authors: Hellberg, Samantha N. (AUTHOR), Bruening, Amanda B. (AUTHOR), Thompson, Katherine A. (AUTHOR), Hopkins, Tiffany A. (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Jan2024, Vol. 31 Issue 1, p1-21. 21p.
Subjects: Postpartum depression, Systematic reviews, Behavior therapy, Post-traumatic stress disorder, Suicidal ideation, Parenting, Pregnancy complications, Emotion regulation, Anxiety, Postnatal care, Perinatal period, Psychological distress, Self-mutilation, Pregnancy
Abstract: Psychological distress is the most common complication of pregnancy. High‐risk concerns can include severe emotion dysregulation, suicidality and self‐injury, and health risk behaviours, which bear substantial consequences for caregivers and families. Yet, effective, comprehensive interventions for high‐risk caregivers have received limited attention. Dialectical behaviour therapy (DBT) is a frontline treatment for such concerns. Accordingly, we conducted a scoping review on the implementation of DBT in the perinatal period. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Seven studies were identified; study designs included case studies and single‐arm pilot trials. Most studies used DBT‐informed protocols with significant adaptations, few included multiple components of DBT (i.e. skills group, individual therapy, phone coaching and consultation team), and none met criteria for adherent delivery of all four modes of DBT treatment. Findings suggest DBT‐informed interventions may be successfully implemented to treat a range of perinatal mental health symptoms, including borderline personality disorder, depression, anxiety, and post‐traumatic stress, and to promote emotion regulation and positive parenting behaviours. While results provide preliminary support for perinatal DBT, this literature is scant and empirical rigour considerably lacking. Clinical implications and future directions are outlined to aid researchers and providers in addressing the ongoing perinatal mental health crisis and developing sorely needed interventions to address the needs of high‐risk caregivers. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Applications of dialectical behavioural therapy in the perinatal period: A scoping review.
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  Data: <searchLink fieldCode="AR" term="%22Hellberg%2C+Samantha+N%2E%22">Hellberg, Samantha N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bruening%2C+Amanda+B%2E%22">Bruening, Amanda B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson%2C+Katherine+A%2E%22">Thompson, Katherine A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hopkins%2C+Tiffany+A%2E%22">Hopkins, Tiffany A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Jan2024, Vol. 31 Issue 1, p1-21. 21p.
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  Data: <searchLink fieldCode="DE" term="%22Postpartum+depression%22">Postpartum depression</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting%22">Parenting</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy+complications%22">Pregnancy complications</searchLink><br /><searchLink fieldCode="DE" term="%22Emotion+regulation%22">Emotion regulation</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Postnatal+care%22">Postnatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Perinatal+period%22">Perinatal period</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink>
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  Label: Abstract
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  Data: Psychological distress is the most common complication of pregnancy. High‐risk concerns can include severe emotion dysregulation, suicidality and self‐injury, and health risk behaviours, which bear substantial consequences for caregivers and families. Yet, effective, comprehensive interventions for high‐risk caregivers have received limited attention. Dialectical behaviour therapy (DBT) is a frontline treatment for such concerns. Accordingly, we conducted a scoping review on the implementation of DBT in the perinatal period. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Seven studies were identified; study designs included case studies and single‐arm pilot trials. Most studies used DBT‐informed protocols with significant adaptations, few included multiple components of DBT (i.e. skills group, individual therapy, phone coaching and consultation team), and none met criteria for adherent delivery of all four modes of DBT treatment. Findings suggest DBT‐informed interventions may be successfully implemented to treat a range of perinatal mental health symptoms, including borderline personality disorder, depression, anxiety, and post‐traumatic stress, and to promote emotion regulation and positive parenting behaviours. While results provide preliminary support for perinatal DBT, this literature is scant and empirical rigour considerably lacking. Clinical implications and future directions are outlined to aid researchers and providers in addressing the ongoing perinatal mental health crisis and developing sorely needed interventions to address the needs of high‐risk caregivers. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/cpp.2937
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      – Code: eng
        Text: English
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        PageCount: 21
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    Subjects:
      – SubjectFull: Postpartum depression
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Pregnancy complications
        Type: general
      – SubjectFull: Emotion regulation
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Perinatal period
        Type: general
      – SubjectFull: Psychological distress
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      – SubjectFull: Self-mutilation
        Type: general
      – SubjectFull: Pregnancy
        Type: general
    Titles:
      – TitleFull: Applications of dialectical behavioural therapy in the perinatal period: A scoping review.
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            NameFull: Thompson, Katherine A.
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              Text: Jan2024
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              Y: 2024
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