Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Influence of a Standardized DBT-A Program on the Identity of Adolescents with Emotional Dysregulation

Version 1 : Received: 25 August 2023 / Approved: 25 August 2023 / Online: 25 August 2023 (09:22:06 CEST)

A peer-reviewed article of this Preprint also exists.

Dixius, A.; Möhler, E. Effects of a Standardized DBT—A Program on Identity Development in Adolescents. Brain Sci. 2023, 13, 1328. Dixius, A.; Möhler, E. Effects of a Standardized DBT—A Program on Identity Development in Adolescents. Brain Sci. 2023, 13, 1328.

Abstract

Background: Identity diffusion plays a central role in the onset of borderline personality and disorders. The Dialectical Behavioral Therapy for Adolescents (DBT-A) is a treatment program for adolescents with emotional instability and dysregulation. The interest of this study is to examine the influence of a standardized and certified DBT-A therapy program on identity development of adolescents with emotion dysregulation in an inpatient setting. Methods: 138 adolescents aged 13 to 18 years with symptoms of emotional instability were assessed before and after a curricular 12-weeks in-patient DBT-A program with standardized instruments for the assessment of identity (AIDA), emotion regulation (FEEL-KJ, SEE) and general psychopathology (SCL-90-R, DIKJ). Results: The results indicate a significant change in identity development, emotion regulation and general symptoms of psychopathology after treatment with DBT-A. A connection between identity scales and psychopathological symptoms of adolescents with diagnosed borderline disorders and impaired emotion regulation could be established. Conclusion: In this large sample of adolescents, DBT-A significantly improved identity and reduced identity diffusion. As identiy disturbance is a core symptom of borderline personality disorder, our results may become clinically relevant for the prevention of personality disorders in emotionally unstable adolescents

Keywords

emotion regulation; identity; DBT-A, adolescents; Borderline Personality Personality disorders

Subject

Biology and Life Sciences, Neuroscience and Neurology

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