Borderline Personality Disorder Institute Foundation, 08221 Terrassa, Spain.
Department of Psychology and Sociology, University of Zaragoza, 44003 Teruel, Spain.
Int J Environ Res Public Health. 2022 Jan 3;19(1):494. doi: 10.3390/ijerph19010494.
Emotional dysregulation is a key factor in the development and maintenance of multiple disabling mental disorders through a person's lifespan. Therefore, there is an urgent need to prevent emotional dysregulation as early as possible. The main aim of this study was to evaluate the acceptability and preliminary effectiveness of an adapted Dialectical Behavior Therapy Skills Training program for Emotional Problem Solving in Adolescents (DBT STEPS-A) during secondary school. The sample included 93 adolescents (mean age = 12.78; SD = 0.54; and 53% female) studying in their 2nd year of secondary school in a public center in Catalonia (Spain). Measures of acceptability, difficulties of emotional regulation, mental health problems, and life satisfaction were completed before and after participation in the DBT STEPS-A program during one academic year. The majority of students rated the program as useful (64%) and enjoyed the classes (62%) and 48% of them reported practicing the newly learned skills. Statistically significant improvements were revealed in some emotional regulation-related variables, namely the number of peer problems ( = 0.003; d = 0.52) and prosocial behaviors ( < 0.001; d = -0.82). Although non-significant, the scores in the remaining outcomes indicated a general positive trend in emotional dysregulation, mental health, and life satisfaction. The adapted DBT STEPS-A was very well-accepted and helped overcome some emotional regulation difficulties in Spanish adolescents.
情绪失调是一个人一生中多种致残性精神障碍发展和维持的关键因素。因此，迫切需要尽早预防情绪失调。本研究的主要目的是评估在中学阶段，对青少年情绪问题解决的适应式辩证行为治疗技能训练计划（DBT STEPS-A）的可接受性和初步效果。该样本包括 93 名青少年（平均年龄=12.78；标准差=0.54；女性占 53%），他们在加泰罗尼亚（西班牙）的一个公立中心的中学二年级学习。在一个学年内，参与者参加了 DBT STEPS-A 项目，在参加该项目前后，完成了可接受性、情绪调节困难、心理健康问题和生活满意度的测量。大多数学生认为该计划很有用（64%），并喜欢上课（62%），其中 48%的学生报告说他们在实践新学到的技能。在一些与情绪调节相关的变量中，如同伴问题的数量（ = 0.003；d = 0.52）和亲社会行为（ < 0.001；d = -0.82），有统计学意义的改善。尽管不显著，但其余结果的分数表明，情绪失调、心理健康和生活满意度普遍呈积极趋势。适应式 DBT STEPS-A 非常受欢迎，并帮助西班牙青少年克服了一些情绪调节困难。
