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Dealing with Feelings: The Effectiveness of Cognitive Behavioural Group Treatment for Women in Secure Settings

Published online by Cambridge University Press:  30 November 2010

Clive G. Long ,
Barbara Fulton ,
Olga Dolley  and
Clive R. Hollin
Clive G. Long*
Affiliation:
St Andrew's Healthcare, and King's College London, St Andrew's Academic Centre, Northampton, UK
Barbara Fulton
Affiliation:
St Andrew's Healthcare, Northampton, UK
Olga Dolley
Affiliation:
St Andrew's Healthcare, Northampton, UK
Clive R. Hollin
Affiliation:
University of Leicester, UK
*
Reprint requests to Clive G. Long, St Andrew's Healthcare, Billing Road, Northampton NN1 5DG, UK. E-mail: clong@standrew.co.uk
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Abstract

Background: Women in secure psychiatric settings have gender specific treatment needs. The current study examined the feasibility of a Dealing with Feelings Skills Group training for dual diagnosis women admitted to a medium secure setting. Method: A pre-test – post-test design was used to evaluate a group programme adapted from dialectical behaviour therapy skills training. Results: Most patients had a primary diagnosis of personality disorder. Treatment completers (n = 29) were compared with non-completers (n = 15). Clinically significant changes in treatment completers were apparent on coping response measures of positive reappraisal, problem solving and alternative rewards; on measures of anxiety and suicidality; on self-reported ability to engage in activities to reduce negative mood and to recognize mood changes. Self-harming and aggressive behaviours also reduced in the 3 months following group treatment. Conclusion: An adapted coping skills component of DBT benefit many dual diagnosis patients: issues related to treatment drop-out and failure to benefit are discussed.

Keywords

Cognitive behavioural group treatmentwomen in secure psychiatric caredual diagnosis
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 2 , March 2011 , pp. 243 - 247
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Jerusalem, M. and Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal process. In Schwarzer, R. (Ed.), Self-efficacy: thought control of action. Washington, DC: Hemisphere.Google Scholar
Linehan, M. (1993). The Cognitive Behavioural Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Long, C. G., Fulton, B. and Hollin, C. R. (2008). The development of a “Best Practise” service for women in a medium secure psychiatric setting: treatment components and evaluation. Clinical Psychology and Psychotherapy, 15, 304–319.CrossRefGoogle Scholar
Lukoff, D., Nuechterlin, K. and Ventura, J. (1986). Manual for the expanded brief psychiatric rating scale. Schizophrenia Bulletin, 13, 261–276.Google Scholar
McMurran, M. and McCulloch, A. (2007). Why don't offenders complete treatment? Prisoners’ reasons for non-completion of a cognitive skills programme. Psychology, Crime and Law, 13, 345–354.Google Scholar
Patton, J. H., Stanford, N. S. and Barratt, E. S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51, 768–784.Google Scholar
Moos, I. H. (1990). Coping Responses Inventory Manual. Palo Alto: CA: Stanford University and Veterans Administration Medical Centres.Google Scholar
Oestrich, I. H., Austin, S. F. and Lykke, J. (2007). The feasibility of a cognitive behavioural intervention for low self-esteem with a dual diagnosis inpatient population. Behavioural and Cognitive Psychotherapy, 35, 403–408.CrossRefGoogle Scholar
Sambrook, S., Abba, N. and Chadwick, P. (2007). Evaluation of DBT emotional coping skills groups for people with para suicidal behaviours. Behavioural and Cognitive Psychotherapy, 35, 241–244.Google Scholar
Yudofsky, S. C., Silver, J. M., Jackson, W., Endicott, J. and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry, 143, 35–39.Google Scholar
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