Self-harm and self-regulation in urban ethnic minority youth: a pilot application of dialectical behavior therapy for adolescents.

Child and Adolescent Mental Health
Anna J YeoAlec Miller

Abstract

Difficulties in coping with stress and regulating emotions are transdiagnostic risk factors for self-harming behavior. Due to sociocultural stressors, ethnic minority adolescents may be at greater risk for self-regulation difficulties and self-harm. Dialectical behavior therapy for adolescents (DBT-A) frames adaptive skill acquisition as a mechanism of change, but few studies have investigated its impact on ethnic minority adolescents' self-regulation (i.e. coping, emotion regulation). Therefore, this pilot study examined relations between self-regulation and self-harm among ethnic minority adolescents and investigated changes in their self-regulation upon completing DBT-A. A clinically referred sample of 101 ethnic minority adolescents (Mage  = 14.77; female = 69.3%) completed questionnaires about a history of self-harm, coping (DBT Ways of Coping Checklist), and emotion regulation (Difficulties in Emotion Regulation Scale). Of the initial sample, 51 adolescents (Mage  = 14.73; female = 80.4%) entered a 20-week DBT-A program due to self-harm and/or Borderline Personality features. In a pretreatment sample, the frequency of dysfunctional coping, but not of adaptive coping, differentiated self-injurers from non-self-injurers. Fu...Continue Reading

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Citations

Sep 15, 2020·Evidence-based Practice in Child and Adolescent Mental Health·Alexandra H BettisE David Klonsky
Mar 16, 2021·Frontiers in Psychology·Matina ShaftiDaniel Pratt
Jul 19, 2021·Clinical Child and Family Psychology Review·Hana-May EadehMolly A Nikolas

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