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Brown JF, Brown MZ, Dibiasio P. Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy. J Ment Health Res Intellect Disabil. 2013;6(4):280-303doi: 10.1080/19315864.2012.700684.
Brown, J. F., Brown, M. Z., & Dibiasio, P. (2013). Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy. Journal of mental health research in intellectual disabilities, 6(4), 280-303. https://doi.org/10.1080/19315864.2012.700684
Brown, Julie F, et al. "Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy." Journal of mental health research in intellectual disabilities vol. 6,4 (2013): 280-303. doi: https://doi.org/10.1080/19315864.2012.700684
Brown JF, Brown MZ, Dibiasio P. Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy. J Ment Health Res Intellect Disabil. 2013 Oct;6(4):280-303. doi: 10.1080/19315864.2012.700684. PMID: 23914278; PMCID: PMC3725667.
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J Ment Health Res Intellect Disabil. 2013 Oct;6(4):280-303. doi: 10.1080/19315864.2012.700684.

Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy.

Journal of mental health research in intellectual disabilities

Julie F Brown, Milton Z Brown, Paige Dibiasio

Affiliations

  1. Justice Resource Institute-Integrated Clinical Services, Warwick, Rhode Island.

PMID: 23914278 PMCID: PMC3725667 DOI: 10.1080/19315864.2012.700684

Abstract

Approximately one third of adults with intellectual and developmental disabilities have emotion dysregulation and challenging behaviors (CBs). Although research has not yet confirmed that existing treatments adequately reduce CBs in this population, dialectical behavior therapy (DBT) holds promise, as it has been shown to effectively reduce CBs in other emotionally dysregulated populations. This longitudinal single-group pilot study examined whether individuals with impaired intellectual functioning would show reductions in CBs while receiving standard DBT individual therapy used in conjunction with the Skills System (DBT-SS), a DBT emotion regulation skills curriculum adapted for individuals with cognitive impairment. Forty adults with developmental disabilities (most of whom also had intellectual disabilities) and CBs, including histories of aggression, self-injury, sexual offending, or other CBs, participated in this study. Changes in their behaviors were monitored over 4 years while in DBT-SS. Large reductions in CBs were observed during the 4 years. These findings suggest that modified DBT holds promise for effectively treating individuals with intellectual and developmental disabilities.

Keywords: coping skills; dialectical behavior therapy; intellectual disabilities

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