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A pilot study of dialectical behaviour therapy skills training for autistic adults

Published online by Cambridge University Press:  23 September 2021

Lorie A. Ritschel ,
Lisa Guy  and
Brenna B. Maddox
Lorie A. Ritschel*
Affiliation:
University of North Carolina School of Medicine, Chapel Hill, NC, USA Triangle Area Psychology Clinic, Durham, NC, USA
Lisa Guy
Affiliation:
University of North Carolina School of Medicine, Chapel Hill, NC, USA
Brenna B. Maddox
Affiliation:
University of North Carolina School of Medicine, Chapel Hill, NC, USA
*
*Corresponding author. Email: ritschel@tapclinicnc.com
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Abstract

Background:

Autism spectrum disorder (ASD) is a common and lifelong neurodevelopmental disorder with the hallmark features of social impairment and restricted and repetitive patterns of behaviour. Individuals with ASD often experience co-occurring mental health difficulties, some of which may obfuscate the ASD features themselves. Although there is a high need for mental health services for autistic adults, there are surprisingly few evidence-based treatments (EBTs) available; moreover, many mental health practitioners who are well-trained in EBTs shy away from treating autistic individuals due to lack of training in ASD.

Aims:

The aim of the current study was to evaluate the feasibility and acceptability of dialectical behaviour therapy skills training (DBT-ST) in a sample of autistic adults without intellectual disability.

Method:

Sixteen adults with ASD were recruited from a treatment waiting list to enrol in this study, which included 24 weeks of DBT-ST delivered in a group setting. Feasibility and acceptability were assessed using retention and attendance data and a participant satisfaction questionnaire.

Results:

Retention (81.3%) and attendance data (mean 87.5%) provided support for the feasibility of this intervention. Overall satisfaction ratings were high (mean 4.5 out of 5), and participants reported that they felt that DBT-ST would probably be helpful for others with ASD (mean 4.5 out of 5).

Conclusions:

The study findings provide preliminary evidence of (1) the feasibility of providing DBT-ST for autistic adults in community-based clinics, and (2) the perceived benefit of DBT-ST for this under-served population. Recommended modifications to the standard DBT-ST materials are discussed.

Keywords

autismDBTemotion regulationskills training
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 2 , March 2022 , pp. 187 - 202
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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Footnotes

‡

Dr Lorie Ritschel and Dr Lisa Guy contributed equally to this publication.

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