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Dialectical Behavior Therapy (DBT; Linehan, 1993) effectively diminishes emotion dysregulation and self-harm behaviors in a number of disorders. However, to our knowledge, no studies have investigated the efficacy of DBT to treat emotional dysregulation associated with self-harm and suicidal behaviors in adults with ASD without intellectual disability. This randomized controlled study trial aims to assess the efficacy of a 5-month DBT intervention in adults with ASD without intellectual disability who present with self-harm and/or suicidal behaviors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dialectical Behavior Therapy (DBT) | Experimental | Psychotherapy (duration 5 months) will begin within a maximum of 1 month (the time to set up the group) and will be accompanied by individual follow-up. Evaluations will be carried out within 6 months of the end of the psychotherapy in order to measure its effects. |
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| Therapy | Other | waiting list for 5 months before starting psychotherapy (duration 5 months). During this time, the patient can continue your usual therapeutic follow-ups. Likewise, assessments will be carried out within 6 months after the end of the psychotherapy in order to measure its effects. the patient will thus benefit from DBT regardless of the group. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dialectical Behavior Therapy (DBT) | Other | Dialectical Behavior Therapy (DBT) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difficulties in Emotion Regulation Scale (DERS) | The minimum value of the DERS scale is 0 and the maximum is 180. The higher the scores, the more severe the deregulation. | baseline |
| Difficulties in Emotion Regulation Scale (DERS) | The minimum value of the DERS scale is 0 and the maximum is 180. The higher the scores, the more severe the deregulation. | at the end of therapy (5 months) |
| Difficulties in Emotion Regulation Scale (DERS) | The minimum value of the DERS scale is 0 and the maximum is 180. The higher the scores, the more severe the deregulation. | 11 months follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de psychiatrie | Strasbourg | 67000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37218688 | Result | Weiner L, Costache ME, Bemmouna D, Rabot J, Weibel S, Dubreucq M, Dubreucq J, Coutelle R. Emotion dysregulation is heightened in autistic females: A comparison with autistic males and borderline personality disorder. Womens Health (Lond). 2023 Jan-Dec;19:17455057231174763. doi: 10.1177/17455057231174763. | |
| 40534251 | Derived |
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| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| ID | Term |
|---|---|
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000077252 | Dialectical Behavior Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Weiner L, Bemmouna D. 'I live with my emotions much better now': A qualitative study of autistic adults' subjective experience of dialectical behaviour therapy. Autism. 2025 Nov;29(11):2741-2755. doi: 10.1177/13623613251348271. Epub 2025 Jun 18. |