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Outpatient Young Adults with Concurrent Disorders: A Naturalistic Study of Clinical Characteristics and DBT Skills Training Outcomes.

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Τίτλος: Outpatient Young Adults with Concurrent Disorders: A Naturalistic Study of Clinical Characteristics and DBT Skills Training Outcomes.
Συγγραφείς: Cowie KD; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada., Weller A; Israel Centre for Addiction and Mental Health (ICAMH), Jerusalem, Israel., Griffin M; Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Rubin-Kahana DS; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada., Dixon M; Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Ross J; Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Amani B; Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Dickens S; Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Hawke LD; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada., Henderson J; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada., Courtney D; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada.
Πηγή: Early intervention in psychiatry [Early Interv Psychiatry] 2026 Aug; Vol. 20 (8), pp. e70235.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Blackwell Country of Publication: Australia NLM ID: 101320027 Publication Model: Print Cited Medium: Internet ISSN: 1751-7893 (Electronic) Linking ISSN: 17517885 NLM ISO Abbreviation: Early Interv Psychiatry Subsets: MEDLINE
Imprint Name(s): Original Publication: Carlton,VIC, Australia : Wiley-Blackwell
Ιατρικοί όροι (MeSH): Mental Disorders*/therapy , Mental Disorders*/complications , Mental Disorders*/epidemiology , Substance-Related Disorders*/therapy , Substance-Related Disorders*/complications , Substance-Related Disorders*/epidemiology , Dialectical Behavior Therapy*/methods , Psychotherapy, Group*/methods, Outpatients/psychology ; Humans ; Female ; Male ; Young Adult ; Treatment Outcome ; Adult ; Adolescent ; Diagnosis, Dual (Psychiatry)
Περίληψη: Introduction: This naturalistic study characterized clinical profiles of outpatient young adults with concurrent substance use and nonsubstance mental health symptoms in addition to evaluating reach and outcomes of a dialectical behaviour therapy skills training group.
Methods: Descriptive statistics were generated to characterize demographic and clinical profiles of young adults (N = 612) who initiated services at a psychiatric specialty clinic between June 2016 and January 2020. Chi-square, independent t-tests and logistic regression models were used to examine factors associated with engagement with dialectical behaviour therapy skills training group. Paired samples t-tests were utilized to evaluate psychiatric symptom and functional impairment outcomes associated with group completion.
Results: Self-report measures indicated a high rate of substance use and co-occurring nonsubstance mental health concerns in the sample as a whole. Young adults who engaged in group programming differed significantly from those who did not on several clinical and demographic variables; however, no variables were significantly associated with group engagement in regression models. While referral and attendance rates were relatively low (30.6% and 15.4% of total sample), for those completing dialectical behaviour therapy skills training group we observed positive pre-post change outcomes on measures of psychiatric symptoms and functioning (d = 0.35-0.69).
Conclusion: Taken together, these findings provide initial support for offering dialectical behaviour therapy skills training as an adjunctive intervention for young adults with concurrent disorders. Future research identifying factors for enhancing engagement and examining outcome with more controlled conditions are warranted.
(© 2026 The Author(s). Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.)
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Grant Information: Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health; O'Brien Scholars Program
Contributed Indexing: Keywords: addiction; concurrent disorders; dialectical behaviour therapy skills group; group psychotherapy; substance use; young adult; youth
Entry Date(s): Date Created: 20260729 Date Completed: 20260729 Latest Revision: 20260801
Update Code: 20260801
PubMed Central ID: PMC13420949
DOI: 10.1111/eip.70235
PMID: 42527049
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1751-7893
DOI:10.1111/eip.70235