Cultural Adaptation and Implementation of DBT for Adolescents With Emotional Disorders
Trial Parameters
Brief Summary
The goal of this study is to learn if Dialectical behavior therapy Skills Training for Adolescents (DBT-A-ST) works on emotional disorders in adolescents. The main questions it aims to answer are: Does DBT-A-ST produce faster improvements (i.e., steeper slopes), compared to ASG, on primary and secondary outcome measures during treatment and 3-month follow-up? Does DBT-A-ST produce greater improvements, compared to ASG, on primary and secondary outcome measures? Participants will: Randomly assigned to (a) a culturally adapted DBT-A-ST or (b) activities-based support group (ASG). Received five assessments before the start of the trial (T1), after 4, 8 sessions (T2, T3), at post-intervention (T4), and 3-month follow-up (T5).
Eligibility Criteria
Inclusion Criteria: * 12-17 years of age, * informed consent is provided by the youth and one of the parents, * Mandarin Chinese language proficiency sufficient to complete study questionnaire, * a total score of either the PHQ-9≥ 10 or the GAD-7 ≥ 10, * a current diagnosis of depressive or anxiety disorder from a K-SADS-E interview, including depression (F32-33); persistent mood disorder (F34), phobic anxiety disorder (F40), other anxiety disorder (F41), and adjustment disorders (F43.2). Individuals with comorbid diagnoses of several emotional disorders are also enrolled. Comorbidities will not be stratified because this will significantly increase the complexity of the design (i.e., some patients may have multiple comorbid diagnoses). Exclusion Criteria: * diagnoses of intellectual disability, schizophrenia, pervasive developmental disorder, anorexia nervosa and substance use disorder in the past 3 months, * active suicidal ideation with a plan or a history of frequent or recent suic