How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group

Abstract Background Dialectical Behavior Therapy’s (DBT) well established effectiveness in reducing emotion dysregulation, and the growing recognition that parental emotion regulation is critical to effective parenting has led to increasing interest in the applicability of DBT skills to parenting. E...

Full description

Saved in:
Bibliographic Details
Main Authors: Yoel Everett, Olivia A. Frigoletto, Jacqueline R. O’Brien, Amy L. Byrd, Stephanie D. Stepp, Maureen Zalewski
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Borderline Personality Disorder and Emotion Dysregulation
Subjects:
Online Access:https://doi.org/10.1186/s40479-025-00279-2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823863268405411840
author Yoel Everett
Olivia A. Frigoletto
Jacqueline R. O’Brien
Amy L. Byrd
Stephanie D. Stepp
Maureen Zalewski
author_facet Yoel Everett
Olivia A. Frigoletto
Jacqueline R. O’Brien
Amy L. Byrd
Stephanie D. Stepp
Maureen Zalewski
author_sort Yoel Everett
collection DOAJ
description Abstract Background Dialectical Behavior Therapy’s (DBT) well established effectiveness in reducing emotion dysregulation, and the growing recognition that parental emotion regulation is critical to effective parenting has led to increasing interest in the applicability of DBT skills to parenting. Efforts to integrate DBT and parenting interventions would benefit from an empirical examination of which DBT skills are most useful to parents with emotion dysregulation. Methods This study used clinician-rated observational coding of skill use examples that were provided by mothers with severe emotion dysregulation (n = 16) who participated in a standard 48-week DBT Skills Training (DBT-ST) program in the context of a larger randomized controlled trial (NCT03060902). Mothers described their use of DBT skills during the homework review portion of DBT-ST sessions and video-recordings were then examined and coded to identify which DBT skills mothers most frequently described using in parenting situations (vs. non-parenting situations) and which skills were used to either increase positive parenting behaviors or to decrease negative parenting behaviors. Results A total of 220 skill use examples were coded and approximately one-quarter described skill use in parenting situations. Mindfulness, Distress Tolerance, and Emotion Regulation skills were the most frequently described skills used in parenting situations, while Interpersonal Effectiveness skills were rarely coded. Mindfulness and Emotion Regulation skills were most often coded when mothers’ parenting goal was to increase positive parenting, while Distress Tolerance skills were most often coded when mothers’ parenting goal was to decrease negative parenting behaviors. Conclusions Results provide an empirical basis which clinicians and treatment developers can use when selecting DBT skills to apply towards parenting challenges.
format Article
id doaj-art-4ddfbdd7812d462a9910a947b4d235b8
institution Kabale University
issn 2051-6673
language English
publishDate 2025-02-01
publisher BMC
record_format Article
series Borderline Personality Disorder and Emotion Dysregulation
spelling doaj-art-4ddfbdd7812d462a9910a947b4d235b82025-02-09T12:12:54ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732025-02-0112111210.1186/s40479-025-00279-2How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training groupYoel Everett0Olivia A. Frigoletto1Jacqueline R. O’Brien2Amy L. Byrd3Stephanie D. Stepp4Maureen Zalewski5Department of Psychology, University of OregonDepartment of Psychology, University of OregonDepartment of Pediatrics, Oregon Health and Science UniversityDepartment of Psychiatry, University of PittsburghDepartment of Psychiatry, University of PittsburghDepartment of Psychology, University of OregonAbstract Background Dialectical Behavior Therapy’s (DBT) well established effectiveness in reducing emotion dysregulation, and the growing recognition that parental emotion regulation is critical to effective parenting has led to increasing interest in the applicability of DBT skills to parenting. Efforts to integrate DBT and parenting interventions would benefit from an empirical examination of which DBT skills are most useful to parents with emotion dysregulation. Methods This study used clinician-rated observational coding of skill use examples that were provided by mothers with severe emotion dysregulation (n = 16) who participated in a standard 48-week DBT Skills Training (DBT-ST) program in the context of a larger randomized controlled trial (NCT03060902). Mothers described their use of DBT skills during the homework review portion of DBT-ST sessions and video-recordings were then examined and coded to identify which DBT skills mothers most frequently described using in parenting situations (vs. non-parenting situations) and which skills were used to either increase positive parenting behaviors or to decrease negative parenting behaviors. Results A total of 220 skill use examples were coded and approximately one-quarter described skill use in parenting situations. Mindfulness, Distress Tolerance, and Emotion Regulation skills were the most frequently described skills used in parenting situations, while Interpersonal Effectiveness skills were rarely coded. Mindfulness and Emotion Regulation skills were most often coded when mothers’ parenting goal was to increase positive parenting, while Distress Tolerance skills were most often coded when mothers’ parenting goal was to decrease negative parenting behaviors. Conclusions Results provide an empirical basis which clinicians and treatment developers can use when selecting DBT skills to apply towards parenting challenges.https://doi.org/10.1186/s40479-025-00279-2ParentingEmotion dysregulationDialectical Behavior Therapy skills
spellingShingle Yoel Everett
Olivia A. Frigoletto
Jacqueline R. O’Brien
Amy L. Byrd
Stephanie D. Stepp
Maureen Zalewski
How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
Borderline Personality Disorder and Emotion Dysregulation
Parenting
Emotion dysregulation
Dialectical Behavior Therapy skills
title How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
title_full How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
title_fullStr How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
title_full_unstemmed How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
title_short How mothers with severe emotion dysregulation use DBT skills in parenting contexts: observational coding of skills use in a DBT skills training group
title_sort how mothers with severe emotion dysregulation use dbt skills in parenting contexts observational coding of skills use in a dbt skills training group
topic Parenting
Emotion dysregulation
Dialectical Behavior Therapy skills
url https://doi.org/10.1186/s40479-025-00279-2
work_keys_str_mv AT yoeleverett howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup
AT oliviaafrigoletto howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup
AT jacquelinerobrien howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup
AT amylbyrd howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup
AT stephaniedstepp howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup
AT maureenzalewski howmotherswithsevereemotiondysregulationusedbtskillsinparentingcontextsobservationalcodingofskillsuseinadbtskillstraininggroup