Una introducción a la Terapia Dialéctico Conductual Radicalmente Abierta y una revisión sistemática de las evidencias de su eficacia
DOI:
https://doi.org/10.55414/ap.v40i2.1419Palabras clave:
RO-DBT, sobre-control, aoertura radical, señalización social, tratamiento transdiagnósticoResumen
La Terapia Dialéctico Conductual Radicalmente Abierta (RO-DBT) es un tratamiento transdiagnóstico dirigido a pacientes con problemas de sobre-control. Estas personas se caracterizan por presentar inhibición emocional, control de impulsos, necesidad compulsiva de estructura, rigidez cognitiva y conducta gobernada por reglas. Esta terapia centra su trabajo en patologías crónicas y resistentes a tratamiento, como depresión, anorexia nerviosa y trastornos de personalidad del cluster A y C. Para promover el bienestar psicológico, desarrolla la apertura radical y el entrenamiento en déficit en señalización social. El presente trabajo es una revisión bibliográfica sobre la literatura científica de la RO-DBT. Se ofrece una explicación sobre sus fundamentos, objetivos y metodología, con el fin de vislumbrar las novedades que la RO-DBT aporta. Se recogen también diversos estudios sobre la aplicación del tratamiento y los resultados obtenidos.
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Referencias
Baumeister, R. (2002). Yielding to Temptation: Self-Control Failure, Impulsive Purchasing, and Consumer Behavior. Journal of Consumer Research, 28(4), 670-676 [DOI: 10.1086/338209].
Chen, E.Y., Segal, K., Weissman, J., Zeffiro, T.A., Gallop, R., Linehan, M.M., Bohus, M. y Lynch, T.R. (2015). Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa –A Pilot Study. International Journal of Eating Disorders, 48(1), 123-132 [DOI: 10.1002/eat.22360].
Cornwall, P., Simpson, S., Gibbs, C. y Morfee, V. (2021). Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: Effectiveness in people with autism spectrum disorders. BJPsych Bulletin, 45(3), 146-153 [DOI:10.1192/bjb.2020.113].
De la Vega Rodríguez, I. y Montalvo Calahorra, T. (2020). Terapia Dialéctico Conductual Radicalmente Abierta para la anorexia nerviosa. Revista de Psicoterapia, 31(115), 147-162 [DOI: 10.33898/rdp.v31i115.314].
Gilbert, K., Hall, K. y Codd, R. (2020). Radically Open Dialectical Behavior Therapy: Social Signaling, Transdiagnostic Utility and Current Evidence. Psychology Research and Behavior Management, 13, 19-28 [DOI: 10.2147/PRBM.S201848].
Gilmartin, T. y Valladares, D. (2019). Introducing Radically Open-DBT (RO-DBT) as a Treatment for Maladaptive Over-Control. Australian Clinical Psychologist, 2.
Harned, M.S., Pantalone, D.W., Ward-Ciesielski, E.F., Lynch, T.R. y Linehan, M.M. (2011). The Prevalence and Correlates of Sexual Risk Behaviors and Sexually Transmitted Infections in Outpatients With Borderline Personality Disorder. Journal of Nervous and Mental Disease, 199(11), 832-838 [DOI: 10.1097/NMD.0b013e318234c02c].
Hayes S.C. (2018). En: T.R. Lynch, Radically Open Dialectical Behavior Therapy. Theory and Practice for Treating Disorders of Overcontrol. Oakland: New Harbinger Publications.
Hempel, R.J., Booth, R., Giblin, A., Hamilton, L., Hoch, A., Tomcik, N., Portner, J., Rushbrook, S.C., Simic, M., Hunt, K. y Wolf-Arehult, M. (2018). The Implementation of RO DBT in Clinical Practice. The Behavior Therapist, 41(3), 161-173.
Hempel, R.J., Rushbrook, S.C., O’Mahen, H. y Lynch, T.R. (2018). How to Differentiate Overcontrol From Undercontrol: Findings From the RefraMED Study and Guidelines From Clinical Practice. The Behavior Therapist, 41(3), 132-141.
Keogh, K., Booth, R., Baird, K., Davenport, J. y Gibson, J. (2016). The Radical Openess Group: A controlled trial with 3-months follow-up. Practice Innovations, 1(2), 129-143 [DOI: 10.1037/pri0000023].
Linehan, M.M., Bohus, M. y Lynch, T.R. (2010). How Dialectical Behaviour Therapy changes emotion
dysregulation in borderline personality disorder. European Psychotherapy, 9(1), 141-167 [DOI: 10.1.1.1078.8762].
Linehan, M.M., Davison, G.C., Lynch, T.R. y Sanderson, C. (2006). Technique Factors in Treating Personality Disorders. En L.G. Castonguay y L.E. Beutler (Eds.), Principles of Therapeutic Change That Works (cap. 12, pp. 239-251). Nueva York: Oxford University Press.
Luoma, J.B., Codd, R. y Lynch, T.R. (2018). Radically Open Dialectical Behavior Therapy: Shared Features and Differences with ACT, DBT and CFT. The Behavior Therapist, 41(3), 142-148.
Lynch, T.R. (2018a). Tribe Matters: An Introduction to Radically Open Dialectical Behavior Therapy. The Behavior Therapist, 41(3), 116-125.
Lynch, T.R. (2018b). Radically Open Dialectical Behavior Therapy. Theory and Practice for Treating Disorders of Overcontrol. Oakland: New Harbinger Publications.
Lynch, T.R. (2018c). The Skills Training Manual for Radically Open Dialectical Behavior Therapy. Theory and Practice for Treating Disorders of Overcontrol. Oakland: New Harbinger Publications.
Lynch, T.R., Chapman, A.L., Rosenthal, M.Z., Kuo, J.R. y Linehan, M.M. (2006). Mechanisms of Change in Dialectical Behavior Therapy: Theoretical and Empirical Observations. Journal of Clinical Psychology, 62(4), 459-80 [DOI: 10.1002/jclp.20243].
Lynch, T.R., Gray, K.L.H., Hempel, R.J., Titley, M., Chen, E.Y. y O`Mahen, H. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an inpatient program. BMC Psychiatry, 13, 293 [DOI: 10.1186/1471-244X-13-293].
Lynch, T.R., Hempel, R.J. y Clark, L.A. (2016). Promoting Radical Openness and Flexible Control. En: W.J. Livesley, D. Dimaggio y J.F. Clarkin (Eds.), Integrated Treatment for Personality Disorder: A Modular Approach (pp. 325-344). Nueva York: Guilford Press.
Lynch, T.R., Hempel, R.J. y Dunkley, C. (2015). Radically Open-Dialectical Behavior Therapy for Disorders of Over-Control: Signaling Matters. The American Journal of Psychotherapy, 69(2), 141-162 [DOI: 10.1176/appi.psychotherapy.2015.69.2.141].
Lynch, T.R., Hempel, R.J., Whalley, B., Byford, S., Chamba, R., Clarke, P., Clarke, S., Kingdon, D., O`Mahen, H., Remington, B., Rushbrook, S.C., Shearer, J., Stanton, M., Swales, M., Watkins, A. y Russell, I.T. (2018). Radically open dialectical behaviour therapy for refractory depression: the RefraMED RCT (144 págs.). Efficacy and Mechanism Evaluation, 5(7) [DOI: 10.3310/eme05070].
Lynch, T.R., Hempel, R., Whalley, B., Byford, S., Chamba, R., Clarke, P., Clarke, S., Kingdon, D., O´Mahen, H., Remington, B., Rushbrook, S., Shearer, J., Stanton, M., Swales, M., Watkins, A. y Russell, I. (2020). Refractory depression. Mechanisms and efficacy of radically open dialectical behaviour therapy (RefraMED): findings of a randomised trial on benefits and harms. The British Journal of Psychiatry, 216(4), 204-212 [DOI: 10.1192/bjp.2019.53].
Lynch, T.R., Lazarus, S.A. y Cheavens, J.S. (2015). Mindfulness Interventions for Undercontrolled and Overcontrolled Disorders: From Self-control to Self-regulation. En K.W. Brown, J.D. Creswell y R.M. Ryan (Eds.), Handbook of Mindfulness: Theory, Research, and Practice (pp. 329-347). Nueva York: Guilford Press.
Lynch, T.R., Trost, W.T., Salsman, N. y Linehan, M.M. (2007). Dialectical Behavior Therapy for Borderline
Personality Disorder. Annual Review of Clinical Psychology, 3, 181-205 [DOI: 10.1146/annurev.clinpsy.2.022305.095229].
Lynch, T.R., Whalley, B., Hempel, R.J., Byford, S., Clarke, P., Clarke, S., Kingdon, D., O’Mahen, H., Russell, I.T., Shearer, J., Stanton, M., Swales, M., Watkins, A. y Remington, B. (2015). Refractory depression: mechanisms and evaluation of radically open dialectical behaviour therapy (RO-DBT) [REFRAMED]: protocol for randomised trial. BMJ Open, 5(7), e008857 [DOI: 10.1136/bmjopen-2015-008857].
Montgomery, K.J. y Haxby, J.V. (2008). Mirror Neuron System Differentially Activated by Facial Expressions and Social Hand Gestures: A Functional Magnetic Resonance Imaging Study. Journal of Cognitive Neuroscience, 20(10), 1866-1877 [DOI: 10.1162/jocn.2008.20127].
Neacsiu, A.D., Rizvim, S.L., Vitaliano, P.P., Lynch, T.R. y Linehan, M.M. (2010). The Dialectical Behavior Therapy Ways of Coping Checklist: Development and Psychometric Properties. Journal of Clinical Psychology, 66(6), 1-20 [DOI: 10.1002/jclp. 20685].
Newby, J.M., McKinnon, A., Kuyken, W., Gilbody, S. y Dalgleish, T. (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91-110 [DOI: 10.1016/j.cpr.2015.06.002].
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., McGuinness, L.A., Stewart, L.A., Thomas, J., Tricco, A.C., Welch, V.A., Whiting, P. y Moher, D. (traductores: J.J. Yepes-Núñez, G. Urrútia, M. Romero-García y S. Alonso-Fernández) (2021). Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790-799 [DOI: 10.1016/j.recesp.2021.06.016].
Rosenthal, M.Z, Lynch, T.R. y Linehan, M.M. (2005). Dialectical Behavior Therapy for Individuals with Borderline Personality Disorder and Substance Use Disorders. En: R. Frances, S. Miller y Mack, A. (Eds.), Clinical Textbook of Addictive Disorders (cap. 27, pp. 615-636). Nueva York: Guilford Press.
Russell, J. A., Bachorowski, J. A. y Fernandez-Dols, J. M. (2003). Facial and Vocal Expressions of Emotion. Annual Review of Psychology, 54, 329-349 [DOI: 10.1146/annurev.psych.54.101601.145102].
Smoski, M.J., Salsman, N., Wang, L., Smith, V., Lynch, T.R., Dager, S.R., LaBar, K.S. y Linehan, M.M. (2011). Functional Imaging of Emotion Reactivity in Opiate-Dependent Borderline Personality Disorder. Personality Disorders: Theory, Research, and Treatment, 2(3), 230-241 [DOI: 10.1037/a0022228].
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Derechos de autor 2022 Apuntes de Psicología
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
