Efficacy of Dialectical Behavioral Therapy and Pharmacotherapy For Parasuicidal Adolescents With Mood Disorders at Federal Neuropsychiatric Hospital, Cappa, Lagos-Nigeria
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Date
2018-06
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Daystar University, School of Applied Human Sciences
Abstract
The objective of this study was to test the efficacy of pharmacotherapy and dialectical behavior therapy in the treatment of parasuicidal adolescents with mood disorders with an intention to reduce suicide behaviors among the participants. The two theories that guided the study were Lineman’s (1993) biosocial theory and Durkheim’s (1979) theory of social integration and social regulation. Quasi-experimental research design was utilized with purposive sampling technique. A sample size of 115 for both pharmacotherapy (n=38), DBT (n=34) and combination of pharmacotherapy and DBT (n= 43) was selected at 80% power and 30% effective size. The participants were assessed using standardized psychological tools and researcher-generated socio-economic demographic questionnaire. These included Suicide Behavior Questionnaire-Revised (SBQ-R), Beck’s Depression Inventory (BDI) and Mood Disorders Questionnaire (MDQ). The reliability and validity of the instruments used were noted to be excellent. Only adolescents who had suicidal behaviors and coexisting mental health conditions were included in the study. Assessments were done at pre-treatment and post-treatment. Participants in Group A were treated with pharmacotherapy, Group B were treated with both pharmacotherapy and DBT, while Group C were treated with DBT. Data was analyzed using Statistical Package for the Social Sciences (SPSS) version 23. Chi-square, t-tests, ANOVA, nonparametric and difference in difference were used to compare the distribution of different variables. The results revealed that suicide behaviors were predominantly severe among female university students, Pentecostals, participants whose mothers were jobless, and those whose parents lived apart. Depressive illness and family’s economic status were also found to be confounders to adolescents’ suicide behaviors. Pharmacotherapy, DBT and combinations of pharmacotherapy and DBT were found to be equally effective with no significant difference. The approach to this study was hospital-based intervention research, therefore, it was recommended that further research could be done in different settings targeting the same age group. Longitudinal studies were also recommended to establish the relapse rate among participants treated with different interventions. In addition, qualitative research was also recommended to study intensively why this phenomenon is rampant and how to prevent it from flourishing.
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DOCTOR OF PHILOSOPHY in Clinical Psychology
Keywords
efficacy of pharmacotherapy, dialectical behavior therapy, parasuicidal adolescents, mood disorders, suicide behaviors
Citation
Ojuade, S. O. (2018). Efficacy of Dialectical Behavioral Therapy and Pharmacotherapy For Parasuicidal Adolescents With Mood Disorders at Federal Neuropsychiatric Hospital, Cappa, Lagos-Nigeria. Daystar University, School of Applied Human Sciences.