Enhancing Adolescent's Emotion Regulation with Dialectical Behavior Therapy's Skill Training: The Applications across Borderline, Mild, and Moderate Intellectual Disability

Authors

  • Shahnaz Safitri Faculty of Psychology, Universitas Indonesia, Kampus UI Depok, West Java, 16424, Indonesia

DOI:

https://doi.org/10.6000/2292-2598.2020.08.02.21

Keywords:

Borderline Intellectual Functioning, Dialectical Behavior Therapy, Emotion Regulation, Mild Intellectual Disability, Moderate Intellectual Disability.

Abstract

Intellectual disability (ID) is characterized by significant limitations in intellectual and adaptive functioning emerging before the age of eighteen-years-old. Known as a pervasive developmental disorder, the disability disturbs the individual's functioning on a wide range of cognitive and social realms, which further result in failure at school and interpersonal relationships. Nonetheless, the capacity for emotion regulation (ER) serves as a key role in supporting the individual's adaptation despite having a disability. Researches have found that ER can be taught as a skill for those with ID, specifically using Dialectical Behavior Therapy’s (DBT) skill training as the basis for the program. Therefore, this study aims to examine further the application of this DBT program and its effectiveness in enhancing ER skills. The programs were delivered to three participants of adolescent aged (9-17 years old) in Indonesia, each having a moderate ID, mild ID, and borderline intellectual functioning (BIF). Using a single case study design (A-B-A procedure) where participants' ER skills were measured before and after the program, these studies showed the program was effective. However, in terms of application, it is noteworthy to highlight the adjustments needed during the program's delivery, considering the degree of disability. These adjustments are found in the program sequences, modality used for the program, the evaluation method used to record the participants' improvements, and the degree of skills developed. This paper examines these variations in depth to shed light on the applicability of DBT's program as in improving ER for individuals with ID and BIF.

References

Saarni C, Campos, Camras J, Withering D. Emotional development: Action communication and understanding. In: Damon, Lerner R, editors. Handbook of Child Psychology. New York: Wiley 2006. https://doi.org/10.1002/9780470147658.chpsy0305 DOI: https://doi.org/10.1002/9780470147658.chpsy0305

Gross J, Thomson RA. Emotion regulation: Conceptual foundations. In: Gross JJ, editor. Handbook of Emotion Regulation. New York: The Guilford Press 2007.

Baurain C, Grosbois NN. Social-emotional regulation in children with intellectual disability and typically developing children in interactive contexts. ALTER, Eur J Disabil Res 2012; 6(2): 75-93. https://doi.org/10.1016/j.alter.2012.02.001 DOI: https://doi.org/10.1016/j.alter.2012.02.001

Mennin DS, Fresco DM. Emotion regulation therapy. In: Gross JJ, editor. Handbook of Emotion Regulation. New York: The Guilford Press 2014.

Gumora A, Arsenio WF. Emotionality, emotion regulation, and school performance in middle school children. J Sch Psychol 2002; 40(5): 395-413. https://doi.org/10.1016/S0022-4405(02)00108-5 DOI: https://doi.org/10.1016/S0022-4405(02)00108-5

McWilliams J, de Terte I, Leathem J, Malcolm S, Watson J. Transformers: A program for people with an intellectual disability and emotion regulation difficulties. J Intellect Disabil Offending Behav 2014; 5(4): 178-88. https://doi.org/10.1108/JIDOB-06-2014-0009 DOI: https://doi.org/10.1108/JIDOB-06-2014-0009

Gross JJ. Handbook of Emotion Regulation. 2nd ed. New York: The Guilford Press 2014.

Graziano PA, Reavis RD, Keane SP, Calkins SD. The role of emotion regulation in children’s early academic success. J Sch Psychol 2007; 45(1): 3-19. https://doi.org/10.1016/j.jsp.2006.09.002 DOI: https://doi.org/10.1016/j.jsp.2006.09.002

Scanlon CL. Emotion regulation in children: A guide for teachers. Moscow: University of Pittsburgh 2010.

Cole PM, Dennis TA, Smith-Simon KE, Cohen LH. Preschoolers' emotion regulation strategy understanding: Relations with emotion socialisation and child self-regulation. Soc Dev 2009; 18(2): 324-52. https://doi.org/10.1111/j.1467-9507.2008.00503.x DOI: https://doi.org/10.1111/j.1467-9507.2008.00503.x

Hallahan DP, Kaufman JP. The Exceptional Learner: Introduction to Special Education. 10th ed. New York: Pearson Education, Inc. 2006.

Nieuwenhuijzen M Van, Vriens A. Cognitive skills and social information processing in children with mild to Borderline Intellectual Disabilities. Res Dev Disabil [Internet] 2012; 33(2): 426-34. https://doi.org/10.1016/j.ridd.2011.09.025 DOI: https://doi.org/10.1016/j.ridd.2011.09.025

Karande S, Kanchan S, Kulkarni M. Clinical and psychoeducational profile of children with Borderline Intellectual Functioning. Indian J Pediatr 2008; 75: 795-800. https://doi.org/10.1007/s12098-008-0101-y DOI: https://doi.org/10.1007/s12098-008-0101-y

Mcclure KS, Halpern J, Wolper PA, Donahue JJ. Emotion regulation and intellectual disability. J Dev Disabil 2009; 15(2): 38-44.

Denham SA, Bassett H, Mincic M, Kalb S, Way E, Wyatt T, et al. Social-emotional learning profiles of preschoolers’ early school success: A person-centered approach. Learn Individ Differ 2012; 22(2): 178-89. https://doi.org/10.1016/j.lindif.2011.05.001 DOI: https://doi.org/10.1016/j.lindif.2011.05.001

Eisenhower AS, Baker B, Blacher J. Early student-teacher relationships of children with and without intellectual disability: Contributions of behavioral, social, and self-regulatory competence. J Sch Psychol 2007; 45(4): 363-83. https://doi.org/10.1016/j.jsp.2006.10.002 DOI: https://doi.org/10.1016/j.jsp.2006.10.002

Pereira CMG, Faria SM. Do you feel what I feel? Emotional development in children with ID. Procedia - Soc Behav Sci 2015; 165: 52-61. https://doi.org/10.1016/j.sbspro.2014.12.604 DOI: https://doi.org/10.1016/j.sbspro.2014.12.604

Hauser-Cram P, Krauss MW. Adolescents with developmental disabilities and their families. In: Brown B, Larson J, editors. Handbook of Adolescent Psychology. 2nd ed. New York: John Wiley & Sons, Inc. 2004. DOI: https://doi.org/10.1002/9780471726746.ch22

O'Brennan LM, Waasdorp TE, Pas ET, Bradshaw CP. Peer victimisation and social-emotional functioning: A longitudinal comparison of students in general and special education. Remedial Spec Educ 2015; 36(5): 275-85. https://doi.org/10.1177/0741932515575615 DOI: https://doi.org/10.1177/0741932515575615

Safitri S. The Effectiveness of Dialectical Behavior Therapy in developing emotion regulation skill for adolescent with intellectual disability. Universitas Indonesia 2017. DOI: https://doi.org/10.5220/0008589303510359

Handali KA, Primana L. Increasing emotion regulation skills with Dialectical Behavior Therapy skills training : A single-case study on an elementary school student with Borderline Intellectual Functioning. In: Advances in Social Science, Education and Humanities Research (ASSEHR) 2018; pp. 200-12. https://doi.org/10.2991/iciap-17.2018.17 DOI: https://doi.org/10.2991/iciap-17.2018.17

Fiona E, Indianti W. Developing emotion regulation skills by emotion regulation skills system training for children with mild intellectual disability. J Psikol Insight 2018; 2(2): 51-66. DOI: https://doi.org/10.17509/insight.v2i2.15242

Linehan MM. Cognitive-behavioral Treatment of Borderline Personality Disorder. Press G, editor. New York 1993.

Lew M, Matta C, Tripp-Tebo C, Watts D. Dialectical Behavior Therapy (DBT) for individuals with intellectual disabilities: A program description. Ment Heal Asp Dev Disabil 2006; 9(1): 1-13.

Njardvik U, Matson JL, Cherry KE. A comparison of social skills in adults with autistic disorder, pervasive developmental disorder not otherwise specified, and mental retardation. J Autism Dev Disord 1999; 29(4): 287-95. https://doi.org/10.1023/A:1022107318500 DOI: https://doi.org/10.1023/A:1022107318500

Mangunsong F. Psikologi dan Pendidikan Anak Berkebutuhan Khusus. 1st ed. Depok: LPSP3 2009.

Soler J, Pascual JC, Tiana T, Cebrià A, Barrachina J, Campins MJ, et al. Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behav Res Ther 2009; 47(5): 353-8. https://doi.org/10.1016/j.brat.2009.01.013 DOI: https://doi.org/10.1016/j.brat.2009.01.013

Sakdalan JA, Shaw J, Colllier V. Staying in the here-and-now: A pilot study on the use of dialectical behavior therapy group skills training for forensic clients with intellectual disability. J Intellect Disabil Res 2010; 54(6): 568-72. https://doi.org/10.1111/j.1365-2788.2010.01274.x DOI: https://doi.org/10.1111/j.1365-2788.2010.01274.x

Gravetter FJ, Forzano LB. Research Methods for The Behavioural Sciences. 3rd ed. Belmont: Wadsworth, Cengage Learning 2009.

Himpunan Psikologi Indonesia. Kode Etik Psikologi Indonesia [Internet]. 1st ed. Jakarta: Pengurus Pusat Himpunan Psikologi Indonesia; 2010. Available from: https://himpsi.or.id/organisasi/kode-etik-psikologi-indonesia

McKay M, Wood JC, Brantley J. The Dialectical Behaviour Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance. New York.: New Harbinger Publications, Inc. 2007.

Charlton M, Dykstra EJ. Dialectical behaviour therapy for special populations: Treatment with adolescents and their caregivers. J Adv Ment Heal Intellect Disabil 2011; 5(5): 6-14. https://doi.org/10.1108/20441281111180619 DOI: https://doi.org/10.1108/20441281111180619

Baillie A, Slater S. Community dialectical behaviour therapy for emotionally dysregulated adults with intellectual disabilities. J Adv Ment Heal Intellect Disabil 2014; 8(3): 165-73. https://doi.org/10.1108/AMHID-05-2013-0033 DOI: https://doi.org/10.1108/AMHID-05-2013-0033

Brown JF. The emotion regulation skills system for cognitively challenged clients: A DBT informed approach. New York: The Guilford Press 2016.

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Published

2020-05-15

How to Cite

Safitri, S. (2020). Enhancing Adolescent’s Emotion Regulation with Dialectical Behavior Therapy’s Skill Training: The Applications across Borderline, Mild, and Moderate Intellectual Disability. Journal of Intellectual Disability - Diagnosis and Treatment, 8(2), 244–253. https://doi.org/10.6000/2292-2598.2020.08.02.21

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General Articles