ABSTRACT
This study aimed to evaluate the effectiveness of Dialectical
Behavior Therapy Skills Training (DBT-ST) on negative urgency,
response inhibition, and emotional clarity in female adolescents
with Disruptive Mood Dysregulation Disorder (DMDD). A prepost test design with a control group and one-month follow-up
was employed. Using purposive sampling, 40second-year secondary school students from Sirjan City (2023–2024) who met
DSM-V criteria for DMDD were selected from 166 students
based on the Affective Reactivity Index. Participants were randomly assigned to either the DBT-ST intervention group (n=20)
or a waitlist control group (n=20). The intervention group
received twelve 150-minute DBT-ST sessions, while the control
group received no intervention. Assessments were conducted
using the Urgency, Premeditation, Perseverance, Sensation
Seeking, Positive Urgency Behavior Scale (UPPS-P), Go/No Go
software, and Trait Meta Mood Scale (TMMS) at baseline,
12weeks, and 16weeks post-study. Thirty-seven participants
completed the study (DBT: n=18; waitlist: n=19). Results
revealed significant improvements in the DBT-ST group compared to the control group for response inhibition (F=164.27,
d=1.76, p<0.001), negative urgency (F=210.33, d=−1.76,
p<0.001), and emotional clarity (F=561.50, d=1.81, p<0.001).
Time effects were also significant for all outcomes (p<0.001).
These findings suggest that DBT-ST effectively enhances
response inhibition, reduces negative urgency, and improves
emotional clarity in adolescents with DMDD, supporting its
potential as a therapeutic intervention for this population.