Emotional dysregulation outcomes

  Emotional Dysregulation Proven Outcomes

Nashotah Center for DBT Adolescent Residential Care at Rogers

For teens who may have difficulty regulating their emotions, who are experiencing severe depression, or who might be at risk for self-harm or have attempted suicide, Rogers' Nashotah Center for DBT Adolescent Residential Care may be the right place. Learn more.

Adolescent residential outcomes


From August of 2015 until February 2020, 201 adolescents admitted to our residential care completed measures at both admission and discharge. The mean age was 16 years (SD=1.05).

Difficulties in Emotional Regulation Scale (DERS)-Strategies

The Difficulties in Emotional Regulation Scale (DERS)-Strategies is a valid, widely used scale which measures emotional regulation deficits. The scale is composed by six subscales; clarity, nonacceptance, awareness, goals, impulsivity, strategies. One aspect of the assessment measures the patients’ belief that the strategies and skills they learn in treatment will help them cope with harmful behavior. The lower the score indicates more confidence in these treatment acquired skills. The graph reflects the change in the DERS strategy assessment from admission to discharge.

At time of residential care admission, individuals reported less confidence that treatment will help them cope with harmful behavior, as measured by the DERS-Strategies (m= 28.6, SD=6.6); at time of discharge, individuals reported more confidence in these treatment acquired skills (m= 89.7, SD=14.8). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.

Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)

The Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire measures the overall enjoyment and satisfaction an individual experiences across a number of life domains such as family relationships, work, and hobbies, etc. Emotional dysregulation often decrease a person’s overall quality of life. Our goal is to improve the quality of life for those we treat. A higher score at discharge indicates a higher quality of life.

Additionally, patients have statistical improvements in quality of life, measured by the PQ-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=46.6, SD=14.2), and discharged with a fair to good quality of life (m=68.9, SD=15.2). This is significant at the p<.001.

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor


  1. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54

  2. Endicott J, Nee J, Yang R, et al. Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): reliability and validity. J Am Acad Child Adolesc Psychiatry2006;45:401–7.

Success Stories

John's Story

Real people sharing what they have overcome and how Rogers helped through their process.

John finally accepted his alcoholism and ... Read More

Next Steps

Nashotah Center for DBT Female Adolescent Residential Care

Nashotah Center for DBT Female Adolescent Residential Care

Residential care for female adolescents up to age 18.

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Depression screening

A specialist will, at no charge, recommend the appropriate level of care over the phone.

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View our complete listing of treatment options available at every Rogers location.

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Rogers Behavioral Health has more than 20 years of commitment and investment in outcomes studies, with nearly 10,000 of our patients participating. Patients who agree to participate are asked at admission and discharge to complete a series of questionnaires; follow-up calls on progress are made periodically after discharge.

Study findings are used by our treatment teams to examine the effectiveness of our clinical program and to make improvements. The findings are also presented at national and international conferences and published in peer-reviewed medical literature.

Overall, our outcome data consistently have shown that our residential and partial hospitalization treatment centers offer effective treatment, and newer studies under way are demonstrating similar consistency in outcomes for our partial hospital level of outpatient care. In selected programs where we have reached out one year after they leave the program, past patients report that they’ve been able to maintain the gains they made during treatment. With the implementation of our Cerner electronic health record, we are gaining additional understanding of our clinical effectiveness across service lines, levels of care and throughout our system, including our regional network of outpatient centers. With this knowledge, we are gaining insights that contribute to real-time adjustments in care and help us confirm the impact of evidence-based care upon outcomes.

Call 800-767-4411 or go to rogersbh.org to request a free screening.