A Preliminary Pilot Study Comparing Dialectical Behavior Therapy Emotion Regulation Skills with Interpersonal Effectiveness Skills and a Control Group Treatment
A Preliminary Pilot Study Comparing Dialectical Behavior Therapy Emotion Regulation Skills with Interpersonal Effectiveness Skills and a Control Group Treatment
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DOI：
10.5127/jep.041714
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发表时间：
2015-01-01
影响因子：
1.4
通讯作者：
Turner, Brianna J.
中科院分区：
文献类型：
--
作者：
Dixon-Gordon, Katherine L.;Chapman, Alexander L.;Turner, Brianna J.
本研究旨在探讨辩证行为疗法（DBT）与情绪调节（ER）技能训练对边缘型人格障碍（BPD）的疗效。迄今为止，研究尚未揭示特定的DBT技能模块是否独特地改善ER问题-被认为是BPD临床问题的潜在因素之一。本初步研究旨在描述DBT-ER与DBT人际效能（DBT-IE）技能培训相比的效应量。患有BPD的女性（N = 19）被随机分配到6周的DBT-ER，DBT-IE或对照组。BPD症状，情绪调节和其他BPD相关的结果进行了评估，使用自我报告和实验室为基础的措施。DBT-ER组表现出较大的效应量，改善了自我报告的对情绪压力的反应，产生了积极而不是消极的人际问题解决方案，以及自我报告的痛苦耐受性，正念和治疗后的BPD症状。在随访中，DBT-ER培训也与ER，社会问题解决和抑郁症的大幅改善相关。然而，在DBT-IE和对照条件下，有时也能达到类似的大效应量。对于非自杀性自伤和正念，检测到显著的条件x时间相互作用，仅在DBT-ER组中出现显著改善，而对于其他结局，未检测到此类相互作用。这些发现虽然是初步的，但可以刺激未来的研究，研究DBT技能的特异性。(C)Copyright © 2015 - 2019上海市嘉诚贸易有限公司版权所有
This pilot study examined the effects of dialectical behavior therapy (DBT) emotion regulation (ER) skills training for borderline personality disorder (BPD). To date, studies have yet to reveal whether specific DBT skill modules uniquely improve ER problems - one of the putative factors considered to underlie clinical problems in BPD. This preliminary examination aimed to characterize the effect sizes of DBT-ER compared to DBT interpersonal effectiveness (DBT-IE) skills training. Women with BPD (N = 19) were randomized to 6-weeks of DBT-ER, DBT-IE, or a control group. BPD symptoms, emotion regulation, and other BPD-relevant outcomes were assessed using self-report and laboratory-based measures. The DBT-ER group demonstrated large effect sizes for improved self-reported reactivity to an emotional stressor, generation of active rather than passive solutions to interpersonal problems, as well as self-reported distress tolerance, mindfulness, and BPD symptoms following treatment. At follow-up, DBT-ER training was also associated with large improvements in ER, social problem solving, and depression. Similarly large effect sizes, however, were sometimes also achieved in the DBT-IE and control condition. Significant condition x time interactions were detected for non-suicidal self-injury and mindfulness, with significant improvements occurring only in the DBT-ER group, whereas such interactions were not detected for other outcomes. These findings, although preliminary, can stimulate future research examining the specificity of DBT skills. (C) Copyright 2015 Textrum Ltd. All rights reserved.