Dialectical behavior therapy for substance abuse: A pilot application to methamphetamine-dependent women with borderline personality disorder
Dialectical behavior therapy for substance abuse: A pilot application to methamphetamine-dependent women with borderline personality disorder
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DOI：
10.1016/s1077-7229(00)80057-7
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发表时间：
2000-09-01
影响因子：
2.9
通讯作者：
Linehan, MM
中科院分区：
文献类型：
--
作者：
Dimeff, L;Rizvi, SL;Linehan, MM
本文的主要目的是描述对标准辩证行为疗法(DBT)所作的关键修改，以用于患有边缘性人格障碍(BPD)的物质依赖个人。主要的修改包括将辩证法应用于围绕禁欲的问题，一套新的药物滥用行为目标，一套针对难以接触和容易失去的客户的依恋策略，以及修改一些适合药物滥用客户的技能。报告了DBT对患有BPD的甲基苯丙胺依赖妇女进行的为期12个月的小型无控制试点试验的结果，在开始治疗的3名参与者中，2名完成了治疗，并在6个月后戒除了所有非法药物；结果在6个月后的评估期内保持不变。这些令人鼓舞的结果表明，DBT可能有望用于治疗甲基苯丙胺依赖。
The primary aim of this paper is to describe key modifications made to standard Dialectical Behavior Therapy (DBT) for use with substance-dependent individuals with borderline personality disorder (BPD). Key modifications include application of dialectics to issues surrounding abstinence, a new set of substance abuse behavioral targets, a set of attachment strategies for difficult-to-engage and easily lost clients, and modification of some skills geared for substance abusing clients. Treatment outcome findings from a small 12-month uncontrolled pilot trial of DBT for methamphetamine-dependent women with BPD are Presented, Of the 3 participants who commenced treatment, 2 completed treatment and were abstinent from use of all illicit drugs by 6 months; results were maintained for the duration of the assessment period 6 months later. These encouraging results suggest that DBT may hold promise for treating methamphetamine dependence.