Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial.
Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial.
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DOI：
10.1037/a0029096
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发表时间：
2012-12
影响因子：
5.9
通讯作者：
Iverson, Katherine M.
中科院分区：
文献类型：
--
作者：
Pistorello, Jacqueline;Fruzzetti, Alan E.;MacLane, Chelsea;Gallop, Robert;Iverson, Katherine M.
大学咨询中心（CCC）越来越多地被要求治疗高度困扰的学生与复杂的临床表现。本研究比较了辩证行为疗法（DBT）对自杀大学生的有效性，并分析了基线整体功能作为调节剂。意向治疗（ITT）样本包括63名年龄在18至25岁之间的大学生，他们在基线时有自杀倾向，报告至少有一次终生非自杀性自伤（NSSI）行为或自杀企图，并符合三个或更多边缘型人格障碍（BPD）诊断标准。参与者被随机分配到DBT（n = 31）或优化的治疗作为替代（O-TAU）对照条件（n = 32）。治疗由受训人员提供，两种治疗都由专家监督。两种治疗均持续7-12个月，包括个体和组成分。在治疗前、3个月、6个月、9个月、12个月和18个月（随访）时进行评估。混合效应分析（ITT样本）显示，与对照组相比，DBT组自杀倾向、抑郁、NSSI事件数量（如果参与者有自伤）、BPD标准和精神药物使用显著降低，社会适应显著改善。大多数治疗效果在随访时观察到。未发现治疗脱落的治疗差异。适度分析表明，DBT是特别有效的自杀学生谁是较低的功能在预处理。DBT是一种有效的治疗自杀，多问题的大学生。未来的研究应探讨实施DBT在CCC的阶梯式护理方法。
College counseling centers (CCCs) are increasingly being called upon to treat highly distressed students with complex clinical presentations. This study compared the effectiveness of Dialectical Behavior Therapy (DBT) for suicidal college students to an optimized control condition, and analyzed baseline global functioning as a moderator. The intent-to-treat (ITT) sample included 63 college students between the ages of 18 and 25 who were suicidal at baseline, reported at least one lifetime non-suicidal self-injurious (NSSI) act or suicide attempt, and met three or more borderline personality disorder (BPD) diagnostic criteria. Participants were randomly assigned to DBT (n = 31) or an optimized Treatment as Usual (O-TAU) control condition (n = 32). Treatment was provided by trainees, supervised by experts in both treatments. Both treatments lasted 7–12 months and included both individual and group components. Assessments were conducted at pretreatment, 3-months, 6-months, 9-months, 12-months, and 18-months (follow-up). Mixed effects analyses (ITT sample) revealed that DBT, compared to the control condition, showed significantly greater decreases in suicidality, depression, number of NSSI events (if participant had self-injured), BPD criteria, and psychotropic medication use, and significantly greater improvements in social adjustment. Most of these treatment effects were observed at follow-up. No treatment differences were found for treatment dropout. Moderation analyses showed that DBT was particularly effective for suicidal students who were lower functioning at pretreatment. DBT is an effective treatment for suicidal, multi-problem college students. Future research should examine the implementation of DBT in CCCs in a stepped care approach.
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影响因子：
5.9
作者：
Kliem, Soeren;Kroeger, Christoph;Kosfelder, Joachim
通讯作者：
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影响因子：
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作者：
Cooper, Stewart E.
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影响因子：
5.9
作者：
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3.9
作者：
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通讯作者：
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1.5
作者：
Iverson, Katherine M.;Shenk, Chad;Fruzzetti, Alan E.
通讯作者：
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