Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder
Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder
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DOI：
10.1016/s1077-7229(00)80052-8
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发表时间：
2000-09-01
影响因子：
2.9
通讯作者：
Turner, RM
中科院分区：
文献类型：
--
作者：
Turner, RM
本文报告了一项自然主义调查的结果，比较了以辩证行为疗法为导向的治疗（DBT）与以客户为中心的治疗、控制条件（CCT）对边缘性人格障碍患者（BPD）的有效性。24例诊断为BPD的患者被随机分配至DBT或CCT盲态组，在治疗过程中的基线、6个月和1年时完成独立评估者评价和一系列患者自我报告测量。每周收集自杀企图和自我伤害事件的测量结果。每6个月的精神病住院天数也进行了测量，结果显示DBT组在大多数指标上的改善程度高于CCT组。治疗联盟的质量解释了两种治疗中患者结局的显著差异。
This article reports the results of a naturalistic investigation comparing the effectiveness of a dialectical behavior therapy - oriented treatment (DBT) with a client-centered therapy, control condition (CCT) for borderline personality disorder patients (BPD). Twenty-four patients diagnosed with BPD were randomly assigned to either DBT or CCT Blinded, independent rater evaluations and a battery of Patient self-report measures were completed at baseline, 6 months, and 1 year during the course of treatment. Measures of suicide attempts and self-harm episodes were collected on a weekly basis. The number of psychiatric hospitalization days per 6-month period was also measured, Outcomes showed the DBT group improved more than the CCT group on most measures. The quality of the therapeutic alliance accounted for significant variance in patients' outcomes across both treatments.