The impact of experiential avoidance on the reduction of depression in treatment for borderline personality disorder.
The impact of experiential avoidance on the reduction of depression in treatment for borderline personality disorder.
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DOI：
10.1016/j.brat.2009.04.011
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发表时间：
2009-08
影响因子：
4.1
通讯作者：
Linehan MM
中科院分区：
文献类型：
--
作者：
Berking M;Neacsiu A;Comtois KA;Linehan MM
减轻抑郁症状是边缘型人格障碍（BPD）治疗的重要目标。虽然目前BPD的治疗方法在减少抑郁症方面是有效的，但治疗后抑郁症的平均水平仍然很高。目的：探讨经验性回避（EA）是否会影响BPD治疗过程中抑郁症状的减轻。在一年的治疗期间，在基线和4个月的间隔对81名客户进行了EA和抑郁症的评估。简单的相关性，分层线性模型，和潜在的差异得分模型被用来调查之间的关联自我报告的EA和自我报告和基于抑郁症的评级。在所有评估点，EA与抑郁症的严重程度呈正相关，EA的变化与抑郁症的变化呈正相关。此外，EA显着预测随后减少抑郁症，而没有这样的效果被发现抑郁症随后EA。这些发现与EA在BPD治疗中阻碍抑郁减轻的假设一致，因此应被视为重要的治疗靶点。
Reducing symptoms of depression is an important target in the treatment of borderline personality disorder (BPD). Although current treatments for BPD are effective in reducing depression, the average post-treatment level of depression remains high. To test whether experiential avoidance (EA) impedes the reduction of depression during treatment for BPD. EA and depression were assessed in 81 clients at baseline and 4-month intervals during one year of therapy. Simple correlations, hierarchical linear modeling, and latent difference score models were used to investigate the association between self-reports of EA and both self-reports and observer-based ratings of depression. EA was positively associated with greater severity of depression at all points of assessment, and changes in EA were positively associated with changes in depression. Moreover, EA significantly predicted less subsequent reduction in depression whereas no such effect was found for depression on subsequent EA. The findings are consistent with the hypothesis that EA impedes the reduction of depression in the treatment of BPD and should thus be considered an important treatment target.
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