Effectiveness of dialectical behavior therapy in a community mental health center
Effectiveness of dialectical behavior therapy in a community mental health center
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DOI：
10.1016/j.cbpra.2006.04.023
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发表时间：
2007-11-01
影响因子：
2.9
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
--
作者：
Comtois, Katherine Anne;Elwood, Lynn;Simpson, Tracy L.
辩证行为疗法（DBT）已被证明是有效的随机对照试验的女性边缘型人格障碍和慢性自残史包括自杀企图。本研究是在社区心理健康中心对慢性自伤和/或多次治疗失败的个体进行综合DBT计划的前后复制。对24名受试者进行了治疗史访谈，以获取有关治疗自我伤害和使用危机服务的信息。经过1年的治疗，DBT显示了自我伤害的数量和严重程度、精神科相关急诊室就诊、精神科住院人数和天数以及参与危机治疗系统的数量的显著减少。结果与其他3个DBT临床试验的基准进行了比较。虽然这种前后比较对内部效度有威胁，但它支持在社区精神卫生诊所全面实施DBT的可行性。
Dialectical behavior therapy (DBT) has been shown to be effective in randomized controlled trials with women with borderline personality disorder and histories of chronic self-inflicted injury including suicide attempts. The present study is a pre-post replication of a comprehensive DBT program in a community mental health center for individuals who chronically injure themselves and/or have experienced multiple treatment failures. Twenty-four subjects were given the Treatment History Interview to obtain information regarding medically treated self-inflicted injuries and the use of crisis services. After 1 year of treatment, DBT showed a significant reduction in the number and severity of self-inflicted injuries, psychiatric-related emergency room visits, psychiatric inpatient admissions and days, and the number of crisis treatment systems engaged. Results are compared to benchmarks from 3 other clinical trials of DBT. While this pre-post comparison has threats to internal validity, it supports the feasibility of DBT when fully implemented in a community mental health clinic.