Dialectical behavior therapy adapted for the vocational rehabilitation of significantly disabled mentally ill adults
Dialectical behavior therapy adapted for the vocational rehabilitation of significantly disabled mentally ill adults
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DOI：
10.1016/j.cbpra.2005.04.003
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发表时间：
2006-05-01
影响因子：
2.9
通讯作者：
Robins, Clive J.
中科院分区：
文献类型：
--
作者：
Koons, Cedar R.;Chapman, Alexander L.;Robins, Clive J.
十二职业康复客户与严重精神疾病接受了全面适应辩证行为疗法（DBT）提供了一组格式。治疗包括每周2小时的标准DBT技能训练和90分钟的日记卡回顾，链分析和行为排练。参与者是根据以前未能获得或维持就业而选择的。参与者平均每人有3个精神病诊断，所有参与者都符合人格障碍的标准，其中58.3%被诊断为边缘型人格障碍。治疗完成者在抑郁、绝望和愤怒体验方面有显著改善，并保持了改善（6个月随访时）。此外，完成者在愤怒表达、愤怒表达控制、工作角色满意度和每周工作小时数方面从治疗前到6个月随访均有显著改善。
Twelve vocational rehabilitation clients with severe mental illness received a comprehensive adaptation of dialectical behavior therapy (DBT) delivered in a group format. Treatment consisted of 2 hours of standard DBT skills training per week and 90 minutes of diary card review, chain analysis, and behavioral rehearsal. Participants were selected based on previous failure to obtain or maintain employment. The participants had a mean of 3 psychiatric diagnoses each, and all participants met criteria for a personality disorder, with 58.3% having a diagnosis of borderline personality disorder There were 4 dropouts and 8 treatment completers. The treatment completers improved significantly and maintained their improvements (at 6-month follow-up) in depression, hopelessness, and the experience of anger In addition, the completers improved significantly from pretreatment to 6 months follow-up on anger expression, control of anger expression, work role satisfaction, and on number of hours worked weekly.