Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients.
Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients.
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DOI：
10.1176/ajp.151.12.1771
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发表时间：
1994-12
期刊：
影响因子：
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通讯作者：
M. Linehan;Darren A. Tutek;H. Heard;H. Armstrong
中科院分区：
文献类型：
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作者：
M. Linehan;Darren A. Tutek;H. Heard;H. Armstrong
目的：本研究报告认知行为门诊治疗对边缘型人格障碍患者人际关系结局变量的影响。方法对26例边缘型人格障碍女性患者进行为期1年的临床试验，随机分为辩证行为治疗组和常规治疗组。所有受试者均符合DSM-III-R和边缘型人格障碍患者诊断性访谈标准，均有慢性自杀倾向。结果在意向治疗组和完成治疗组中，辩证行为治疗组的受试者在愤怒、访谈者评定的整体社会适应和整体评估量表上的得分显著高于常规治疗组的受试者，并倾向于在整体社会适应方面对自己的评分更高。结论辩证行为疗法是改善重度边缘型人格障碍患者人际关系功能的一种有前景的社会心理干预方法。
OBJECTIVE This study reports the efficacy of a cognitive behavioral outpatient treatment on interpersonal outcome variables for patients diagnosed with borderline personality disorder. METHOD In a 1-year clinical trial, 26 female patients with borderline personality disorder were randomly assigned to either dialectical behavior therapy or a treatment-as-usual comparison condition. All subjects met criteria of DSM-III-R and Diagnostic Interview for Borderline Patients for borderline personality disorder and were chronically suicidal. RESULTS In both the intent-to-treat and treatment completion groups, dialectical behavior therapy subjects had significantly better scores on measures of anger, interviewer-rated global social adjustment, and the Global Assessment Scale and tended to rate themselves better on overall social adjustment than treatment-as-usual subjects. CONCLUSIONS These results suggest that dialectical behavior therapy is a promising psychosocial intervention for improving interpersonal functioning among severely dysfunctional patients with borderline personality disorder.