Dialectical behavior therapy training to reduce clinical burnout in a public behavioral health system.
Dialectical behavior therapy training to reduce clinical burnout in a public behavioral health system.
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辩证行为治疗培训，以减少公共行为健康系统中的临床倦怠。
DOI：
10.1007/s10597-013-9679-2
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发表时间：
2014
影响因子：
2.7
通讯作者：
Rose,MonicaL
中科院分区：
文献类型：
--
作者：
Carmel,Adam;Fruzzetti,AlanE;Rose,MonicaL
边缘型人格障碍（BPD）是一种复杂、昂贵且难以治疗的精神疾病，在为患者提供治疗的治疗师中，存在临床倦怠的风险。辩证行为疗法（DBT）是一种以证据为基础的BPD治疗方法，已得到广泛推广。只有一项已发表的研究调查了接受过DBT培训的临床医生在工作前和工作后的倦怠得分，而没有一项研究是在美国的公共行为健康系统中进行的，因为美国以社区为基础的机构资源有限，需求很高。目前的研究调查了在一个大型的城市公共行为健康系统中治疗BPD患者的治疗师的倦怠率。该研究包括9名临床医生的样本，结果显示，在参与者参加了一系列为期13个月的DBT培训后，倦怠得分显著降低。内部效度有几个关键的限制，包括缺乏对照组。需要对培训结果进行类似的评估，以解决为BPD患者提供治疗的社区临床医生中普遍存在的职业倦怠现象，从而提高患者护理质量。
There is a risk of experiencing clinical burnout among therapists providing treatment to clients with borderline personality disorder (BPD), a complex, costly and difficult-to-treat psychiatric disorder. Dialectical behavior therapy (DBT) is an evidence-based treatment of BPD that has been widely disseminated. There is only one published study that has examined pre and post scores of burnout among clinicians who receive training in DBT, and none that have taken place within a public behavioral health system in the United States where resources for community-based agencies are limited and demands are high. The current study examined the rates of burnout among therapists treating clients with BPD within a large, urban public behavioral health system. The study included a sample of nine clinicians and showed significantly decreased scores of burnout after participants attended a series of DBT trainings over a period of 13 months. There were several key limitations to internal validity including the lack of a control group. Similar evaluations of training outcomes are needed to address the widespread occurrence of burnout among community-based clinicians providing treatment to clients with BPD in order to enhance the quality of patient care.