Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder -: a prospective study
Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder -: a prospective study
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DOI：
10.1016/s0005-7967(99)00103-5
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发表时间：
2000-09-01
影响因子：
4.1
通讯作者：
Linehan, M
中科院分区：
文献类型：
--
作者：
Bohus, M;Haaf, B;Linehan, M
临界性人格障碍的辩证行为疗法(DBT)是由M.Linehan开发的，专门为患有临界性人格障碍的慢性自杀患者的门诊治疗而设计的。目前对DBT治疗的研究主要集中在门诊治疗上，假设门诊DBT初期的住院治疗可以加速和改善治疗过程，我们根据DBT的指导原则，制定了针对这一人群的住院治疗方案。它包括三个月的住院治疗，然后是长期的门诊治疗。在这项初步研究中，24名女性患者在入院时和出院后一个月的精神病理学和自我伤害频率方面进行了比较。在抑郁、分离、焦虑和整体压力方面的评分有了显著的改善。据报告，副自杀行为的数量也出现了极大的下降。对平均效应大小的分析表明，平均效应很强，这促使了随机对照设计的发展。(C)2000爱思唯尔科学有限公司。保留所有权利。
Dialectical-Behavioral Therapy for Borderline Personality Disorder (DBT) developed by M. Linehan is specifically designed for the outpatient treatment of chronically suicidal patients with borderline personality disorder. Research on DBT therapy, its course and its results has focused to date on treatments in an outpatient setting.Hypothesizing that the course of therapy could be accelerated and improved by an inpatient setting at the beginning of outpatient DBT, we developed a treatment program of inpatient therapy for this patient group according to the guidelines of DBT. It consists of a three-month inpatient treatment prior to long-term outpatient therapy. In this pilot study 24 female patients were compared at admission to the hospital, and at one month after discharge with respect to psychopathology and frequency of self-injuries. Significant improvements in ratings of depression, dissociation, anxiety and global stress were found. A highly significant decrease in the number of parasuicidal acts was also reported. Analysis of the average effect sizes shows a strong effect which prompts the development of a randomized controlled design. (C) 2000 Elsevier Science Ltd. All rights reserved.