Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.
Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.
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DOI：
10.1016/j.brat.2010.05.017
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发表时间：
2010-09
影响因子：
4.1
通讯作者：
Linehan MM
中科院分区：
文献类型：
--
作者：
Neacsiu AD;Rizvi SL;Linehan MM
辩证行为疗法（Dialectical Behavior Therapy，DBT）的一个核心组成部分是教授特定的行为技能，目的是帮助边缘型人格障碍（BPD）患者用熟练的行为取代适应不良的行为。虽然现有的证据间接支持这一建议的作用机制，没有研究到目前为止已经直接testedit.Therefore，我们检查了108名妇女的技能使用的BPD参与三个随机对照试验之一，在整个一年的治疗和四个月的随访。使用分层线性建模方法，我们发现，尽管所有参与者都报告在治疗开始前使用了一些DBT技能，但接受DBT治疗的参与者在治疗结束时使用的技能是接受对照治疗的参与者的三倍。显着的中介效应还表明，DBT技能的使用完全介导的自杀企图和抑郁症的减少和增加控制愤怒随着时间的推移。随着时间的推移，DBT技能的使用也部分介导了非自杀性自伤的减少。愤怒的抑制和表达没有介导。这项研究是第一个明确支持BPD的技能缺陷模型，表明增加技能使用是自杀行为，抑郁和愤怒控制的变化机制。
A central component of Dialectical Behavior Therapy (DBT) is the teaching of specific behavioral skills with the aim of helping individuals with Borderline Personality Disorder (BPD) replace maladaptive behaviors with skillful behavior. Although existing evidence indirectly supports this proposed mechanism of action, no study to date has directly tested it. Therefore, we examined the skills use of 108 women with BPD participating in one of three randomized control trials throughout one year of treatment and four months of follow-up. Using a hierarchical linear modeling approach we found that although all participants reported using some DBT skills before treatment started, participants treated with DBT reported using three times more skills at the end of treatment than participants treated with a control treatment. Significant mediation effects also indicated that DBT skills use fully mediated the decrease in suicide attempts and depression and the increase in control of anger over time. DBT skills use also partially mediated the decrease of nonsuicidal self-injury over time. Anger suppression and expression were not mediated. This study is the first to clearly support the skills deficit model for BPD by indicating that increasing skills use is a mechanism of change for suicidal behavior, depression, and anger control.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1007/s00406-002-0379-0
发表时间：
2002-08-01
影响因子：
4.7
作者：
Hesslinger, B;van Elst, LT;Ebert, D
通讯作者：
Ebert, D
影响因子：
2.9
作者：
Koons, Cedar R.;Chapman, Alexander L.;Robins, Clive J.
通讯作者：
Robins, Clive J.
影响因子：
1.5
作者：
Iverson, Katherine M.;Shenk, Chad;Fruzzetti, Alan E.
通讯作者：
Fruzzetti, Alan E.
影响因子：
3.6
作者：
Kremers, IP;Spinhoven, P;Van Dyck, R
通讯作者：
Van Dyck, R