Emotion Regulation as a Mechanism of Change in an Acceptance-Based Emotion Regulation Group Therapy for Deliberate Self-Harm Among Women With Borderline Personality Pathology
Emotion Regulation as a Mechanism of Change in an Acceptance-Based Emotion Regulation Group Therapy for Deliberate Self-Harm Among Women With Borderline Personality Pathology
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DOI：
10.1891/0889-8391.26.4.365
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发表时间：
2012-01-01
影响因子：
0.7
通讯作者：
Tull, Matthew
中科院分区：
文献类型：
--
作者：
Gratz, Kim;Levy, Roy;Tull, Matthew
尽管故意自残（DSH）在边缘性人格障碍（BPD）中具有临床重要性，但对于 BPD 患者的这种行为，几乎没有得到经验支持的治疗方法。而那些确实存在的方法却很难在许多临床环境中实施。因此，Gratz 及其同事为患有 BPD 的女性开发了一种辅助情绪调节团体疗法 (ERGT)，该疗法直接针对 DSH 及其提出的情绪失调的潜在机制。尽管之前的研究支持使用这种 ERGT 来降低 DSH，但没有研究将情绪调节作为这种治疗的改变机制。因此，本研究通过两项独立的 ERGT 试验检验了情绪失调变化在 DSH 改善中的中介作用。正如假设的那样，情绪失调的变化介导了观察到的 DSH 频率的降低。结果为 ERGT 的理论模型提供了支持，并强调了在 DSH 治疗中针对情绪失调的重要性。
Despite the clinical importance of deliberate self-harm (DSH) within borderline personality disorder (BPD), there are few empirically supported treatments for this behavior among individuals with BPD; and those that do exist are difficult to implement in many clinical settings. Thus, Gratz and colleagues developed an adjunctive emotion regulation group therapy (ERGT) for women with BPD that directly targets both DSH and its proposed underlying mechanism of emotion dysregulation. Although previous studies support the use of this ERGT in reducing DSH, no studies have examined emotion regulation as a mechanism of change in this treatment. Therefore, this study examined the mediating role of changes in emotion dysregulation in DSH improvement across two separate trials of this ERGT. As hypothesized, changes in emotion dysregulation mediated the observed reductions in DSH frequency. Results provide support for the theoretical model underlying this ERGT and highlight the importance of targeting emotion dysregulation in treatments for DSH.