Use of dialectical behavior therapy skills training for borderline personality disorder in a naturalistic setting
Use of dialectical behavior therapy skills training for borderline personality disorder in a naturalistic setting
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DOI：
10.1080/10503300600830710
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发表时间：
2007-01-01
影响因子：
3.9
通讯作者：
Jacobo, Michelle C.
中科院分区：
文献类型：
--
作者：
Harley, Rebecca M.;Baity, Matthew R.;Jacobo, Michelle C.
这项非随机、自然主义的研究描述了一种针对边缘型人格障碍（BPD）的改良门诊辩证行为治疗（DBT）方案，其中一些患者接受全面的、经验支持的DBT治疗包，另一些患者接受DBT技能团体治疗和非DBT个体治疗。完成一个技能组周期的患者在人格评估量表测量的BPD、抑郁和自杀意念方面显示出显著改善。51%的患者退出了技能组，但接受系统内个体治疗的患者更有可能完成团体治疗。尽管无法得出因果关系结论，但本报告表明，在无法为所有患者提供完整DBT包的情况下，可以成功实施改良DBT计划，并表明接受非DBT个体治疗的BPD患者可能受益于DBT技能组。
This nonrandomized, naturalistic study describes a modified outpatient dialectical behavior therapy (DBT) program for borderline personality disorder (BPD) in which some patients receive the comprehensive, empirically supported DBT package and others receive DBT skills group therapy with non-DBT individual therapy. Patients who completed one skills group cycle showed significant improvements in BPD, depression, and suicidal ideation as measured by the Personality Assessment Inventory. Fifty-one percent of patients dropped out of skills group, but patients with in-system individual therapy were significantly more likely to complete group therapy. Although causal conclusions cannot be drawn, this report demonstrates that a modified DBT program can be implemented successfully in settings in which a full DBT package for all patients may not be feasible and suggests that BPD patients receiving non-DBT individual therapy may benefit from DBT skills group.