Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial
Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial
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DOI：
10.1016/j.brat.2014.05.005
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发表时间：
2014-08-01
影响因子：
4.1
通讯作者：
Linehan, Marsha M.
中科院分区：
文献类型：
--
作者：
Neacsiu, Andrada D.;Eberle, Jeremy W.;Linehan, Marsha M.
情绪障碍在情绪障碍和焦虑症中很常见。辩证行为治疗技能训练（DBT-ST）减少边缘型人格障碍（BPD）的情绪失调。初步证据表明，使用DBT技能介导BPD治疗中观察到的变化。因此，我们评估了DBT-ST作为一个独立的，跨诊断的治疗情绪失调和DBT技能的使用作为一个中介的结果。44名焦虑和/或抑郁的非BPD成年人，具有高度情绪失调，被随机分配到16周的DBT-ST或基于活动的支持组（ASG）。受试者在治疗后2个月内每2个月完成情绪失调、DBT技能使用和精神病理学的测量。纵向分析表明，DBT-ST在减少情绪失调（d = 1.86），增加技能使用（d = 1.02）和减少焦虑（d = 137）方面上级ASG，但不抑郁（d = 0.73）。技能使用介导了这些差异变化。与会者认为DBT-ST可以接受。32%的DBT-ST和59%的ASG参与者放弃了治疗。59%的DBT-ST和50%的ASG参与者遵守了避免辅助心理治疗和/或药物变化的研究方案。总之，DBT-ST是一种有前途的治疗情绪失调的抑郁和焦虑transdiagnosis成人，虽然更多的可行性评估是必要的。(C)2014爱思唯尔有限公司版权所有。
Difficulties with emotions are common across mood and anxiety disorders. Dialectical behavior therapy skills training (DBT-ST) reduces emotion dysregulation in borderline personality disorder (BPD). Preliminary evidence suggests that use of DBT skills mediates changes seen in BPD treatments. Therefore, we assessed DBT-ST as a stand-alone, transdiagnostic treatment for emotion dysregulation and DBT skills use as a mediator of outcome. Forty-four anxious and/or depressed, non-BPD adults with high emotion dysregulation were randomized to 16 weeks of either DBT-ST or an activities-based support group (ASG). Participants completed measures of emotion dysregulation, DBT skills use, and psychopathology every 2 months through 2 months posttreatment. Longitudinal analyses indicated that DBT-ST was superior to ASG in decreasing emotion dysregulation (d = 1.86), increasing skills use (d = 1.02), and decreasing anxiety (d = 137) but not depression (d = 0.73). Skills use mediated these differential changes. Participants found DBT-ST acceptable. Thirty-two percent of DBT-ST and 59% of ASG participants dropped treatment. Fifty-nine percent of DBT-ST and 50% of ASG participants complied with the research protocol of avoiding ancillary psychotherapy and/or medication changes. In summary, DBT-ST is a promising treatment for emotion dysregulation for depressed and anxious transdiagnostic adults, although more assessment of feasibility is needed. (C) 2014 Elsevier Ltd. All rights reserved.