边缘性人格障碍症状对饮食障碍的辩证行为治疗结果的影响
Dominic M Denning1, Victoria Ciotti2, Ayla Gioia2
1Department of Psychological and Brain Sciences, University of Massachusetts Amherst.
Personality disorders
|August 17, 2023
概括
边缘性人格障碍 (BPD) 和饮食障碍 (ED) 的患者在基于辩证行为疗法 (DBT) 的治疗期间表现出更严重的ED症状. 然而,那些患有高BPD症状的人在治疗早期的暴饮暴食和禁食中改善得更快.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 边缘性人格障碍 (BPD) 和饮食障碍 (ED) 的并发症带来了复杂的临床挑战.
- 现有的关于BPD和ED并发症的研究缺乏关于表现和治疗结果的确结果.
研究的目的:
- 为了研究不同程度的BPD症状患者的ED症状的临床表现.
- 为了确定对伴并发性BPD患者ED的辩证行为疗法 (DBT) 干预的治疗反应.
主要方法:
- 在基于DBT的部分住院计划中评估了ED的成年参与者 (N=176).
- 自我报告的措施是在入院时进行的,1个月,出院,以及6个月的随访.
主要成果:
- 在治疗期间,BPD症状升高与ED症状严重程度增加相关 (效果大小小至中等).
- 患有高BPD症状的患者在暴饮暴食,禁食和自杀行为中表现出更快的早期减少.
- 在高和低BPD症状组之间,缓解和复发率相似,尽管样本大小可能限制了解释.
- 使用DBT技能并不能预测症状变化.
结论:
- 虽然患有较高BPD症状的患者在DBT计划中可能会出现改善,但他们的ED症状可能会持续.
- 需要在DBT环境中对伴并发性BPD和ED的辅助治疗进行进一步的研究.
- 调查DBT技能使用的质量作为ED症状变化的预测因素是有必要的.
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