在接受住院辩证行为治疗的边缘病理患者中,治疗联盟和学
Carolin Steuwe1, Michaela Berg2, Martin Driessen2
1Department of Psychiatry and Psychotherapy, Bielefeld University, Bielefeld, Germany. carolin.steuwe@evkb.de.
BMC psychiatry
|August 18, 2023
概括
在治疗早期建立强有力的治疗联盟对于接受辩证行为疗法 (DBT) 的边缘性人格障碍患者至关重要. 软弱的联盟预测了更高的退学率,突出显示了监测患者与治疗师关系的重要性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床心理学 临床心理学
背景情况:
- 边界性人格障碍 (BPD) 与治疗中断率高相关.
- 辩证行为疗法 (DBT) 是BPD的有效治疗方法,但学仍然是一个问题.
- 治疗联盟是各种疗法治疗成功的关键因素.
研究的目的:
- 调查早期治疗联盟对BPD患者住院DBT计划中学率的影响.
- 在这个特定的患者群体中确定治疗中断的预测因素.
主要方法:
- 研究了一项住宅DBT计划中44名具有BPD标准的参与者的自然样本.
- 参与者在治疗的前七天内填写了评估人口统计,精神病理和治疗联盟的问卷.
- 用二进制物流回归分析来检查退学预测因素.
主要成果:
- 学率为34.1% (共44名参与者中15名).
- 早期的治疗联盟是治疗中断的重要预测因素 (z = -2.371,p = .018).
- 人口特征,临床变量,并发症和童年创伤史并没有显著预测该样本中学学的情况.
结论:
- 早期的治疗联盟是预测BPD患者接受住院DBT的治疗中断的关键因素.
- 在治疗早期监测治疗关系可能有助于识别患有脱学风险的患者.
- 这些发现强调了过程变量在理解和减少BPD治疗中治疗中断方面的重要性.
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