对具有边缘性人格障碍症状的年轻人进行辩证行为疗法干预的随机有效性实施试验
Dominique de Andrade1,2,3, Lily Davidson1, Carlie Robertson4,5
1National Centre for Youth Substance Use Research, University of Queensland, Brisbane, Queensland, Australia.
Journal of clinical psychology
|June 14, 2024
概括
简短的群体辩证行为疗法 (DBT) 技能培训与较长,更密集的DBT知情计划对新出现边缘性人格障碍 (BPD) 症状的年轻人一样有效.
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
- 心理健康服务研究 心理健康服务研究
背景情况:
- 辩证行为疗法 (DBT) 对边界性人格障碍 (BPD) 有效.
- 标准的DBT对临床环境来说是资源密集的.
- 基于团队的DBT技能培训显示出作为一种不那么密集的替代方案的希望.
研究的目的:
- 为了比较一个为期8周的DBT技能培训计划与一个为期16周的DBT培训计划的有效性.
- 评估年轻人患有新出现的BPD或情绪失调的结果.
- 评估在现实世界青年心理健康服务中的实施情况.
主要方法:
- 一个混合型1有效性-实施试验,采用分阶段,并行组设计.
- 104名参与者 (年龄在16-25岁) 有情绪失调或出现BPD症状被随机分类.
- 在线调查收集了基线,8,16和24周的数据;混合效应线性模型被用于分析.
主要成果:
- 8周和16周的干预都显示了情绪失调和BPD症状的显著,持续的改善.
- 在压力和抑郁症方面也有所改善,但在自杀风险或焦虑方面没有.
- 在8周和16周计划之间,在初级或二级结局方面没有发现显著差异.
结论:
- 一个简短的,以小组为基础的DBT技能培训计划与更密集的DBT知情计划一样有效.
- 这两种干预措施都为新出现的BPD的年轻人带来了显著的改善.
- 研究结果表明,较短,较不密集的DBT干预措施可能对这一群体是可行的.
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