边界性人格障碍青少年的辩证行为疗法:情绪失调,滥用和治疗结果
Nathaniel P Shogren1, Julianne Wilner Tirpak1, Nicole P Porter1
1McLean Hospital and Department of Psychiatry, Harvard Medical School, Belmont, MA, USA.
概括
强化辩证行为疗法 (DBT) 显著减少了边缘性人格障碍 (BPD) 症状的青少年的情绪失调. 童年虐待的严重程度并没有影响这些积极的治疗结果.
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
- 儿童心理学 儿童心理学
背景情况:
- 边界性人格障碍 (BPD) 标志着严重的情绪失调.
- 辩证行为疗法 (DBT) 是青少年和成年人中BPD的经过验证的治疗方法.
- 童年虐待对患有BPD的青少年DBT结果的影响尚不清楚.
研究的目的:
- 评估密集的住房DBT计划在减少青少年患有BPD症状的情绪失调方面的有效性.
- 研究儿童虐待的严重程度和类型如何影响治疗结果.
- 为了检查儿童虐待和情绪调节障碍在这个人群中的关联.
主要方法:
- 46名女性身份认同的青少年 (13-20岁) 参与了密集的住房DBT计划.
- 儿童创伤问卷 (CTQ-SF) 和情绪失调难度表 (DERS) 在入院时进行了管理.
- 在治疗一个月后,DERS被重新评估.
主要成果:
- 在儿童虐待严重程度和入院时情绪失调之间发现了中等积极的关联.
- 经过一个月的DBT后,人们观察到情绪失调的显著减少,效果大小很大.
- 童年虐待亚型没有显著缓解治疗效果.
结论:
- 密集的住宅DBT有效地减少了青少年与BPD症状情绪失调.
- 治疗的益处是一致的,无论童年虐待暴露.
- 研究结果支持BPD和虐待历史的青少年的DBT,强调了儿童虐待和情绪失调之间的联系.
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