与PTSD和BPD症状同时出现的退伍军人从辩证行为治疗中受益:PTSD对BPD症状轨迹的影响
Alison M Schreiber1,2, Margaret T Davis3, Chelsea D Cawood2,4
1Department of Psychiatry, University of Kentucky College of Medicine, Lexington, KY 40509, USA.
Cognitive behaviour therapy
|October 14, 2025
概括
辩证行为疗法 (DBT) 有效地治疗退伍军人的边缘性人格障碍 (BPD),即使同时出现创伤后应激障碍 (PTSD). 这种PTSD并发症并没有阻碍参与或基线严重程度,但与更明显的症状减少有关.
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
- 退伍军人事务 退伍军人事务
背景情况:
- 辩证行为疗法 (DBT) 是边缘性人格障碍 (BPD) 的领先治疗方法,有效减少冲动性和自杀倾向.
- 关于DBT疗效的研究往往不包括患有并发症的患者,但退伍军人经常出现复杂的诊断,如创伤后应激障碍 (PTSD).
研究的目的:
- 调查伴随性PTSD对接受BPD全模型DBT的退伍军人治疗结果的影响.
- 为了确定PTSD是否会影响BPD退伍军人的基线严重程度,治疗参与或症状减少.
主要方法:
- 评估了62名患有BPD的退伍军人的样本.
- 参与者被分为具有并发性PTSD (可能或已确认) 和没有PTSD的组.
- 治疗参与,基线BPD严重程度和整个DBT期间的症状变化在各组之间进行了比较.
主要成果:
- 并发性PTSD并没有对治疗参与或基线BPD症状严重程度产生负面影响.
- 与那些没有PTSD的退伍军人相比,患有BPD和PTSD同时发生的退伍军人表现出BPD症状的降低,甚至更明显.
- 这些发现表明,PTSD并发症不是成功DBT结果的障碍.
结论:
- 对退伍军人来说,DBT是一种可行的,有效的治疗方法,可以治疗伴随性BPD和PTSD的退伍军人.
- 创伤后应激障碍的存在不应阻止退伍军人接受BPD的DBT.
- 临床实践应支持在这种复杂的患者群体中使用DBT.
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