Rathus Jill H, Miller Alec L
Department of Psychology, Long Island University, Brookville, NY 11548, USA.
Suicide Life Threat Behav. 2002 Summer;32(2):146-57. doi: 10.1521/suli.32.2.146.24399.
We report a quasi-experimental investigation of an adaptation of Dialectical Behavior Therapy (DBT) with a group of suicidal adolescents with borderline personality features. The DBT group (n = 29) received 12 weeks of twice weekly therapy consisting of individual therapy and a multifamily skills training group. The treatment as usual (TAU) group (n = 82) received 12 weeks of twice weekly supportive-psychodynamic individual therapy plus weekly family therapy. Despite more severe pre-treatment symptomatology in the DBT group, at post-treatment this group had significantly fewer psychiatric hospitalizations during treatment, and a significantly higher rate of treatment completion than the TAU group. There were no significant differences in the number of suicide attempts made during treatment. Examining pre-post change within the DBT group, there were significant reductions in suicidal ideation, general psychiatric symptoms, and symptoms of borderline personality. DBT appears to be a promising treatment for suicidal adolescents with borderline personality characteristics.
我们报告了一项针对一组具有边缘型人格特征的自杀青少年的辩证行为疗法（DBT）改编版的准实验研究。DBT组（n = 29）接受了为期12周、每周两次的治疗，包括个体治疗和多家庭技能训练组。常规治疗（TAU）组（n = 82）接受了为期12周、每周两次的支持性心理动力个体治疗以及每周一次的家庭治疗。尽管DBT组治疗前的症状更严重，但在治疗后，该组在治疗期间的精神病住院次数显著减少，治疗完成率也显著高于TAU组。治疗期间的自杀未遂次数没有显著差异。在DBT组内检查治疗前后的变化，自杀意念、一般精神症状和边缘型人格症状均有显著减少。DBT似乎是一种有前景的治疗方法，适用于具有边缘型人格特征的自杀青少年。
