Dams Andreas, Schommer Nicole, Röpke Stefan, Heuser Isabella, Lammers Claas-Hinrich
Charité--Universitätsmedizin Berlin, Campus Benjamin Franklin, Klinik und Hochschulambulanz für Psychiatrie und Psychotherapie, Hamburg.
Psychother Psychosom Med Psychol. 2007 Jan;57(1):19-24. doi: 10.1055/s-2006-951908.
Patients with borderline personality disorder (BPD) are getting significantly better under inpatient Dialectic Behavioral Therapy (DBT). Several studies have shown the efficacy of DBT inpatient treatment for patients with BPD. Signs of the efficacy of DBT are mainly reduction of self-injurious behaviour and suicidality as well as reduction of clinical parameters such as depression and general symptom stress (SCL-90-R). In this catamnestic study we evaluated 38 former DBT-inpatients for continuous treatment effects of DBT. The results showed a significant reduction in depression as well as general symptom stress up to 6 month after discharge. Furthermore, these effects were positively correlated with the continuous use of DBT-skills 1 and 6 months after discharge. These skills are central part of DBT-treatment and are especially useful for managing high-tension, suicidality and self-injurious behaviour. Therefore, the use of skills is possibly the reason for the continuous effect of DBT after the end of inpatient treatment.
边缘型人格障碍（BPD）患者在住院接受辩证行为疗法（DBT）治疗后病情有显著改善。多项研究表明DBT住院治疗对BPD患者有效。DBT疗效的迹象主要包括自伤行为和自杀倾向的减少，以及诸如抑郁和一般症状应激（SCL-90-R）等临床参数的降低。在这项随访研究中，我们评估了38名曾接受DBT住院治疗的患者，以了解DBT的持续治疗效果。结果显示，出院后长达6个月，抑郁以及一般症状应激都有显著降低。此外，这些效果与出院后1个月和6个月持续使用DBT技能呈正相关。这些技能是DBT治疗的核心部分，对处理高度紧张、自杀倾向和自伤行为特别有用。因此，技能的使用可能是住院治疗结束后DBT仍能持续发挥作用的原因。
