Bornovalova Marina A, Daughters Stacey B
Center for Addictions, Personality, and Emotion Research (CAPER), University of Maryland, College Park, Maryland, USA.
Clin Psychol Rev. 2007 Dec;27(8):923-43. doi: 10.1016/j.cpr.2007.01.013. Epub 2007 Feb 7.
For individuals presenting with comorbid borderline personality disorder (BPD) and substance use disorders (SUD), rates of treatment dropout from combined mental health and substance abuse treatment centers approach 80%, rendering dropout the rule rather than the exception. Several studies indicate that utilizing a more comprehensive treatment such as Dialectical Behavior Therapy (DBT) may be useful for client retention; however, given the scope and effort required to conduct this treatment, it may be more practical to determine which specific components within DBT are useful in retaining clients in substance use treatment. Thus, the purpose of the current paper is first to determine what exact deficits underlie treatment dropout among the BPD-SUD comorbidity. Second, we review and evaluate effectiveness of DBT retention-enhancing strategies by assembling work from other samples and literatures that also tests retention-enhancing strategies discussed in DBT. As a last step, the paper will conclude with a discussion on methodological limitations and potential future directions in this line of research.
对于同时患有边缘性人格障碍（BPD）和物质使用障碍（SUD）的个体，心理健康与药物滥用联合治疗中心的治疗中断率接近80%，这使得治疗中断成为常态而非例外。多项研究表明，采用更全面的治疗方法，如辩证行为疗法（DBT），可能有助于留住患者；然而，鉴于开展这种治疗所需的范围和精力，确定DBT中的哪些具体组成部分有助于留住物质使用治疗中的患者可能更为实际。因此，本文的目的首先是确定BPD-SUD共病患者治疗中断背后的确切缺陷。其次，我们通过整合来自其他样本和文献的研究成果来回顾和评估DBT增强保留率策略的有效性，这些研究也测试了DBT中讨论的增强保留率策略。作为最后一步，本文将在讨论这一研究方向的方法局限性和潜在未来方向中结束。
