Linehan M M, Armstrong H E, Suarez A, Allmon D, Heard H L
Department of Psychology, University of Washington, Seattle 98195.
Arch Gen Psychiatry. 1991 Dec;48(12):1060-4. doi: 10.1001/archpsyc.1991.01810360024003.
A randomized clinical trial was conducted to evaluate the effectiveness of a cognitive-behavioral therapy, ie, dialectical behavior therapy, for the treatment of chronically parasuicidal women who met criteria for borderline personality disorder. The treatment lasted 1 year, with assessment every 4 months. The control condition was "treatment as usual" in the community. At most assessment points and during the entire year, the subjects who received dialectical behavior therapy had fewer incidences of parasuicide and less medically severe parasuicides, were more likely to stay in individual therapy, and had fewer inpatient psychiatric days. There were no between-group differences on measures of depression, hopelessness, suicide ideation, or reasons for living although scores on all four measures decreased throughout the year.
开展了一项随机临床试验，以评估一种认知行为疗法，即辩证行为疗法，对符合边缘性人格障碍标准的慢性准自杀女性的治疗效果。治疗持续1年，每4个月进行一次评估。对照条件为社区中的“常规治疗”。在大多数评估点以及全年期间，接受辩证行为疗法的受试者准自杀发生率更低，医学上严重的准自杀情况更少，更有可能持续接受个体治疗，且住院精神科天数更少。在抑郁、绝望、自杀意念或生存理由的测量指标上，两组之间没有差异，尽管这四项指标的得分在全年中均有所下降。
