Kleindienst Nikolaus, Limberger Matthias F, Schmahl Christian, Steil Regina, Ebner-Priemer Ulrich W, Bohus Martin
Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany.
J Nerv Ment Dis. 2008 Nov;196(11):847-51. doi: 10.1097/NMD.0b013e31818b481d.
Three months of inpatient dialectical behavior therapy proved to be highly effective in patients with borderline personality disorder. This study investigates whether the effects of DBT persist after the patients returned to their usual lives. Thirty-one patients with a diagnosis of borderline personality disorder (DSM-IV) were prospectively followed-up for an observation period of 21 months after discharge from the DBT program, under naturalistic conditions.Improvements as observed after discharge persisted over the full follow-up period. This is reflected in a steady rate of remitted patients and in a broad range of psychopathology showing statistically and clinically significant effect-sizes ranging from 0.70 to 1.71. Analyses of courses over time revealed a high intraindividual concordance, indicating that short term treatment response predicted remission after 2 years follow-up. The effects of inpatient dialectical behavior therapy seem to persist after patients returned to their usual lives.
三个月的住院辩证行为疗法被证明对边缘型人格障碍患者非常有效。本研究调查了辩证行为疗法（DBT）的效果在患者回归正常生活后是否依然持续。31名被诊断为边缘型人格障碍（DSM-IV）的患者在完成DBT项目出院后，在自然条件下进行了为期21个月的前瞻性随访。出院后观察到的改善在整个随访期内持续存在。这体现在缓解患者的稳定比例以及广泛的精神病理学方面，显示出统计学和临床上显著的效应量，范围从0.70到1.71。对随时间变化过程的分析显示个体内部具有高度一致性，表明短期治疗反应可预测2年随访后的缓解情况。住院辩证行为疗法的效果在患者回归正常生活后似乎依然持续。
