Department of Psychiatry, Charité-University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany.
Clin Psychol Psychother. 2011 Mar-Apr;18(2):148-58. doi: 10.1002/cpp.684. Epub 2010 Feb 25.
Identity disturbance and an unstable sense of self are core criteria of borderline personality disorder (BPD) and significantly contribute to the suffering of the patient. These impairments are hypothesized to be reflected in low self-esteem and low self-concept clarity. The objective of this study was to evaluate the impact of an inpatient dialectic behavioral therapy (DBT) programme on self-esteem and self-concept clarity. Forty women with BPD were included in the study. Twenty patients were treated with DBT for 12 weeks in an inpatient setting and 20 patients from the waiting list served as controls. Psychometric scales were used to measure different aspects of self-esteem, self-concept clarity and general psychopathology. Patients in the treatment group showed significant enhancement in self-concept clarity compared with those on the waiting list. Further, the scales of global self-esteem and, more specifically, the facets of self-esteem self-regard, social skills and social confidence were enhanced significantly in the intervention group. Additionally, the treatment had a significant impact on basic self-esteem in this group. On the other hand, the scale of earning self-esteem was not significantly abased in patients with BPD and did not show significant changes in the intervention group. Our data provide preliminary evidence that DBT has an impact on several facets of self-esteem and self-concept clarity, and thus on identity disturbance, in women with BPD.
身份障碍和自我不稳定感是边缘型人格障碍（BPD）的核心标准，严重影响患者的痛苦。这些损伤被假设反映在低自尊和低自我概念清晰度上。本研究的目的是评估住院辩证行为治疗（DBT）方案对自尊和自我概念清晰度的影响。研究纳入了 40 名 BPD 女性患者。其中 20 名患者接受了为期 12 周的住院 DBT 治疗，20 名等待名单上的患者作为对照组。使用心理计量学量表来测量自尊、自我概念清晰度和一般精神病理学的不同方面。与等待名单上的患者相比，治疗组的自我概念清晰度显著提高。此外，干预组的总体自尊量表，更具体地说，自尊自我关注、社交技能和社交信心方面，得到了显著提高。此外，治疗对该组的基本自尊也有显著影响。另一方面，BPD 患者的收入自尊量表没有显著降低，干预组也没有显示出显著变化。我们的数据提供了初步证据，表明 DBT 对 BPD 女性的自尊和自我概念清晰度的几个方面，以及身份障碍有影响。
