Regional Forensic Psychiatry Services, Avondale, Auckland, New Zealand.
J Intellect Disabil Res. 2010 Jun;54(6):568-72. doi: 10.1111/j.1365-2788.2010.01274.x. Epub 2010 Apr 28.
Dialectic behaviour therapy (DBT) has been widely used with individuals diagnosed with borderline personality disorder who exhibit severe emotional and behavioural dysregulation. There is a paucity of research in assessing the effectiveness of DBT with forensic clients with intellectual disability (ID).
This pilot study aims to evaluate the effectiveness of the DBT group skills training programme adapted particularly for offenders with ID. Six participants completed the 13-week adapted DBT group skills training programme. All participants exhibited challenging behaviours and have a history of prior charges or convictions for violent crimes. The study conducted pre- and post-tests using instruments that measured dynamic risks, relative strengths, coping skills and global functioning.
The study result showed improvement across all measures. A decrease in the level of risks, increase in relative strengths and general improvement in overall functioning were found significant. The results were promising particularly as a stand-alone adapted DBT group skills training programme for this client group.
辩证行为疗法（DBT）已广泛应用于诊断为边缘型人格障碍且表现出严重情绪和行为失调的个体。然而，对于具有智力障碍（ID）的法医客户，评估 DBT 的有效性的研究相对较少。
本试点研究旨在评估专为 ID 障碍罪犯量身定制的 DBT 小组技能培训计划的有效性。六名参与者完成了为期 13 周的适应性 DBT 小组技能培训计划。所有参与者都表现出具有挑战性的行为，并且有过暴力犯罪的前科或定罪记录。该研究使用测量动态风险、相对优势、应对技能和整体功能的工具进行了前后测试。
研究结果显示所有指标都有所改善。风险水平降低、相对优势增加以及整体功能的普遍改善都具有显著意义。这些结果令人鼓舞，特别是作为针对此类客户群体的独立适应性 DBT 小组技能培训计划。
