Department of Psychology, Texas A&M University, College Station, Texas 77843-4235, USA.
Psychiatry Res. 2010 Aug 15;178(3):531-5. doi: 10.1016/j.psychres.2010.04.055. Epub 2010 May 26.
This study examined the efficacy of Manual Assisted Cognitive Therapy (MACT) as a stand-alone treatment for Borderline Personality Disorder (BPD) with suicidal ideation, and piloted a Therapeutic Assessment (TA) intervention among 16 patients randomly assigned to MACT or MACT+TA. Although MACT was associated with significant reductions in BPD features and suicidal ideation, less than half of the sample completed the treatment. The TA augmentation did not improve treatment retention but it was associated with somewhat greater clinical improvement. Although findings associate MACT with symptom reduction among persisting patients, attrition rate was problematically high in the overall sample.
本研究考察了手动辅助认知疗法（MACT）作为伴有自杀意念的边缘型人格障碍（BPD）的独立治疗方法的疗效，并在 16 名随机分配至 MACT 或 MACT+TA 的患者中试点了一种治疗性评估（TA）干预措施。尽管 MACT 与 BPD 特征和自杀意念的显著减少相关，但只有不到一半的样本完成了治疗。TA 增强并没有提高治疗保留率，但与稍大的临床改善相关。尽管研究结果表明 MACT 与持续患者的症状减轻相关，但总体样本的脱落率过高。
