Behavioral Research and Therapy Clinics, Department of Psychology, University of Washington, 3935 University Way NE, Seattle, WA 98105, USA.
J Trauma Stress. 2010 Aug;23(4):421-9. doi: 10.1002/jts.20553.
This study examined the efficacy of dialectical behavior therapy (DBT) in reducing behaviors commonly used as exclusion criteria for posttraumatic stress disorder (PTSD) treatment. The sample included 51 suicidal and/or self-injuring women with borderline personality disorder (BPD), 26 (51%) of whom met criteria for PTSD. BPD clients with and without PTSD were equally likely to eliminate the exclusionary behaviors during 1 year of DBT. By posttreatment, 50-68% of the BPD clients with PTSD would have been suitable candidates for PTSD treatment. Borderline personality disorder clients with PTSD who began treatment with a greater number of recent suicide attempts and more severe PTSD were significantly less likely to become eligible for PTSD treatment.
本研究考察了辩证行为疗法（DBT）在减少通常作为创伤后应激障碍（PTSD）治疗排除标准的行为方面的疗效。样本包括 51 名有自杀和/或自残行为的边缘型人格障碍（BPD）女性，其中 26 名（51%）符合 PTSD 标准。在 1 年的 DBT 中，有无 PTSD 的 BPD 患者同样有可能消除排除行为。到治疗后，50-68%的 PTSD 边缘型人格障碍患者将成为 PTSD 治疗的合适人选。开始治疗时自杀未遂次数较多、PTSD 较严重的 PTSD 边缘型人格障碍患者，不太可能符合 PTSD 治疗条件。
