Central Institute of Mental Health, Mannheim, Germany.
J Trauma Stress. 2011 Feb;24(1):102-6. doi: 10.1002/jts.20617. Epub 2011 Feb 4.
Dialectical behavior therapy for posttraumatic stress disorder (DBT-PTSD) is tailored for adults with PTSD from childhood sexual abuse (CSA). It uses principles from DBT and trauma-focused cognitive-behavioral approaches. To evaluate acceptance and safety, the authors treated 29 women with chronic CSA-related PTSD plus at least one other comorbid diagnosis. The Posttraumatic Diagnostic Scale (PDS), Symptom Checklist 90-Revised, Beck Depression Inventory, and State Trait Anxiety Inventory were administered prior to, at the end of, and 6 weeks after 3 months of intensive residential treatment. An effect size of 1.22 on the PDS was found between baseline and follow-up. Effect sizes for secondary outcomes ranged from medium to large. The results suggest that DBT-PTSD has promise for reducing severe and chronic PTSD after CSA.
创伤后应激障碍的辩证行为疗法（DBT-PTSD）是为有儿童期性虐待（CSA）所致创伤后应激障碍的成年人量身定制的。它采用了 DBT 和以创伤为中心的认知行为方法的原理。为了评估接受度和安全性，作者对 29 名患有慢性 CSA 相关 PTSD 且至少伴有其他一种合并症诊断的女性进行了治疗。在强化住院治疗 3 个月之前、结束时和 6 周后，使用创伤后诊断量表（PDS）、症状清单 90 修订版、贝克抑郁量表和状态特质焦虑量表进行评估。PDS 的基线和随访之间的效应大小为 1.22。次要结局的效应大小从中等到大不等。研究结果表明，DBT-PTSD 有望减少 CSA 后严重和慢性 PTSD。
