Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, St. Antoni Mª Claret 167, 08025, Barcelona, Spain.
Behav Res Ther. 2012 Feb;50(2):150-7. doi: 10.1016/j.brat.2011.12.002. Epub 2011 Dec 14.
It is known that patients with borderline personality disorder (BPD) show attention deficits and impulsivity. The main aim of this study was to explore the effects of Dialectical Behavioral Therapy-Mindfulness training (DBT-M), used as an adjunct to general psychiatric management (GPM), on attention variables in patients diagnosed with BPD. A second objective was to assess the relation of mindfulness formal practice on clinical variables. A sample of 60 patients with BPD was recruited. Forty of them were allocated to GPM + DBT-M treatment and the other 20 received GPM alone. At the termination of the mindfulness training, DBT-M + GPM group showed a significant improvement on commissions, hit reaction time, detectability scores from the CPT-II neuropsychological test, and also on the composite scores of inattention and impulsivity. Further, the more minutes of mindfulness practice were correlated to greater improvement in general psychiatric symptoms and affective symptomatology, but not in CPT-II measures. This is probably the first study so far assessing the effects of this single DBT module in patients with BPD. The results suggest a positive effect of such intervention on attention and impulsivity variables.
已知边缘型人格障碍（BPD）患者存在注意力缺陷和冲动性。本研究的主要目的是探讨辩证行为疗法-正念训练（DBT-M）作为一般精神科管理（GPM）的辅助手段对 BPD 患者注意力变量的影响。第二个目的是评估正念正式练习与临床变量的关系。本研究招募了 60 名 BPD 患者。其中 40 名患者被分配到 GPM+DBT-M 治疗组，另外 20 名患者仅接受 GPM 治疗。在正念训练结束时，DBT-M+GPM 组在 CPT-II 神经心理测试的错误数、击中反应时间、可探测性评分以及注意力不集中和冲动性的综合评分上均有显著改善。此外，正念练习的时间越长，一般精神症状和情感症状的改善越大，但 CPT-II 测量的改善则不明显。这可能是迄今为止评估该单一 DBT 模块对 BPD 患者影响的第一项研究。结果表明，这种干预措施对注意力和冲动性变量有积极影响。
