Department of Psychiatry and Mental Health, University Hospitals of Geneva, Geneva, Switzerland.
Int J Psychiatry Clin Pract. 2012 Sep;16(3):189-96. doi: 10.3109/13651501.2012.674531. Epub 2012 Mar 24.
One of the components of dialectical behavior therapy (DBT) is the use of mindfulness skills as a core component of treatment for subjects with borderline personality disorder (BPD). In this study, we investigated changes in and correlates of mindfulness skills over a 1-year follow-up including a 4-week session of intensive DBT followed by 10 months of standard DBT.
Fifty-two BPD subjects were assessed several times using the Kentucky Inventory of Mindfulness Skills (KIMS) which describes mindfulness in four discrete dimensions: observing (Obs), describing (Des), acting with awareness (AwA) and accepting without judgment (AwJ).
AwJ was the only dimension that increased significantly over time after adjustment for potential confounding factors (β = 0.24; P = 0.0002). Increases in AwJ correlated with improvement in BPD symptoms.
This study highlights the usefulness of investigating changes in mindfulness dimensions during DBT. AwJ is a possible mechanism for positive change. Encouraging this skill should lead to a more adaptive response to problematic situations and counteract impulsive and problematic behaviors. The lack of specific control groups means that these findings are preliminary and replication is required.
辩证行为疗法（DBT）的组成部分之一是将正念技能作为治疗边缘型人格障碍（BPD）患者的核心组成部分。在这项研究中，我们调查了正念技能在 1 年的随访中的变化及其相关性，包括为期 4 周的强化 DBT 治疗和 10 个月的标准 DBT 治疗。
52 名 BPD 患者使用肯塔基州正念技能量表（KIMS）多次进行评估，该量表描述了正念在四个不同维度上的表现：观察（Obs）、描述（Des）、有意识地行动（AwA）和不评判地接受（AwJ）。
在调整了潜在的混杂因素后，只有 AwJ 这一维度随时间显著增加（β=0.24；P=0.0002）。AwJ 的增加与 BPD 症状的改善相关。
本研究强调了在 DBT 期间研究正念维度变化的有用性。AwJ 是积极变化的一个可能机制。鼓励这种技能应该会导致对问题情况更具适应性的反应，并抑制冲动和问题行为。缺乏特定的对照组意味着这些发现是初步的，需要复制。
