Ritschel Lorie A, Lim Noriel E, Stewart Lindsay M
UNC Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Am J Psychother. 2015;69(2):111-28. doi: 10.1176/appi.psychotherapy.2015.69.2.111.
Dialectical behavior therapy (DBT) is an empirically supported treatment that was originally developed for chronically suicidal adults. Since the publication of the original treatment manual, DBT has been reconceptualized as a treatment that is broadly applicable for individuals who have difficulties regulating emotion. As such, the treatment can be applied transdiagnostically. Based on the flexibility and adaptability of the treatment, several adaptations have been made to the original protocol. Considerable empirical evidence now supports the use of DBT adapted for eating disorders, substance use disorders, and posttraumatic stress disorder. Moreover, developmentally appropriate adaptations have made the treatment applicable to youth samples. The current paper is geared toward practitioners and describes the various ways in which DBT has been modified for use with various populations and age ranges.
辩证行为疗法(DBT)是一种有实证支持的治疗方法,最初是为长期有自杀倾向的成年人开发的。自最初的治疗手册出版以来,DBT已被重新定义为一种广泛适用于情绪调节困难个体的治疗方法。因此,这种治疗方法可以跨诊断应用。基于该治疗方法的灵活性和适应性,对原始方案进行了若干调整。现在有大量实证证据支持将DBT应用于饮食失调、物质使用障碍和创伤后应激障碍。此外,适合不同发育阶段的调整使该治疗方法适用于青少年样本。本文面向从业者,描述了DBT为适用于不同人群和年龄范围而进行的各种调整方式。