a Graduate School of Applied and Professional Psychology , Rutgers University , Piscataway , NJ , USA.
Cogn Behav Ther. 2018 Sep;47(5):383-396. doi: 10.1080/16506073.2018.1437469. Epub 2018 Feb 22.
Telephone coaching is a treatment mode in Dialectical Behavior Therapy (DBT) that is designed to help clients generalize skills, prevent suicidal behaviors, and repair therapeutic ruptures. To date, phone coaching has received scant empirical investigation. The aims of this study were to (1) describe patterns in frequency of telephone calls and text messaging in DBT and (2) investigate whether demographic factors, baseline severity, suicidal behaviors, and therapeutic alliance are associated with phone and text frequency. Participants were 51 adults (35 treatment completers) with borderline personality disorder (BPD) in a six-month comprehensive DBT treatment program. Phone coaching frequency was documented by therapist weekly session notes. The average number of contacts per month was 2.55 (SD = 4.49). Four of the 35 treatment completers comprised 56% of the contacts. Having a recent history of suicidal behaviors, degree of severity at baseline, or the strength of the therapeutic alliance was not associated with phone coaching use. However, lower income was significantly associated with a higher frequency of phone coaching use. These preliminary results can help clinicians and administrators make informed decisions on how to better provide phone coaching and clarify the degree of effort involved in providing this service to clients with BPD.
电话辅导是辩证行为治疗（DBT）中的一种治疗模式，旨在帮助客户推广技能，预防自杀行为，并修复治疗中断。迄今为止，电话辅导很少受到实证研究的关注。本研究的目的是：(1)描述 DBT 中电话和短信频率的模式；(2)研究人口统计学因素、基线严重程度、自杀行为和治疗联盟是否与电话和短信频率相关。参与者是在为期六个月的全面 DBT 治疗计划中患有边缘型人格障碍（BPD）的 51 名成年人（35 名治疗完成者）。治疗师每周通过会话记录来记录电话辅导的频率。每月的平均联系次数为 2.55（SD=4.49）。在 35 名治疗完成者中，有 4 人占联系的 56%。最近有自杀行为史、基线严重程度或治疗联盟的强度与电话辅导的使用无关。然而，较低的收入与更高频率的电话辅导使用显著相关。这些初步结果可以帮助临床医生和管理人员做出明智的决策，了解如何更好地提供电话辅导，并阐明为 BPD 患者提供这项服务所需的努力程度。
