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从医院到诊所:正念对 DBT 部分住院计划中症状减轻的影响。

From the hospital to the clinic: The impact of mindfulness on symptom reduction in a DBT partial hospital program.

机构信息

Department of Psychology, East Carolina University, Greenville, North Carolina.

College of Health and Human Services, University of North Carolina Wilmington, Wilmington, North Carolina.

出版信息

J Clin Psychol. 2019 Jul;75(7):1169-1178. doi: 10.1002/jclp.22774. Epub 2019 Mar 18.

Abstract

OBJECTIVE

Preliminarily findings suggest dialectical behavior therapy (DBT)-informed partial hospital (PH) programs can reduce patient symptoms. The present study assessed changes in various mental health symptoms as well as mindfulness skill acquisition in relation to these outcomes in a DBT-informed PH program.

METHOD

Participants included 212 adults, ages 18-66 (Mean = 35.63, Standard Deviation = 12.39). The sample was predominantly female (N = 140, 66.00%) and Caucasian (N = 185, 87.30%).

RESULTS

Findings showed significant symptom reduction (i.e., depression, anxiety, hopelessness, and degree of suffering) from intake to discharge. Overall mindfulness skill acquisition significantly increased from intake to discharge, and specific scales of mindfulness acquisition accounted for significant proportions of the variance in symptom reduction for depression and anxiety.

CONCLUSIONS

Mindfulness skill acquisition may be a mechanism by which DBT impacts symptom reduction in PH settings. Future studies might examine mindfulness practice to determine optimum doses.

摘要

目的

初步研究结果表明,辩证行为疗法(DBT)指导下的部分住院(PH)项目可以减轻患者的症状。本研究评估了在 DBT 指导的 PH 项目中,与这些结果相关的各种心理健康症状的变化以及正念技能的获得情况。

方法

参与者包括 212 名年龄在 18 至 66 岁之间的成年人(均值=35.63,标准差=12.39)。该样本主要由女性(N=140,占 66.00%)和白种人(N=185,占 87.30%)组成。

结果

研究结果表明,从入院到出院,患者的症状显著减轻(即抑郁、焦虑、绝望和痛苦程度)。总体正念技能的获得从入院到出院显著增加,并且正念获取的特定量表占抑郁和焦虑症状减轻的显著比例。

结论

正念技能的获得可能是 DBT 在 PH 环境中影响症状减轻的一个机制。未来的研究可能会检查正念练习,以确定最佳剂量。

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