California School of Professional Psychology, Alliant International University, Los Angeles, CA, USA.
, Alhambra, CA, USA.
Psychiatr Q. 2020 Sep;91(3):629-654. doi: 10.1007/s11126-020-09709-6.
Dialectical behavior therapy (DBT) is a third wave, behavioral therapy that is designed to target emotion dysregulation. The current study investigated whether DBT could be an effective treatment intervention for bipolar disorder and how it could be adapted for this population. Although empirical study of DBT and bipolar disorder is limited, there is evidence to suggest that DBT is a promising treatment for bipolar disorder. In this study, adapted DBT products were created for bipolar disorder, and feedback on the products was elicited from five experts in the field through semi-structured interviews. Interviews were transcribed and coded for analyses. The findings from the interviews were integrated into revised products with the intention to be used in the clinical community. Several experts reported currently using DBT for bipolar disorder treatment. We conclude that a form of DBT using adapted materials could be a promising intervention for the treatment of bipolar disorder, although more research is needed to demonstrate efficacy. Future directions include conducting randomized controlled trials on DBT and bipolar disorder, as well as testing the created product in clinical practice.
辩证行为疗法（DBT）是一种第三波行为疗法，旨在针对情绪失调。本研究旨在探讨 DBT 是否可以作为双相情感障碍的有效治疗干预措施，以及如何针对该人群进行调整。尽管 DBT 和双相情感障碍的实证研究有限，但有证据表明 DBT 是治疗双相情感障碍的一种有前途的方法。在这项研究中，为双相情感障碍创建了适应性 DBT 产品，并通过半结构化访谈从该领域的五位专家那里获得了对产品的反馈。访谈记录并进行了编码分析。访谈结果被整合到修订后的产品中，旨在供临床使用。几位专家报告称目前正在使用 DBT 治疗双相情感障碍。我们的结论是，使用适应性材料的 DBT 形式可能是治疗双相情感障碍的一种很有前途的干预措施，尽管需要更多的研究来证明其疗效。未来的方向包括对 DBT 和双相情感障碍进行随机对照试验，以及在临床实践中测试所创建的产品。
