Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
Department of Psychology, Central Michigan University, Mt. Pleasant, MI, USA.
Psychother Res. 2021 Nov;31(8):1001-1011. doi: 10.1080/10503307.2021.1878306. Epub 2021 Feb 4.
Dialectical Behavior Therapy (DBT) was initially developed to treat symptoms of Borderline Personality Disorder (BPD), but has also been shown to improve symptoms of several other mental health conditions. Emotion regulation difficulties comprise a key target of DBT as well as a common challenge for individuals with depression, anxiety, PTSD, and other conditions. The current study investigated the impact of a DBT skills-training group on emotion regulation, and whether improvement in specific facets of emotion regulation would be linked to training in specific modules. One hundred and thirty-six patients diagnosed with heterogeneous mental health conditions participated in the study. Patients were enrolled in the group on a rolling basis, and emotion regulation was assessed at the beginning and end of every six- to eight-week module. Mixed model analysis revealed that each DBT skills-training module (i.e., mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation) was associated with improvements in emotion regulation (all Bonferroni corrected s < .003). These findings add to the growing literature on the applicability of DBT skills-training to heterogeneous psychological conditions, particularly when patients' challenges reflect underlying difficulties with emotion regulation.
辩证行为疗法（DBT）最初是为了治疗边缘型人格障碍（BPD）的症状而开发的，但也已被证明可以改善几种其他心理健康状况的症状。情绪调节困难是 DBT 的一个关键目标，也是抑郁症、焦虑症、创伤后应激障碍和其他疾病患者的常见挑战。本研究调查了 DBT 技能训练小组对情绪调节的影响，以及情绪调节的特定方面的改善是否与特定模块的训练有关。136 名被诊断为各种心理健康状况的患者参加了这项研究。患者按滚动方式入组该小组，在每六到八周的模块开始和结束时评估情绪调节。混合模型分析显示，DBT 技能训练的每个模块（即正念、痛苦耐受、人际交往效能和情绪调节）都与情绪调节的改善有关（所有经 Bonferroni 校正后的 s 值均小于.003）。这些发现增加了 DBT 技能训练适用于各种心理状况的文献，特别是当患者的挑战反映出潜在的情绪调节困难时。
