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边缘型人格障碍患者在意大利精神卫生服务中接受辩证行为疗法的可行性和有效性:初步研究。

Feasibility and effectiveness of Dialectical-Behavior Therapy for patients with borderline personality disorder in Italian mental health services: a preliminary study.

机构信息

University of Modena and Reggio Emilia, Degree Course on Psychiatric Rehabilitation Technician.

Department of Mental Health and Pathological Addiction, Child and Adolescent Neuropsychiatry Unit, Azienda USL-IRCCS Reggio Emilia.

出版信息

Riv Psichiatr. 2021 Jan-Feb;56(1):43-45. doi: 10.1708/3546.35219.

DOI:10.1708/3546.35219
PMID:33560274
Abstract

Dialectical-Behavior Therapy (DBT) is an evidence-based effective psychotherapeutic intervention for patients with Borderline Personality Disorder (BPD). There is a paucity of empirical evidences on the feasibility and the effectiveness of DBT in real-world Italian mental health services. This study aimed at reporting preliminary data on the implementation of DBT for adult patients with BPD attending an Italian mental health service. 28 BPD patients attending a mental health service underwent a 16-session DBT program. Effects of DBT were measured with the Difficulties in Emotion Regulation Scale (DERS) and the Barratt Impulsiveness Scale (BIS-11). 17 patients completed the DBT program, reporting reduced levels of emotion dysregulation and impulsiveness at follow up in comparison with baseline. Higher emotional dysregulation was a risk factor for dropout. In conclusion, this preliminary pilot study suggests that DBT is feasible and effective for BPD patients in Italian adult mental health services.

摘要

辩证行为疗法(DBT)是一种针对边缘型人格障碍(BPD)患者的循证有效心理治疗干预方法。在真实世界的意大利精神卫生服务中,DBT 的可行性和有效性的实证证据很少。本研究旨在报告在意大利精神卫生服务中为 BPD 成年患者实施 DBT 的初步数据。28 名 BPD 患者参加了一个 16 节的 DBT 项目。DBT 的效果通过情绪调节困难量表(DERS)和巴瑞特冲动量表(BIS-11)进行测量。17 名患者完成了 DBT 项目,与基线相比,随访时情绪失调和冲动水平降低。较高的情绪失调是退出的风险因素。总之,这项初步的试点研究表明,DBT 在意大利成人精神卫生服务中对 BPD 患者是可行和有效的。

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