Alavi Nazanin, Stephenson Callum, Rivera Margo
Department of Psychiatry, Queen's University, Kingston, ON, Canada.
Centre for Neuroscience Studies, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
JMIR Ment Health. 2021 Apr 30;8(4):e27308. doi: 10.2196/27308.
Borderline personality disorder is a debilitating and prevalent mental health disorder, with often inaccessible treatment options. Electronically delivered dialectical behavioral therapy could be an efficacious and more accessible intervention.
We aimed to evaluate the efficacy of electronic delivery of dialectical behavioral therapy in the treatment of individuals with symptoms of borderline personality disorder.
Study participants diagnosed with borderline personality disorder were offered either an email-based or in-person group format dialectical behavioral therapy skill-building program. During each session, participants were provided with both the material and feedback regarding their previous week's homework. Electronically delivered dialectical behavioral therapy protocol and content were designed to mirror in-person content. Participants were assessed using the Self-Assessment Questionnaire (SAQ) and Difficulties in Emotion Regulation Scale (DERS).
There were significant increases in SAQ scores from pre- to posttreatment in the electronic delivery group (F=69.32, P<.001) and in-person group (F=60.97, P<.001). There were no significant differences observed between the groups at pre- and posttreatment for SAQ scores (F=.05, P=.83). There were significant decreases in DERS scores observed between pre- and posttreatment in the electronic delivery group (F=30.15, P<.001) and the in-person group (F=58.18, P<.001). There were no significant differences observed between the groups for DERS scores pre- and posttreatment (F=.24, P=.63). There was no significant difference in treatment efficacy observed between the 2 treatment arms (P<.001).
Despite the proven efficacy of in-person dialectical behavioral therapy in the treatment of borderline personality disorder, there are barriers to receiving this treatment. With the prevalence of internet access continuing to rise globally, delivering dialectical behavioral therapy with email may provide a more accessible alternative to treatment for individuals with borderline personality disorder without sacrificing the quality of care.
ClinicalTrials.gov NCT04493580; https://clinicaltrials.gov/ct2/show/NCT04493580.
边缘型人格障碍是一种使人衰弱且普遍存在的心理健康障碍，其治疗方案往往难以获得。电子交付的辩证行为疗法可能是一种有效且更容易获得的干预措施。
我们旨在评估电子交付辩证行为疗法对有边缘型人格障碍症状个体的治疗效果。
为被诊断患有边缘型人格障碍的研究参与者提供基于电子邮件或面对面小组形式的辩证行为疗法技能培养项目。在每次课程中，都会为参与者提供关于他们前一周作业的材料和反馈。电子交付的辩证行为疗法方案和内容旨在与面对面内容一致。使用自我评估问卷（SAQ）和情绪调节困难量表（DERS）对参与者进行评估。
电子交付组（F = 69.32，P <.001）和面对面组（F = 60.97，P <.001）从治疗前到治疗后SAQ分数均有显著增加。两组在治疗前和治疗后的SAQ分数上未观察到显著差异（F =.05，P =.83）。电子交付组（F = 30.15，P <.001）和面对面组（F = 58.18，P <.001）在治疗前和治疗后DERS分数均有显著下降。两组在治疗前和治疗后的DERS分数上未观察到显著差异（F =.24，P =.63）。两个治疗组在治疗效果上未观察到显著差异（P <.001）。
尽管面对面辩证行为疗法在治疗边缘型人格障碍方面已被证明有效，但接受这种治疗存在障碍。随着全球互联网接入普及率持续上升，通过电子邮件提供辩证行为疗法可能为边缘型人格障碍患者提供一种更容易获得的治疗替代方案，同时不牺牲护理质量。
ClinicalTrials.gov NCT04493580；https://clinicaltrials.gov/ct2/show/NCT04493580 。
