边缘型人格障碍人际模式普遍程度的降低可以解释治疗后症状的减轻：一个过程分析。
Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis.
机构信息
Department of Psychiatry-CHUV, Institute of Psychotherapy, University of Lausanne, Lausanne, Switzerland.
Department of Psychiatry-CHUV, General Psychiatry Service, University of Lausanne, Lausanne, Switzerland.
出版信息
J Clin Psychol. 2022 May;78(5):772-784. doi: 10.1002/jclp.23275. Epub 2021 Nov 4.
BACKGROUND
Problematic interpersonal patterns, as defined by the core conflictual relationship theme (CCRT) method, are part of the clinical presentation of clients with borderline personality disorder (BPD). So far, we do not know whether the pervasiveness of interpersonal patterns changes and if this change explains therapy outcome.
METHODS
In a secondary analysis of a randomized controlled trial on a brief version of psychiatric treatment for BPD, a treatment with a psychodynamic focus, the present study included N = 39 clients. One early session and one late session of the treatment were transcribed and analyzed using the CCRT method.
RESULTS
It appeared that pervasiveness of the predominant CCRT decreased over the course of the brief treatment; this effect was robust across treatment conditions. Change in pervasiveness in any CCRT component explained a small portion of variance of the decrease in borderline symptoms observed at the end of treatment.
DISCUSSION
Lessening of pervasiveness of problematic in-session interpersonal patterns may be hypothesized as potential mechanism of effective treatment for BPD which should be tested in controlled designs.
背景
根据核心冲突关系主题（CCRT）方法定义，有问题的人际模式是边缘型人格障碍（BPD）患者临床表现的一部分。到目前为止，我们尚不清楚人际模式的普遍性是否会发生变化，以及这种变化是否可以解释治疗效果。
方法
在一项针对 BPD 的简短精神科治疗（一种具有精神动力学焦点的治疗）的随机对照试验的二次分析中，本研究纳入了 39 名患者。使用 CCRT 方法对治疗的早期和晚期的一个疗程进行了转录和分析。
结果
在简短治疗过程中，主要 CCRT 的普遍性似乎有所下降；这种效果在治疗条件下是稳健的。任何 CCRT 成分的普遍性变化都可以解释在治疗结束时观察到的边缘症状减少的一小部分方差。
讨论
在治疗过程中，有问题的人际模式的普遍性降低可以被假设为 BPD 有效治疗的潜在机制，这需要在对照设计中进行测试。
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