School of Psychology, University of Ottawa, Ottawa, Canada.
Department of Community and Family Medicine, University of Toronto, Toronto, Canada.
Early Interv Psychiatry. 2022 Sep;16(9):1043-1048. doi: 10.1111/eip.13244. Epub 2021 Nov 23.
We conducted a follow-up analysis of a pilot randomised controlled trial to examine whether baseline depression and anxiety symptoms moderated the impact of a motivational enhancement therapy (MET) pretreatment to dialectical behaviour therapy skill training (DBT-ST) for EA experiencing emotion dysregulation.
All participants completed a 12-week DBT-ST group intervention and participants in the MET/DBT-ST condition also completed a 4-week group MET pretreatment. Nineteen MET/DBT-ST participants and 26 DBT-ST only participants completed the treatment as per protocol.
Baseline anxiety and depression symptoms moderated the impact of the MET pretreatment for participants' reductions in emotion dysregulation and psychological distress, respectively, at a 3-month follow-up: participants with more severe baseline symptoms benefited more from the pretreatment. However, baseline symptoms did not moderate the effect of MET immediately after treatment.
These results identified for whom MET is most effective as a pretreatment for DBT-ST amongst a heterogenous sample of EA in a real-world setting.
我们对一项试点随机对照试验进行了随访分析，以检验基线抑郁和焦虑症状是否调节了接受动机增强治疗（MET）预处理对辩证行为治疗技能训练（DBT-ST）的影响，以治疗经历情绪失调的 EA。
所有参与者都完成了为期 12 周的 DBT-ST 小组干预，而接受 MET/DBT-ST 条件的参与者还完成了为期 4 周的小组 MET 预处理。19 名接受 MET/DBT-ST 治疗的参与者和 26 名仅接受 DBT-ST 治疗的参与者按照方案完成了治疗。
基线焦虑和抑郁症状分别调节了 MET 预处理对参与者情绪失调和心理困扰减少的影响，在 3 个月随访时：基线症状更严重的参与者从预处理中获益更多。然而，基线症状并没有调节 MET 在治疗后即刻的效果。
这些结果确定了对于一个真实环境中异质 EA 样本，谁是最适合作为 DBT-ST 的 MET 预处理的人群。
