Department of Psychology, Temple University, USA.
Department of Psychology, Temple University, USA.
Behav Res Ther. 2022 Jul;154:104122. doi: 10.1016/j.brat.2022.104122. Epub 2022 May 18.
Dysregulated anger, and its common behavioral urge, aggression, pose substantial costs to public health and society. Though some studies have shown DBT to be efficacious in treating aggression and anger dyscontrol, the overall effects of DBT on these outcomes are unknown. To address this limitation, a systematic review with meta-analysis was conducted on 34 studies (N = 2536) published in PsycINFO and PubMed between January 1994 and February 2022 assessing the effect of DBT on anger and/or aggression. Included studies were empirical research articles published in a peer-reviewed journal and assessed the delivery of DBT on quantitative outcome measures of anger or aggression. Included studies delivered the standard outpatient DBT program or DBT adapted for the population and treatment setting, though all studies included the core components of DBT. Risk of publication bias was assessed. Results demonstrated that DBT significantly reduced anger (Hedge's G = -0.21, 95% CI [-0.32, -0.11]) independent of study design and participant variables, though longer treatment duration was associated with greater reductions in anger. There was also a non-significant trend for DBT in reducing aggression (Hedge's G = -0.10, 95% CI [-0.21, 0.00]). Findings from this study suggest that DBT demonstrates efficacy in reducing dysregulated anger transdiagnostically.
失调的愤怒及其常见的行为冲动——攻击性，给公共卫生和社会带来了巨大的代价。尽管一些研究表明 DBT 在治疗攻击性和愤怒失控方面是有效的，但 DBT 对这些结果的总体影响尚不清楚。为了解决这一局限性，对 1994 年 1 月至 2022 年 2 月期间在 PsycINFO 和 PubMed 上发表的 34 项研究（N=2536）进行了系统评价和荟萃分析，评估了 DBT 对愤怒和/或攻击性的影响。纳入的研究是发表在同行评议期刊上的实证研究文章，并评估了 DBT 对愤怒或攻击性的定量结果测量的实施情况。纳入的研究提供了标准的门诊 DBT 项目或为人群和治疗环境改编的 DBT，但所有研究都包括了 DBT 的核心组成部分。评估了发表偏倚的风险。结果表明，DBT 独立于研究设计和参与者变量显著降低了愤怒（Hedge's G=-0.21，95%CI[-0.32，-0.11]），尽管治疗时间较长与愤怒的减少幅度更大有关。DBT 降低攻击性的趋势也不显著（Hedge's G=-0.10，95%CI[-0.21，0.00]）。这项研究的结果表明，DBT 在跨诊断上显示出降低失调性愤怒的疗效。
