School of Applied Psychology, University College Cork, Ireland.
National Suicide Research Foundation, Cork, Ireland.
J Pers Disord. 2022 Aug;36(4):431-454. doi: 10.1521/pedi.2022.36.4.431.
Dialectical behavior therapy (DBT) has a growing evidence base for treating individuals with a diagnosis of borderline personality disorder (BPD). Less is known about the long-term effects of the treatment, which is an important consideration when treating a chronic disorder such as BPD. The current systematic review explores outcomes after 1 year of follow-up for individuals who engaged in DBT. A systematic search of four databases (PsycInfo, PubMed, Scopus, CINAHL) was performed. Controlled and uncontrolled studies were included. A total of 10 articles were identified pertaining to seven primary research studies. Overall, improvements following treatment with DBT extended over the follow-up period. These findings suggest that the effects of DBT in treating BPD are maintained at least 1 to 2 years postintervention. Given a lack of long-term follow-up in randomized controlled trials, evidence for the efficacy of DBT in the longer term is unclear.
辩证行为疗法（DBT）在治疗被诊断为边缘型人格障碍（BPD）的个体方面有越来越多的证据支持。关于该治疗的长期效果知之甚少，而对于 BPD 等慢性疾病的治疗，这是一个重要的考虑因素。目前的系统评价探讨了接受 DBT 治疗的个体在 1 年随访后的结果。对四个数据库（PsycInfo、PubMed、Scopus、CINAHL）进行了系统搜索。包括对照和非对照研究。共确定了 10 篇文章，涉及 7 项主要研究。总体而言，DBT 治疗后的改善在随访期间持续存在。这些发现表明，DBT 在治疗 BPD 方面的效果至少在干预后 1 至 2 年内保持不变。鉴于随机对照试验缺乏长期随访，DBT 在更长期内的疗效证据尚不清楚。
