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辩证行为疗法在常见精神障碍治疗中的应用:系统评价研究方案。

Application of Dialectical Behaviour Therapy in treating common psychiatric disorders: study protocol for a scoping review.

机构信息

Psychology, Institute of Mental Health, Singapore

Department of Psychology, James Cook University, Singapore.

出版信息

BMJ Open. 2022 Sep 26;12(9):e058565. doi: 10.1136/bmjopen-2021-058565.

Abstract

INTRODUCTION

Dialectical behaviour therapy (DBT) is a well-known intervention for treating borderline personality disorder, and has been increasingly adapted for other disorders. Standard DBT consists of four treatment modes, delivered over a year. Adaptations to DBT include changes to modes of delivery, treatment length, and skills modules taught to clients, or incorporating interventions from other evidence-based therapies. There is a need to synthesise existing evidence on DBT so that stakeholders-clinicians, researchers and policymakers-can understand how it has been provided for various psychiatric conditions, and whether it has been effective.

METHODS AND ANALYSIS

This study proposes a scoping review conducted according to Arksey and O'Malley's (2005) procedures, to map and summarise the literature on DBT interventions for treating a range of psychiatric concerns. Electronic databases (ie, the Cochrane Central Register of Controlled Trials, PubMed, PsycINFO, SCOPUS, EBSCOhost and ProQuest Dissertations and Theses), conference proceedings and the US National Institutes of Health Ongoing Trial Register will be searched for intervention studies that involve a control or comparison group, and that report quantitative data on pre/post-measures for psychiatric symptom severity. The initial search was conducted on 18 September 2020, and data charting has not commenced. An update will be performed in September 2022, pending this protocol's publication. Data charting will collect individual studies' characteristics, methodology and reported findings. Outcomes will be reported by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for Scoping Reviews.

ETHICS AND DISSEMINATION

No ethical approval is required for this study. The goal of dissemination is to keep DBT stakeholders abreast on latest updates in clinical applications of DBT. Findings from this research are intended to inform a more specific topic of study (eg, a meta-analysis), to further aid in the development of DBT interventions for psychiatric populations.

REGISTRATION DETAILS

The study protocol was pre-registered with the Open Science Framework on 24 August 2021 (https://osf.io/vx6gw).

摘要

介绍

辩证行为疗法(DBT)是一种治疗边缘型人格障碍的知名干预方法,并且已经越来越多地应用于其他障碍。标准的 DBT 包括四种治疗模式,在一年内完成。DBT 的改编包括改变交付模式、治疗时长以及向客户教授的技能模块,或纳入其他基于证据的治疗方法的干预措施。有必要综合现有的 DBT 证据,以便利益相关者(临床医生、研究人员和政策制定者)了解它是如何用于各种精神疾病的,以及它是否有效。

方法和分析

本研究按照 Arksey 和 O'Malley(2005 年)的程序提出了一个范围综述,以绘制和总结 DBT 干预治疗一系列精神问题的文献。电子数据库(即 Cochrane 中央对照试验注册中心、PubMed、PsycINFO、SCOPUS、EBSCOhost 和 ProQuest 学位论文和论文)、会议记录和美国国立卫生研究院正在进行的试验登记处将搜索涉及对照组或比较组的干预研究,并报告精神症状严重程度的预/后测量的定量数据。初始搜索于 2020 年 9 月 18 日进行,数据图表尚未开始。如果本方案发表,将在 2022 年 9 月进行更新。数据图表将收集各个研究的特征、方法和报告的发现。结果将按照系统评价和荟萃分析的首选报告项目为范围综述报告。

伦理和传播

本研究不需要伦理批准。传播的目的是让 DBT 利益相关者了解 DBT 临床应用的最新进展。这项研究的结果旨在为更具体的研究主题提供信息(例如,荟萃分析),以进一步帮助开发针对精神人群的 DBT 干预措施。

注册详情

研究方案于 2021 年 8 月 24 日在开放科学框架上预先注册(https://osf.io/vx6gw)。

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