Bender Ansley M, Wilson Ronan L H, Borntrager Lisa, Orlowski Edmund W, Gryglewicz Kim, Karver Marc S
Department of Psychology, University of South Florida, Tampa, Florida.
School of Social Work, University of Central Florida, Orlando, Florida.
J Pers Disord. 2023 Feb;37(1):95-111. doi: 10.1521/pedi.2023.37.1.95.
A substantial body of research supports dialectical behavior therapy (DBT) as an evidence-based treatment for those with borderline personality disorder (BPD); however, there remains a lack of mental health clinicians trained in this modality, resulting in limited clinician competencies and skills. Furthermore, the effectiveness of DBT trainings with mental health clinicians remains understudied. The present study evaluated a comprehensive 5-day DBT-Linehan Board of Certification training program. Informed by the Theory of Planned Behavior, this study assessed changes in clinician knowledge, attitudes, perceived behavioral control (PBC), intentions, and behaviors relevant to DBT at baseline, posttraining, and 6-month follow-up. Results showed large, significant pre-to-post training improvements in clinicians' knowledge, attitudes, PBC, and intentions related to DBT implementation. Large improvements in knowledge, attitudes, and PBC were sustained at follow-up. A significant improvement in actual behaviors was also found at follow-up. Implications of the present study and directions for future research are discussed.
大量研究支持辩证行为疗法（DBT）作为治疗边缘性人格障碍（BPD）患者的循证疗法；然而，接受这种治疗方式培训的心理健康临床医生仍然短缺，导致临床医生的能力和技能有限。此外，针对心理健康临床医生的DBT培训效果仍未得到充分研究。本研究评估了一个为期5天的DBT-琳汉认证委员会综合培训项目。基于计划行为理论，本研究评估了临床医生在基线、培训后和6个月随访时与DBT相关的知识、态度、感知行为控制（PBC）、意图和行为的变化。结果显示，临床医生在与DBT实施相关的知识、态度、PBC和意图方面，培训前到培训后有大幅显著改善。在随访时，知识、态度和PBC方面的大幅改善得以维持。随访时还发现实际行为有显著改善。本文讨论了本研究的意义及未来研究方向。
