Ann Arbor VA Medical Center, Ann Arbor, MI, USA; University of North Carolina, Chapel Hill, NC, USA.
Ann Arbor VA Medical Center, Ann Arbor, MI, USA; University of Michigan Medical School, Ann Arbor, MI, USA.
J Psychiatr Res. 2023 Aug;164:90-97. doi: 10.1016/j.jpsychires.2023.05.065. Epub 2023 Jun 8.
Dialectical Behavior Therapy (DBT) is one of the primary psychosocial treatments for reducing suicidal behaviors and improving psychosocial outcomes among patients with borderline personality disorder (BPD) and has been shown to reduce BPD symptoms when delivered in a Veteran Affairs medical center setting. Despite evidence of similar rates of BPD in both men and women, the vast majority of treatment outcome research in BPD has focused on women. We sought to characterize sex differences in symptom trajectories among Veterans participating in a comprehensive DBT program. We found that Veteran men and women who entered the DBT program were diagnostically and demographically similar. Participants exhibited reductions in BPD symptoms and improvements in emotion regulation over the course of treatment. Moreover, Veteran men reported BPD symptom reductions that were not statistically inferior to those of Veteran women and exhibited a sharper reduction in these symptoms. This research provides support for the use of DBT as a psychosocial treatment for Veteran men with BPD symptoms.
辩证行为疗法（DBT）是减少自杀行为和改善边缘型人格障碍（BPD）患者心理社会结局的主要心理社会治疗方法之一，并且已被证明在退伍军人事务医疗中心环境下可降低 BPD 症状。尽管男性和女性的 BPD 发生率相似，但绝大多数 BPD 治疗结果研究都集中在女性身上。我们试图描述参与综合 DBT 项目的退伍军人中症状轨迹的性别差异。我们发现，进入 DBT 项目的男性退伍军人和女性退伍军人在诊断和人口统计学上相似。参与者在治疗过程中表现出 BPD 症状的减少和情绪调节的改善。此外，男性退伍军人报告的 BPD 症状减少并不逊于女性退伍军人，并且这些症状的减少更为明显。这项研究为 DBT 在 BPD 症状的男性退伍军人中的应用提供了支持。
