Vijayapriya C V, Tamarana Rameshbabu
Christ University, Bengaluru.
Res Psychother. 2023 Oct 30;26(3):694. doi: 10.4081/ripppo.2023.694.
Given the enormous influence of emotions on cognitive processes, individuals with borderline personality disorder (BPD) suffer from marked deficits in higher-order thinking abilities. Considering the prevalence of BPD among college students, this study aimed to investigate the changes in perceived executive functioning among college students with traits/presence of BPD undergoing internet-delivered dialectical behavior therapy skills training (DBT-ST) that included the mindfulness and emotion regulation modules. An internet-delivered version of DBT-ST was opted for, as technological advancements in the present era promote the use of online platforms for psychotherapy. This non-randomized controlled trial consisted of 36 college students with traits/presence of BPD. The intervention group attended 13 sessions of DBT-ST, and the control group attended 13 sessions of behavioral activation. Perceived executive functioning was assessed using the Behavior Rating Inventory of Executive Functions for Adults. A 2-way repeated measures analysis of variance was used to evaluate the treatment impact on the outcome variable. Results showed that the DBT-ST group had larger improvements in their abilities to initiate, plan, and organize current and future-oriented task demands and to organize their everyday environment, compared to the control group. Both, the DBT-ST group and the control group demonstrated improvements in emotional control, working memory, and their abilities to shift and task monitor. Findings suggest that the internet-delivered version of DBT-ST, consisting of the mindfulness and emotion regulation modules, can foster notable improvements in executive functions among college students with traits/presence of BPD. Improved executive functioning is one of the several multifaceted outcomes of dialectical behavior therapy.
鉴于情绪对认知过程有着巨大影响，边缘型人格障碍（BPD）患者在高阶思维能力方面存在显著缺陷。考虑到BPD在大学生中的患病率，本研究旨在调查接受包含正念和情绪调节模块的互联网辩证行为疗法技能训练（DBT-ST）的、具有BPD特质/症状的大学生在执行功能感知方面的变化。之所以选择互联网版本的DBT-ST，是因为当今时代的技术进步推动了在线平台在心理治疗中的应用。这项非随机对照试验由36名具有BPD特质/症状的大学生组成。干预组参加了13节DBT-ST课程，对照组参加了13节行为激活课程。使用成人执行功能行为评定量表评估执行功能感知。采用双向重复测量方差分析来评估治疗对结果变量的影响。结果显示，与对照组相比，DBT-ST组在启动、计划和组织当前及未来导向的任务需求以及组织日常环境的能力方面有更大改善。DBT-ST组和对照组在情绪控制、工作记忆以及转移和任务监控能力方面均有改善。研究结果表明，包含正念和情绪调节模块的互联网版本DBT-ST能够显著改善具有BPD特质/症状的大学生的执行功能。执行功能的改善是辩证行为疗法多方面结果之一。
