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辩证行为疗法对新冠疫情期间边缘型人格障碍患者消极情绪、抑郁和焦虑症状的影响

Effect of Dialectical Behavior Therapy on Negative Affect, and Symptoms of Depression and Anxiety in Individuals with Borderline Personality Disorder during COVID-19 Pandemic.

作者信息

Malas Olga, Gómez-Domenech Alba

机构信息

Department of Psychology, Sociology and Social Work, University of Lleida, 25001 Lleida, Spain.

Terres de Lleida Mental Health Centre, 25008 Lleida, Spain.

出版信息

J Clin Med. 2024 Apr 29;13(9):2603. doi: 10.3390/jcm13092603.

Abstract

: This study investigated the effectiveness of dialectical behavior therapy (DBT) in patients with borderline personality disorder (BPD) during the COVID-19 pandemic, assessing negative affect, depression, and anxiety levels as indicators of health. : A total of 287 participants were recruited, including BPD patients at different stages of treatment and the general population without a diagnosis of BPD. Questionnaires were used to assess the fear of COVID-19 and the referenced health indicators. : No differences were observed between groups in levels of fear of COVID-19, but there were differences in the health indicators studied. BPD patients in long-term treatment showed levels of negative affect similar to those of the general population, while those in early treatment stages exhibited significantly higher levels. However, no significant improvements were observed in levels of depression and anxiety in the long-term treatment group compared to those who underwent the initial treatment phase. : These findings underscore the importance of effectively intervening in BPD, especially in stress-inducing situations such as the pandemic, and suggest the need to explore complementary approaches to addressing depression and anxiety in this clinical context.

摘要

本研究调查了辩证行为疗法(DBT)在新冠疫情期间对边缘型人格障碍(BPD)患者的有效性,评估了消极情绪、抑郁和焦虑水平作为健康指标。共招募了287名参与者,包括处于不同治疗阶段的BPD患者和未被诊断为BPD的普通人群。使用问卷评估对新冠病毒的恐惧以及上述健康指标。在对新冠病毒的恐惧水平上,各群体之间未观察到差异,但在所研究的健康指标上存在差异。长期治疗的BPD患者消极情绪水平与普通人群相似,而处于早期治疗阶段的患者消极情绪水平显著更高。然而,与接受初始治疗阶段的患者相比,长期治疗组的抑郁和焦虑水平未观察到显著改善。这些发现强调了有效干预BPD的重要性,尤其是在疫情等应激情况下,并表明需要探索在这一临床背景下解决抑郁和焦虑的补充方法。

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