School of Psychology, The University of Sydney, Sydney, New South Wales, Australia.
Graduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
J Clin Psychol. 2024 Nov;80(11):2283-2302. doi: 10.1002/jclp.23735. Epub 2024 Jul 26.
Radically open dialectical behaviour therapy (RO DBT) is a transdiagnostic treatment, originally developed as a variant of dialectical behaviour therapy (DBT), that emerged as a novel treatment approach for those presenting with excessive or maladaptive overcontrol. Despite RO DBT's growing popularity among clinicians as a treatment for chronic depression, personality disorders and eating disorders, to date, no systematic review has been conducted to summarise the evidence on this therapy. Therefore, the aim of this study was to systematically review the literature to provide a current and comprehensive summary of the available evidence on the clinical applications and efficacy of RO DBT. Articles were included if they were original research studies that described the use of RO DBT in the treatment of any psychological disorder, condition or symptom, published in the English language in a peer-reviewed journal. Four electronic databases were searched, and screening, selection, risk of bias assessment and data extraction were all conducted by two independent reviewers. Fourteen articles were included in this review, including two qualitative articles, one case study, five case series studies, four quasi-experimental studies, and two articles describing one randomized control trial. Findings indicated there is emerging evidence for the use of RO DBT in both adolescents and adults, for disorders characterized by excessive self-control, such as anorexia nervosa and autism, as well as for treatment-resistant depression. While RO DBT shows promise as a treatment for disorders of overcontrol, further research is needed. This review outlines current gaps and identifies areas for future research.
激进开放辩证行为疗法（RO DBT）是一种跨诊断治疗方法，最初作为辩证行为疗法（DBT）的一种变体开发，作为一种治疗过度或适应不良的过度控制的新方法出现。尽管 RO DBT 在临床医生中作为治疗慢性抑郁症、人格障碍和饮食障碍的方法越来越受欢迎，但迄今为止，尚无系统评价对这种治疗方法的证据进行总结。因此，本研究的目的是系统地回顾文献，提供关于 RO DBT 的临床应用和疗效的现有证据的最新和全面总结。如果原始研究文章描述了 RO DBT 在任何心理障碍、疾病或症状的治疗中的使用，并且在同行评议的期刊上以英文发表，则将其包括在内。四个电子数据库进行了搜索，由两名独立评审员进行筛选、选择、偏倚风险评估和数据提取。本综述包括 14 篇文章，其中包括 2 篇定性文章、1 篇病例研究、5 篇病例系列研究、4 项准实验研究和 2 篇描述 1 项随机对照试验的文章。研究结果表明，RO DBT 在青少年和成年人中的应用以及在过度自我控制为特征的疾病（如厌食症和自闭症）以及治疗抵抗性抑郁症中的应用有新的证据。虽然 RO DBT 作为过度控制障碍的治疗方法显示出希望，但仍需要进一步的研究。本综述概述了当前的差距，并确定了未来研究的领域。
