School of Psychology, University of Lincoln, Lincoln, UK.
Lincolnshire Partnership NHS Foundation Trust, Lincoln, UK.
Clin Psychol Psychother. 2024 Jul-Aug;31(4):e3038. doi: 10.1002/cpp.3038.
To synthesise qualitative research on individuals diagnosed with (or reportedly showing traits of) borderline pattern personality disorder who underwent dialectical behaviour therapy, aiming to comprehend their perceptions of change processes and the therapy's effects.
A comprehensive literature search was conducted across multiple online databases and grey literature sources. Papers were quality appraised using an adapted version of the Critical Appraisal Skills Programme tool. A metaethnographic approach was employed during the synthesis.
Eleven studies met criteria for inclusion in the review. The main themes identified through the synthesis process were the impact of DBT, the supportive structure and the 1:1 therapy component.
The synthesis uncovered the importance of various processes within DBT that patients perceived as active ingredients for their change. Many of these processes aligned with proposed theoretical processes of change and quantitative research on DBT's effectiveness.
综合分析接受辩证行为疗法（DBT）治疗的（或据报道有）边缘型人格障碍个体的定性研究，旨在理解他们对变化过程和治疗效果的看法。
对多个在线数据库和灰色文献来源进行全面的文献检索。使用经过改编的批判性评价技巧方案工具对论文进行质量评价。在综合过程中采用了元伦理方法。
有 11 项研究符合纳入标准。通过综合过程确定的主要主题包括 DBT 的影响、支持性结构和 1:1 治疗组成部分。
综合研究揭示了 DBT 中的各种过程的重要性，患者认为这些过程是他们改变的有效成分。其中许多过程与 DBT 的理论变化过程和有效性的定量研究一致。
