Linehan M M, Tutek D A, Heard H L, Armstrong H E
Department of Psychology, University of Washington, Seattle 98195.
Am J Psychiatry. 1994 Dec;151(12):1771-6. doi: 10.1176/ajp.151.12.1771.
This study reports the efficacy of a cognitive behavioral outpatient treatment on interpersonal outcome variables for patients diagnosed with borderline personality disorder.
In a 1-year clinical trial, 26 female patients with borderline personality disorder were randomly assigned to either dialectical behavior therapy or a treatment-as-usual comparison condition. All subjects met criteria of DSM-III-R and Diagnostic Interview for Borderline Patients for borderline personality disorder and were chronically suicidal.
In both the intent-to-treat and treatment completion groups, dialectical behavior therapy subjects had significantly better scores on measures of anger, interviewer-rated global social adjustment, and the Global Assessment Scale and tended to rate themselves better on overall social adjustment than treatment-as-usual subjects.
These results suggest that dialectical behavior therapy is a promising psychosocial intervention for improving interpersonal functioning among severely dysfunctional patients with borderline personality disorder.
本研究报告了一种针对被诊断为边缘型人格障碍患者的门诊认知行为治疗对人际结果变量的疗效。
在一项为期1年的临床试验中，26名患有边缘型人格障碍的女性患者被随机分配到辩证行为疗法组或常规治疗对照组。所有受试者均符合DSM-III-R标准以及《边缘型人格障碍患者诊断访谈》的标准，且长期有自杀倾向。
在意向性治疗组和治疗完成组中，辩证行为疗法组的受试者在愤怒、访谈者评定的总体社会适应以及全球评估量表上的得分均显著高于常规治疗组，并且在总体社会适应方面对自己的评价也往往更好。
这些结果表明，辩证行为疗法是一种有前景的心理社会干预方法，可改善严重功能失调的边缘型人格障碍患者的人际功能。
