Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder -: a prospective study

作     者：Bohus, M Haaf, B Stiglmayr, C Pohl, U Böhme, R Linehan, M 

作者机构：Univ Freiburg Dept Psychiat D-79104 Freiburg Germany 

出 版 物：《BEHAVIOUR RESEARCH AND THERAPY》 (Behav. Res. Ther.)

年 卷 期：2000年第38卷第9期

页      面：875-887页

核心收录：

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 04[教育学] 

基　　金：Deutsche Forschungsgemeinschaft  DFG 

主　　题：焦虑/治疗 边缘性人格障碍/心理学 边缘性人格障碍/治疗 抑郁/治疗 分离型精神障碍/治疗 住院病人/统计学和数值数据 门诊病人/统计学和数值数据 试点项目 前瞻性研究 精神病状态评定量表 自我伤害行为/治疗 统计学 非参数 应激 心理学/治疗 自杀/预防和控制 成年人 女(雌)性 人类 

摘      要：Dialectical-Behavioral Therapy for Borderline Personality Disorder (DBT) developed by M. Linehan is specifically designed for the outpatient treatment of chronically suicidal patients with borderline personality disorder. Research on DBT therapy, its course and its results has focused to date on treatments in an outpatient setting. Hypothesizing that the course of therapy could be accelerated and improved by an inpatient setting at the beginning of outpatient DBT, we developed a treatment program of inpatient therapy for this patient group according to the guidelines of DBT. It consists of a three-month inpatient treatment prior to long-term outpatient therapy. In this pilot study 24 female patients were compared at admission to the hospital, and at one month after discharge with respect to psychopathology and frequency of self-injuries. Significant improvements in ratings of depression, dissociation, anxiety and global stress were found. A highly significant decrease in the number of parasuicidal acts was also reported. Analysis of the average effect sizes shows a strong effect which prompts the development of a randomized controlled design. (C) 2000 Elsevier Science Ltd. All rights reserved.