Dialectical behaviour therapy for men and boys: A systematic review

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2023-10-21 DOI:10.1002/capr.12702

Samuel Holah, Nick Maguire, Alison Bennetts

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Abstract

Background

Dialectical behaviour therapy (DBT) is a popular treatment that targets emotional dysregulation, a key feature associated with borderline personality disorder (BPD). The majority of available literature exploring the effectiveness of DBT is based on research concerning female samples. Therefore, the application and efficacy of DBT as a treatment intervention for men and boys remains unclear.

Methods

Multiple research databases were searched using a systematic review process for articles that reported on the use of DBT with male samples across any outcome measure and included pre- and post-treatment symptom scores.

Results

Nineteen studies met the inclusion criteria. Studies indicated that the application of DBT to male samples varies. Vast differences were found in treatment length, use of DBT modes and population settings. Most studies identified some benefits of DBT; however, the sample sizes were small and there was large heterogeneity across the studies.

Conclusions

There is preliminary evidence supporting the use of DBT for males, specifically targeting anger and violence as well as emotional dysregulation and suicidality. Despite this, the limitations and heterogeneity from the current studies preclude the current review from drawing any definitive conclusions about the overall efficacy of the treatment in this population.

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针对男性和男孩的辩证行为疗法：系统回顾

背景辩证行为疗法（DBT）是一种针对情绪失调的流行疗法，情绪失调是边缘型人格障碍（BPD）的一个主要特征。大多数探讨 DBT 疗效的现有文献都是基于对女性样本的研究。因此，DBT 作为一种治疗干预措施对男性和男孩的应用和疗效仍不清楚。方法我们使用系统性审查流程检索了多个研究数据库，以查找那些报道了在男性样本中使用 DBT 的文章，这些文章涉及任何结果测量，并包括治疗前后的症状评分。结果 19 项研究符合纳入标准。研究表明，DBT 在男性样本中的应用各不相同。在治疗时间长短、DBT 模式的使用和人群设置方面存在巨大差异。大多数研究发现了 DBT 的一些益处；但是，这些研究的样本量较小，而且存在很大的异质性。结论有初步证据支持对男性使用 DBT，特别是针对愤怒和暴力以及情绪失调和自杀。尽管如此，由于目前研究的局限性和异质性，目前的综述无法就该疗法在该人群中的总体疗效得出任何明确的结论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.