Contextual-compassion training for borderline personality disorder with long lasting symptoms: A randomized clinical trial

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Elisabet Casellas-Pujol , Joaquim Soler , Carlos Schmidt , Anna Soria-Madrid , Matilde Elices , Juan Carlos Pascual
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Abstract

Long-term follow-up studies have shown that the symptoms of borderline personality disorder (BPD) tend to remit over time. However, many patients present long lasting symptoms (LLS), including low mood, emptiness, and persistent impairment in psychosocial adjustment. Given the high rate of LLS in BPD patients, new treatment strategies are needed. We conducted a randomized clinical trial (RCT) to evaluate the efficacy of a novel intervention that combines self-compassion and contextual-based skills for patients with persistent symptoms. Sixty BPD individuals with LLS who had received dialectical behavior therapy skills training (DBT-ST) in the previous six months were recruited and randomized to receive the experimental intervention or treatment as usual (TAU) for 12 weeks. All participants were evaluated pre- and post-intervention and at 3-months follow-up. The primary outcome measure was self-reported well-being. Other clinical variables were also evaluated, including depressive symptoms, BPD symptoms, functionality, self-compassion, and self-criticism. Participants in the experimental arm showed a significant increase in indicators of well-being (e.g., happiness and quality of life) and a significant decrease in depressive symptoms. These results were sustained—and even continued to improve—at the three-month follow-up. No significant changes were observed in BPD severity, self-criticism, or self-compassion. More RCTs are needed to test the efficacy of new interventions targeting this population with persistent symptoms, not only to reduce symptoms but also to promote well-being and personal recovery.
针对边缘型人格障碍长期持续症状的情境同情训练:随机临床试验
长期跟踪研究表明,边缘型人格障碍(BPD)的症状往往会随着时间的推移而缓解。然而,许多患者会出现长期持久的症状(LLS),包括情绪低落、空虚和持续的社会心理适应障碍。鉴于 BPD 患者的 LLS 发生率很高,因此需要新的治疗策略。我们进行了一项随机临床试验(RCT),以评估一种结合了自我同情和基于情境的技能的新型干预措施对持续症状患者的疗效。我们招募了 60 名在过去 6 个月中接受过辩证行为疗法技能训练(DBT-ST)的患有 LLS 的 BPD 患者,并随机分配他们接受为期 12 周的实验干预或常规治疗(TAU)。所有参与者均在干预前、干预后和 3 个月随访时接受评估。主要结果指标是自我报告的幸福感。同时还评估了其他临床变量,包括抑郁症状、BPD 症状、功能、自我同情和自我批评。实验组的参与者在幸福感指标(如幸福感和生活质量)方面有显著提高,而抑郁症状则有显著下降。这些结果在三个月的随访中得以保持,甚至继续改善。在 BPD 严重程度、自我批评或自我同情方面没有观察到明显的变化。我们需要进行更多的研究性试验,以检验针对这一具有持续症状的人群的新干预措施的有效性,这些干预措施不仅能减轻症状,还能促进幸福感和个人康复。
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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