Effects of two treatments on interpersonal, affective, and lifestyle features of psychopathy and emotion dysregulation.

IF 2 3区 医学 Q3 PSYCHIATRY
Personality and Mental Health Pub Date : 2024-02-01 Epub Date: 2023-10-05 DOI:10.1002/pmh.1593
Banafsheh Mohajerin, Richard Charles Howard
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引用次数: 0

Abstract

This study investigated the relative efficacy of Mentalization-based therapy (MBT) and United Protocol (UP) in reducing symptoms of psychopathy and emotion dysregulation in a sample of Iranian community residents with concurrent diagnoses of antisocial and borderline personality disorders (PDs). Interpersonal, affective, and lifestyle features of psychopathy were measured post-treatment and at 6-, 12-, 18-, 24-, and 36-months follow-up using the 13-item version of the Psychopathy Revised-Checklist (PCL-R), which excluded, by design, criminal history features. Emotion dysregulation was measured using the Deficits in Emotion Regulation Scale (DERS) developed by Gratz and Roemer (2004). After treatment, both UP- and MBT-treated individuals showed significantly fewer features of psychopathy and significantly less emotion dysregulation. Compared with those treated with MBT, UP-treated individuals showed significantly less emotion dysregulation in all DERS subscales and a greater reduction in psychopathy features, particularly affective features. It is suggested that this likely reflected the particular emphasis placed by UP on improving emotional self-regulation and facilitating the therapeutic alliance. These results suggest that, despite the traditional pessimism that surrounds psychopathic individuals' treatability, they can be successfully treated.

两种治疗对精神病和情绪失调的人际、情感和生活方式特征的影响。
本研究调查了基于心理化的治疗(MBT)和联合方案(UP)在减轻同时诊断为反社会和边缘型人格障碍(PD)的伊朗社区居民的精神病和情绪调节障碍症状方面的相对疗效。精神病患者的人际、情感和生活方式特征在治疗后和随访6、12、18、24和36个月时使用13项版本的精神病修订清单(PCL-R)进行测量,该清单通过设计排除了犯罪史特征。使用Gratz和Roemer(2004)开发的情绪调节缺陷量表(DERS)测量情绪失调。治疗后,UP和MBT治疗的个体都表现出明显较少的精神病特征和明显较少的情绪失调。与接受MBT治疗的患者相比,UP治疗的患者在所有DERS分量表中表现出明显较少的情绪失调,并且精神病特征,特别是情感特征显著减少。有人认为,这可能反映了UP对改善情绪自我调节和促进治疗联盟的特别重视。这些结果表明,尽管传统上对精神病患者的可治疗性持悲观态度,但他们是可以成功治疗的。
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
CiteScore
4.80
自引率
14.80%
发文量
38
期刊介绍: Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.
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