Dialectical Behaviour Therapy for Emotion Regulation Difficulties: A Systematic Review

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Lauren J. Harvey, C. Hunt, F. White
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引用次数: 17

Abstract

Abstract While dialectical behaviour therapy (DBT) appears efficacious in reducing suicidal and self-harming behaviour, it is unclear whether DBT reduces emotion regulation (ER) difficulties, a purported mechanism of change of treatment. This review aims to investigate and evaluate the current evidence to understand the effectiveness of DBT in improving ER difficulties. A qualitative synthesis of studies investigating the effectiveness of DBT on self-reported ER difficulties as measured by the Difficulties in Emotion Regulation Scale (DERS) was performed, identifying eligible studies using PsycINFO, PubMed, MEDLINE and EMBASE databases. Fourteen studies were identified. Current evidence indicates that DBT does not show consistent benefits relative to existing psychological treatments in improving ER difficulties. The literature is compromised by significant methodological limitations increasing risk of bias across study outcomes. Furthermore, high variability across DBT programs and a lack of investigation regarding adherence and participant engagement within interventions was observed. Further research is needed in order to conclude regarding the effectiveness of DBT in improving ER difficulties. Consistent use of active treatment conditions, greater standardisation of DBT-based interventions, in addition to further examination of participant engagement level in DBT-based interventions in the long term may assist understanding as to whether DBT improves ER difficulties.
情绪调节困难的辩证行为疗法:系统回顾
摘要虽然辩证行为疗法(DBT)在减少自杀和自残行为方面似乎是有效的,但尚不清楚DBT是否能减少情绪调节(ER)困难,这是一种所谓的治疗改变机制。本综述旨在调查和评估现有证据,以了解DBT在改善ER困难方面的有效性。通过情绪调节困难量表(DERS)对DBT对自我报告的ER困难的有效性进行了定性综合研究,使用PsycINFO、PubMed、MEDLINE和EMBASE数据库确定了符合条件的研究。确定了14项研究。目前的证据表明,相对于现有的心理治疗,DBT在改善ER困难方面并没有显示出一致的益处。文献受到显著的方法学限制的影响,增加了研究结果中存在偏见的风险。此外,观察到DBT项目之间的高度可变性,并且缺乏对干预措施中的依从性和参与者参与度的调查。需要进一步的研究来得出DBT在改善ER困难方面的有效性的结论。持续使用积极的治疗条件,加强基于DBT的干预措施的标准化,以及长期进一步检查参与者在基于DBT干预措施中的参与水平,可能有助于了解DBT是否改善ER困难。
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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