试一试为期六个月的边缘型人格障碍治疗的初步结果。

IF 2 3区 医学 Q3 PSYCHIATRY
Personality and Mental Health Pub Date : 2022-11-01 Epub Date: 2022-06-25 DOI:10.1002/pmh.1555
Sylvia Martin, Jonathan Del-Monte
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引用次数: 0

摘要

边缘型人格障碍(Borderline Personality Disorder,BPD)被认为是一种人格障碍,在人际关系、危险行为和情绪失调方面具有冲动性问题。尽管这种人格障碍的治疗效果已显著改善,但仍被认为是一种难以治疗的疾病。在这一领域,辩证行为疗法被公认为是最有效的治疗方法之一,从这一黄金标准疗法改编而来的一些版本在临床环境中证明了其有效性。我们在法国对为期 6 个月的认知行为疗法(CBT)方案 ECCCLORE 进行了测试,该方案由三个模块组成,分别针对情绪调节、痛苦耐受和人际关系,以比较其与 "常规治疗 "的有效性。我们在一家日托机构招募了 56 名确诊为 BPD 的患者,其中 34 人接受了 ECCCLORE 治疗,22 人接受了 TAU 治疗。我们对 BPD 特征、冲动性、攻击性、自杀风险和绝望感进行了评估。我们的研究结果表明,为期 6 个月的 ECCCLORE 方案能够有效减少 BPD 症状和相关的临床症状。我们还注意到,在为期一年的随访后,其疗效仍在持续。缩短的 CBT 治疗方案往往能证明其在减少 BPD 症状方面的有效性。我们需要进一步的研究来验证这些结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Just try it: Preliminary results of a six-month therapy for borderline personality disorder.

Just try it: Preliminary results of a six-month therapy for borderline personality disorder.

Just try it: Preliminary results of a six-month therapy for borderline personality disorder.

Borderline Personality Disorder (BPD) is labeled as a personality disorder with impulsivity issues regarding relationships, risky behavior, and emotional dysregulation. This personality disorder is still considered to be hard-to-treat condition even though responses to treatment have improved significantly. In this field, Dialectical Behavioral Therapy is recognized as one of the most efficient therapeutical approaches, and some versions adapted from this gold-standard treatment proved their effectiveness in clinical settings. We tested the 6-month cognitive behavioral therapy (CBT) protocol ECCCLORE, composed of three modules, respectively, working on emotional regulation, distress tolerance, and relationships-in a French context to compare its effectiveness to Treatment As Usual. We recruited 56 patients with a BPD diagnosis in a day-care unit, 34 receiving ECCCLORE and 22 receiving TAU. We assessed BPD traits, impulsivity, aggressiveness, suicidal risk, and hopelessness. Our results revealed the effectiveness of the 6-month ECCCLORE protocol to decrease BPD symptoms and associated clinical dimensions. We also noted the persistence of its effect after a 1-year follow-up. Shortened CBT treatment protocols tend to prove their efficiency for symptom reduction in BPD. Further research is needed to replicate these results.

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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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