In addition to suicidal behaviors, men with borderline personality disorder (BPD) often display antisocial behavior that could impair contacts with mental health services. While research has established effective treatments for women with BPD, this is not yet the case for men. The authors evaluated 12 months of dialectical behavior therapy (DBT) for 30 men with BPD and antisocial behavior, using a within-group design with repeated measurements. The authors found moderate to strong, statistically significant pre-to posttreatment reductions of several dysfunctional behaviors, including self-harm, verbal and physical aggression, and criminal offending (rate ratios 0.17-0.39). Symptoms of BPD and depression were also substantially decreased. The dropout rate was 30%, and completing participants reported high satisfaction with treatment and maintained their improvements at 1-year follow-up. The authors conclude that DBT could be an effective treatment alternative for men with BPD and antisocial behavior, and it merits future studies with more rigorous design.

中文翻译：

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边缘性人格障碍和反社会行为的男性的辩证行为疗法：一项临床试验。

除了自杀行为外，边缘性人格障碍（BPD）男性经常表现出反社会行为，这可能会损害与心理健康服务的联系。尽管研究已经建立了针对BPD女性的有效治疗方法，但对于男性而言，情况并非如此。作者采用组内设计并重复测量，评估了30名BPD和反社会行为男性的12个月的辩证行为疗法（DBT）。作者发现，从治疗前到治疗后，几种功能障碍行为的减少程度从中度到强烈，具有统计学意义，包括自残，言语和身体攻击以及犯罪行为（比率为0.17-0.39）。BPD和抑郁症的症状也大大减少。辍学率为30％，完成的参与者对治疗表示高度满意，并在1年的随访中保持了改善。作者得出的结论是，DBT可能是BPD和反社会行为的男性的有效治疗选择，并且值得将来进行更严格的设计研究。