Abstract

Objective: Dialectical Behavior Therapy (DBT) was initially developed to treat symptoms of Borderline Personality Disorder (BPD), but has also been shown to improve symptoms of several other mental health conditions. Emotion regulation difficulties comprise a key target of DBT as well as a common challenge for individuals with depression, anxiety, PTSD, and other conditions. The current study investigated the impact of a DBT skills-training group on emotion regulation, and whether improvement in specific facets of emotion regulation would be linked to training in specific modules.

Method: One hundred and thirty-six patients diagnosed with heterogeneous mental health conditions participated in the study. Patients were enrolled in the group on a rolling basis, and emotion regulation was assessed at the beginning and end of every six- to eight-week module.

Results: Mixed model analysis revealed that each DBT skills-training module (i.e., mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation) was associated with improvements in emotion regulation (all Bonferroni corrected ps < .003).

Conclusions: These findings add to the growing literature on the applicability of DBT skills-training to heterogeneous psychological conditions, particularly when patients’ challenges reflect underlying difficulties with emotion regulation.

摘要

目标：辩证行为疗法 (DBT) 最初是为了治疗边缘型人格障碍 (BPD) 的症状而开发的，但也已被证明可以改善其他几种心理健康状况的症状。情绪调节困难是 DBT 的一个关键目标，也是抑郁、焦虑、PTSD 和其他疾病患者的共同挑战。目前的研究调查了 DBT 技能培训小组对情绪调节的影响，以及情绪调节特定方面的改进是否与特定模块的培训有关。

方法： 136 名被诊断患有异质性心理健康状况的患者参与了研究。患者以滚动方式入组，并在每 6 至 8 周模块的开始和结束时评估情绪调节。

结果：混合模型分析显示，每一个DBT的技能培训模块（即，留心，窘迫公差，人际有效性，情绪调节）与在情绪调节的改善有关（全部邦费罗尼校正p小号<0.003）。

结论：这些发现增加了越来越多的关于 DBT 技能训练对异质心理状况的适用性的文献，特别是当患者的挑战反映了情绪调节的潜在困难时。