Psychotherapy Research ( IF 4.117 ) Pub Date : 2021-05-31 , DOI: 10.1080/10503307.2021.1933240 Lillian L Y Seow 1 , Khan R L Collins 1 , Andrew C Page 1 , Geoff R Hooke 2, 3
Abstract
Introduction
Brief versions of Dialectical Behaviour Therapy (DBT) may enhance patient outcomes in diverse service settings. This study examined the effectiveness of two DBT-informed treatments for diagnostically heterogeneous groups in routine practice: 5-day group training in DBT skills (DBT-5) and a 12-week DBT program (DBT-12).
Methods
: Depression, anxiety, stress, borderline symptoms, self-esteem, and general mental wellbeing were measured at pre-and post-treatment in a sample of inpatients and outpatients (N=395). Rates of clinically significant change on these measures were calculated and effect sizes benchmarked against prior DBT outcome studies. Readmission rates were used to measure treatment response maintenance.
Results
: Scores on all measures improved significantly from pre- to post-treatment. DBT-5 and DBT-12 yielded similar effect sizes compared to prior DBT outcome studies. At least 43.5% of patients were classified as recovered or improved regarding borderline symptoms at the end of both DBT-5 and DBT-12. Readmission rates were also low (5%–6.8%).
Conclusions
Brief DBT-informed treatments may offer a fast reduction in symptoms and quicker return to functioning.
中文翻译:
在常规护理环境中诊断异质群体的简明辩证行为疗法的结果
摘要
介绍
辩证行为疗法 (DBT) 的简要版本可能会在不同的服务环境中提高患者的治疗效果。本研究检查了常规实践中两种 DBT 知情治疗对诊断异质组的有效性:为期 5 天的 DBT 技能小组培训 (DBT-5) 和为期 12 周的 DBT 计划 (DBT-12)。
方法
: 在住院患者和门诊患者的样本中,在治疗前和治疗后测量了抑郁、焦虑、压力、边缘症状、自尊和一般心理健康 ( N = 395)。计算了这些措施的临床显着变化率,并将效果大小与先前的 DBT 结果研究作为基准。再入院率用于衡量治疗反应的维持。
结果
:从治疗前到治疗后,所有措施的得分都有显着提高。与之前的 DBT 结果研究相比,DBT-5 和 DBT-12 产生了相似的效应大小。在 DBT-5 和 DBT-12 结束时,至少 43.5% 的患者在临界症状方面被归类为康复或改善。再入院率也很低(5%–6.8%)。
结论
简短的 DBT 知情治疗可以快速减轻症状并更快地恢复功能。