Perceived Change Processes in Dialectical Behaviour Therapy From the Perspective of Clients With a Diagnosis or Traits of Borderline Personality Disorder: A Systematic Literature Review

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-08-07 DOI:10.1002/cpp.3038

Ruth Middlehurst, Nima Moghaddam, David L. Dawson, Andy Reeve

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Abstract

Purpose

To synthesise qualitative research on individuals diagnosed with (or reportedly showing traits of) borderline pattern personality disorder who underwent dialectical behaviour therapy, aiming to comprehend their perceptions of change processes and the therapy's effects.

Method

A comprehensive literature search was conducted across multiple online databases and grey literature sources. Papers were quality appraised using an adapted version of the Critical Appraisal Skills Programme tool. A metaethnographic approach was employed during the synthesis.

Results

Eleven studies met criteria for inclusion in the review. The main themes identified through the synthesis process were the impact of DBT, the supportive structure and the 1:1 therapy component.

Conclusions

The synthesis uncovered the importance of various processes within DBT that patients perceived as active ingredients for their change. Many of these processes aligned with proposed theoretical processes of change and quantitative research on DBT's effectiveness.

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从被诊断为边缘型人格障碍或具有边缘型人格障碍特质的客户角度看辩证行为疗法中的感知变化过程：系统性文献综述。

目的：综合有关被诊断为（或据报道显示出）边缘型人格障碍并接受辩证行为疗法的个体的定性研究，旨在了解他们对改变过程和疗法效果的看法：在多个在线数据库和灰色文献资源中进行了全面的文献检索。采用批判性评估技能计划工具的改编版对论文进行质量评估。在综合过程中采用了元人种学方法：有 11 项研究符合纳入综述的标准。综合过程中发现的主要主题是 DBT 的影响、支持性结构和 1:1 治疗部分：综述揭示了 DBT 中各种过程的重要性，患者认为这些过程是促进其改变的积极因素。这些过程中有许多都与所提出的改变理论过程以及有关 DBT 效果的定量研究相吻合。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.