A Feasibility Study Investigating Mechanisms of Change in Public Mental Health Dialectical Behaviour Therapy Programmes

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Behaviour Change Pub Date : 2023-03-09 DOI:10.1017/bec.2023.1
Gemma Frost, E. Strodl, S. Swannell, K. Macdonald, K. Madson
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Abstract

Few studies have investigated the feasibility of researching brief forms of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in public mental health settings. This study aimed to provide preliminary evidence for the feasibility of implementing DBT over a 6-month period for BPD symptoms within Australian public mental health services. Of the 79 participants with BPD recruited, 62 commenced and 24 participants completed the therapy. The participants attended one of three outpatient DBT programmes and completed measures of BPD symptoms, DBT skills-use, and difficulties with emotion regulation at baseline and after 6 months of treatment. A major challenge with feasibility identified was the high attrition rate (61%). However, for completers there were significant improvements in BPD symptoms, DBT skills-use, and difficulties with emotion regulation. These effect sizes were used to estimate the sample sizes needed by future larger trials of brief DBT for BPD in public health settings. The implementation of brief DBT for BPD patients within a public mental health outpatient setting, appears to result in significant reductions in BPD symptoms. However, further exploration of strategies to reduce drop-out rates are required.
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公共心理健康辩证行为治疗方案变革机制的可行性研究
很少有研究调查在公共心理健康环境中研究简单形式的辩证行为疗法(DBT)治疗边缘型人格障碍(BPD)的可行性。本研究旨在为在澳大利亚公共心理健康服务中对BPD症状实施为期6个月的DBT的可行性提供初步证据。在招募的79名BPD参与者中,62人开始治疗,24人完成治疗。参与者参加了三个门诊DBT项目中的一个,并在基线和治疗6个月后完成了BPD症状、DBT技能使用和情绪调节困难的测量。可行性方面的一个主要挑战是高流失率(61%)。然而,对于完成者来说,BPD症状、DBT技能使用和情绪调节困难都有显著改善。这些效应大小用于估计未来在公共卫生环境中对BPD进行简短DBT的大型试验所需的样本大小。在公共心理健康门诊环境中对BPD患者实施简短的DBT,似乎可以显著减少BPD症状。然而,还需要进一步探索降低辍学率的战略。
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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