|
Behav Res Ther. 2000 Sep;38(9):875-87.
Evaluation of inpatient dialectical-behavioral therapy for
borderline personality disorder--a prospective study.
Bohus M, Haaf B, Stiglmayr C, Pohl U, Bohme R, Linehan M.
Department of Psychiatry, University of Freiburg, Freiburg im
Breisgau, Germany. martin_bohus@psyallg.ukl.uni-freiburg.de
Dialectical-Behavioral Therapy for Borderline Personality
Disorder (DBT) developed by M. Linehan is specifically designed
for the outpatient treatment of chronically suicidal patients
with borderline personality disorder. Research on DBT therapy,
its course and its results has focused to date on treatments in
an outpatient setting. Hypothesizing that the course of therapy
could be accelerated and improved by an inpatient setting at the
beginning of outpatient DBT, we developed a treatment program of
inpatient therapy for this patient group according to the
guidelines of DBT. It consists of a three-month inpatient
treatment prior to long-term outpatient therapy. In this pilot
study 24 female patients were compared at admission to the
hospital, and at one month after discharge with respect to
psychopathology and frequency of self-injuries. Significant
improvements in ratings of depression, dissociation, anxiety and
global stress were found. A highly significant decrease in the
number of parasuicidal acts was also reported. Analysis of the
average effect sizes shows a strong effect which prompts the
development of a randomized controlled design.
PMID: 10957822 [PubMed - indexed for MEDLINE]
Return
to Roundtables |
