한국침례신학대학교 도서관

Non-standard dialectical behavior therapy- [e-book] : Effects on hospital measures of symptom severity

서명/저자: Non-standard dialectical behavior therapy - [e-book] : Effects on hospital measures of symptom severity

초록/해제: 요약 : A State Mental Health Department initiative trained staff of State Hospitals and Community Mental Health Clinics in Dialectical Behavior Therapy (DBT) and implemented programs. Hospital DBT is an extension from the standard outpatient model. This study investigates the effectiveness of (DBT) under three conditions (Waves) within a public psychiatric hospital on hospital based severity measures. The Waves (N = 66; per Wave ≅ 20) include different components of DBT versus treatment-as-usual: Wave I, a control group (No DBT outpatient and No DBT inpatient), Wave II (No DBT outpatient but DBT inpatient) and Wave III (standard DBT outpatient and DBT inpatient). DBT Waves were compared for effect on Total Admissions, Total Days of Stay, Days of Seclusion and Restraint, episodes of Self Injury, and Observational Intensity. It was hypothesized that patients with "more" DBT would have better outcomes than would patients with less. While standard outpatient DBT has been empirically validated and the need of effective treatment for inpatients with borderline personality disorder is broadly recognized, the effectiveness of combinations of outpatient and inpatient, standard and non-standard DBT applications within a "real world" hospital setting, called for empirical analysis.

초록/해제: 요약 : Positive findings for inpatient DBT include improved clinical thinking among staff and therapeutic communications with patients. Having common clinical concepts and skills to use, teach, reference and practice enriched the clinical quality of treatment.

초록/해제: 요약 : The research concludes that inpatient DBT is not significantly different than the treatment-as-usual. Findings of significant effect were attenuated by non-significant post hoc analyses for unequal groups. Results tended to support the inverse of the hypotheses for Total Admissions and Total Days of Stay: Waves with "more" DBT had worse or equivalent but not better outcomes. Other outcome variances were not statistically significant. This archival methodology is vulnerable to selection and history threats. Wave III may be a more disturbed patient group as severity factored into selection for outpatient DBT. Inpatient DBT may require more elements of the standard model to be significantly better than inpatient treatment-as-usual.