PDF(Pubmed)
Abstract：
UNASSIGNED: Dialectical Behaviour Therapy (DBT) is a multi-component cognitive behavioural intervention with proven efficacy in treating people with borderline personality disorder symptoms. Establishing benchmarks for DBT intervention with both adults and adolescents is essential for bridging the gap between research and clinical practice, improving teams\' performance and procedures.
UNASSIGNED: This study aimed to establish benchmarks for DBT using the EQ-5D, Borderline Symptoms List (BSL) and Difficulties in Emotion Regulation Scale (DERS) for adults and adolescents.
UNASSIGNED: After searching four databases for randomised controlled trials and effectiveness studies that applied standard DBT to people with borderline symptoms, a total of 589 studies were included (after duplicates\' removal), of which 16 met our inclusion criteria. A meta-analysis and respective effect-size pooling calculations (Hedges-g) were undertaken, and heterogeneity between studies was assessed with I2 and Q tests. Benchmarks were calculated using pre-post treatment means of the studies through aggregation of adjusted effect sizes and critical values.
UNASSIGNED: DBT aggregated effect sizes per subsample derived from RCTs and effectiveness studies are presented, along with critical values, categorised by age group (adults vs adolescents), mode of DBT treatment (full-programme vs skills-training) and per outcome measure (EQ-5D, BSL and DERS).
UNASSIGNED: Practitioners from routine clinical practice delivering DBT and researchers can now use these benchmarks to evaluate their teams\' performance according to their clients\' outcomes, using the EQ-5D, BSL and DERS. Through benchmarking, teams can reflect on their teams\' efficiency and determine if their delivery needs adjustment or if it is up to the standards of current empirical studies.
UNASSIGNED: This study aimed to establish benchmarks for DBT using the EQ-5D, Borderline Symptoms List (BSL) and Difficulties in Emotion Regulation Scale (DERS) for adults and adolescents.
UNASSIGNED: After searching four databases for randomised controlled trials and effectiveness studies that applied standard DBT to people with borderline symptoms, a total of 589 studies were included (after duplicates\' removal), of which 16 met our inclusion criteria. A meta-analysis and respective effect-size pooling calculations (Hedges-g) were undertaken, and heterogeneity between studies was assessed with I2 and Q tests. Benchmarks were calculated using pre-post treatment means of the studies through aggregation of adjusted effect sizes and critical values.
UNASSIGNED: DBT aggregated effect sizes per subsample derived from RCTs and effectiveness studies are presented, along with critical values, categorised by age group (adults vs adolescents), mode of DBT treatment (full-programme vs skills-training) and per outcome measure (EQ-5D, BSL and DERS).
UNASSIGNED: Practitioners from routine clinical practice delivering DBT and researchers can now use these benchmarks to evaluate their teams\' performance according to their clients\' outcomes, using the EQ-5D, BSL and DERS. Through benchmarking, teams can reflect on their teams\' efficiency and determine if their delivery needs adjustment or if it is up to the standards of current empirical studies.
摘要：
■辩证行为疗法（DBT）是一种多成分的认知行为干预措施，在治疗具有边缘性人格障碍症状的人方面具有良好的疗效。建立成人和青少年DBT干预的基准对于弥合研究与临床实践之间的差距至关重要。改善团队绩效和程序。
■本研究旨在使用EQ-5D为DBT建立基准，成人和青少年的临界症状列表（BSL）和情绪调节困难量表（DERS）。
在搜索了四个数据库，寻找将标准DBT应用于有临界症状的人的随机对照试验和有效性研究后，共纳入589项研究(删除重复项之后)，其中16个符合我们的入选标准。进行了荟萃分析和各自的效应大小汇集计算(Hedges-g)，用I2和Q检验评估研究之间的异质性。使用研究的前后处理手段通过聚集调整的效应大小和临界值来计算基准。
■介绍了从RCT和有效性研究得出的每个子样本的DBT聚合效应大小，以及临界值，按年龄组分类(成年人和青少年)，DBT治疗模式(全面计划与技能培训)和每个结果测量(EQ-5D，BSL和DERS）。
■提供DBT的常规临床实践的从业者和研究人员现在可以使用这些基准来评估他们的团队“根据客户的表现”结果，使用EQ-5D，BSL和DERS。通过基准测试,团队可以反思他们的团队效率，并确定他们的交付是否需要调整，或者是否符合当前实证研究的标准。
■本研究旨在使用EQ-5D为DBT建立基准，成人和青少年的临界症状列表（BSL）和情绪调节困难量表（DERS）。
在搜索了四个数据库，寻找将标准DBT应用于有临界症状的人的随机对照试验和有效性研究后，共纳入589项研究(删除重复项之后)，其中16个符合我们的入选标准。进行了荟萃分析和各自的效应大小汇集计算(Hedges-g)，用I2和Q检验评估研究之间的异质性。使用研究的前后处理手段通过聚集调整的效应大小和临界值来计算基准。
■介绍了从RCT和有效性研究得出的每个子样本的DBT聚合效应大小，以及临界值，按年龄组分类(成年人和青少年)，DBT治疗模式(全面计划与技能培训)和每个结果测量(EQ-5D，BSL和DERS）。
■提供DBT的常规临床实践的从业者和研究人员现在可以使用这些基准来评估他们的团队“根据客户的表现”结果，使用EQ-5D，BSL和DERS。通过基准测试,团队可以反思他们的团队效率，并确定他们的交付是否需要调整，或者是否符合当前实证研究的标准。
