关键词: Borderline personality disorder common factors group intervention stepped-care youth

Mesh : Humans Borderline Personality Disorder / therapy Feasibility Studies Psychotherapy, Group / methods Female Male Adult Adolescent Young Adult Patient Acceptance of Health Care / statistics & numerical data Psychotherapy, Brief / methods Middle Aged

来  源:   DOI:10.1177/10398562241246485   PDF(Pubmed)

Abstract:
OBJECTIVE: This study evaluated the acceptance, feasibility and safety of a short-term group program for adults (18 years and older) and youth (16 to 18 years) with borderline personality disorder (BPD) symptoms. Termed Road Maps, the content and development were informed by common treatment factors identified from evidence-based therapies for BPD.
METHODS: Two-hundred and eight people consented to participate in the research trial and completed baseline measures. Intervention participants rated the acceptability and subjective experience of the group. Attrition rates informed feasibility, and serious adverse events were tracked to identify potential harms.
RESULTS: Participant post-group ratings of the group\'s acceptability and subjective experience were above average across both adult and youth populations. Attrition rate after commencement of group was 38% for adults and 27% among youth. The incidence rate of emergency department presentations was reduced by 41% in the 6 months post-group, relative to 6 months pre-group.
CONCLUSIONS: The current study provides preliminary support for the acceptability and feasibility of a short-term group therapy program for people with a diagnosis of BPD. Road Maps may be a useful intermediate intervention in a broader model of stepped care. Australian New Zealand Clinical Trials Registry, https://www.anzctr.org.au/ACTRN12622000849796.aspx, (ACTRN12622000849796).
摘要:
目的:本研究评估了接受度,针对具有边缘性人格障碍(BPD)症状的成人(18岁及以上)和青年(16至18岁)的短期团体计划的可行性和安全性。被称为道路地图,从BPD的循证治疗中确定的常见治疗因素为内容和发展提供了依据.
方法:两百八人同意参加研究试验并完成基线测量。干预参与者对该组的可接受性和主观体验进行了评分。损耗率告知可行性,对严重不良事件进行追踪以确定潜在危害.
结果:参与者对小组的可接受性和主观体验的小组后评分在成人和青年人群中均高于平均水平。小组开始后的损耗率为成人38%,青年为27%。在6个月后,急诊科就诊的发生率降低了41%,相对于组前6个月。
结论:本研究为诊断为BPD的患者的短期团体治疗方案的可接受性和可行性提供了初步支持。在更广泛的阶梯式护理模型中,路线图可能是有用的中间干预措施。澳大利亚新西兰临床试验注册中心,https://www.anzctr.org.au/ACTRN12622000849796。aspx,(ACTRN12622000849796)。
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