PDF(Pubmed)
Abstract：
Background: This study investigated the effectiveness of dialectical behavior therapy (DBT) in patients with borderline personality disorder (BPD) during the COVID-19 pandemic, assessing negative affect, depression, and anxiety levels as indicators of health. Methods: A total of 287 participants were recruited, including BPD patients at different stages of treatment and the general population without a diagnosis of BPD. Questionnaires were used to assess the fear of COVID-19 and the referenced health indicators. Results: No differences were observed between groups in levels of fear of COVID-19, but there were differences in the health indicators studied. BPD patients in long-term treatment showed levels of negative affect similar to those of the general population, while those in early treatment stages exhibited significantly higher levels. However, no significant improvements were observed in levels of depression and anxiety in the long-term treatment group compared to those who underwent the initial treatment phase. Conclusions: These findings underscore the importance of effectively intervening in BPD, especially in stress-inducing situations such as the pandemic, and suggest the need to explore complementary approaches to addressing depression and anxiety in this clinical context.
摘要：
背景：这项研究调查了在COVID-19大流行期间，辩证行为疗法（DBT）对边缘性人格障碍（BPD）患者的有效性，评估负面影响，抑郁症,和焦虑水平作为健康指标。方法：共招募287名参与者，包括不同治疗阶段的BPD患者和未诊断为BPD的普通人群。问卷用于评估对COVID-19的恐惧和参考的健康指标。结果：各组对COVID-19的恐惧水平无差异，但所研究的健康指标存在差异。长期治疗的BPD患者表现出与普通人群相似的负面影响水平，而那些在早期治疗阶段表现出明显更高的水平。然而,与接受初始治疗阶段的患者相比,长期治疗组的抑郁和焦虑水平没有显著改善.结论：这些发现强调了有效干预BPD的重要性，特别是在大流行等压力诱发的情况下，并建议在这种临床背景下探索解决抑郁和焦虑的补充方法。
