کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
7262182 1472774 2015 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Examining challenging behaviors of clients with borderline personality disorder
ترجمه فارسی عنوان
بررسی رفتارهای چالش برانگیز مشتریان با اختلال شخصیت مرزی
کلمات کلیدی
رفتارهای مداخله ای درمانی، رفتارهای چالش انگیز، اختلال شخصیت مرزی، رفتار رفتار دیالکتیکی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی
Few studies have examined effects of challenging behaviors of clients with borderline personality disorder (BPD) on psychotherapy outcomes. Dialectical behavior therapy (DBT) is an evidence-based treatment designed to treat chronic suicidality, self-directed violence (SDV), and emotion dysregulation, while targeting challenging behaviors. DBT has been shown to be effective with clients with BPD. We evaluated whether therapist reported challenging behaviors, such as high volume phone contacts or violating the therapist's limits, during DBT would be associated with dropping out of DBT, severity and frequency of SDV, emotion regulation deficits, psychological symptom severity and client's and therapist's satisfaction of treatment. The current study examined challenging behaviors reported by therapists in a sample of 63 psychiatrically disabled outpatient DBT clients diagnosed with BPD (73% women, average age 37 years). More frequent phone contacts were associated with a decrease in dropout and psychological symptoms, and an increase in client and therapist satisfaction. More avoidance/disengagement behavior was associated with more than twice the risk of SDV and a decrease in therapist satisfaction. Findings suggest that the phone coaching might serve to maximize client satisfaction and reduce the likelihood of dropout.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Behaviour Research and Therapy - Volume 75, December 2015, Pages 11-19
نویسندگان
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