Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Dialectical Behavioral Therapy for Adolescents (DBT-A): a clinical Trial for Patients with suicidal and self-injurious Behavior and Borderline Symptoms with a one-year Follow-up. | Fleischhaker et al. Child and Adolescent Psychiatry and Mental Health 2011 5 3 http content 5 1 3 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Dialectical Behavioral Therapy for Adolescents DBT-A a clinical Trial for Patients with suicidal and self-injurious Behavior and Borderline Symptoms with a one-year Follow-up 1 2 1 f 1 f 1 f 1 f Christian Fleischhaker Renate Bohme Barbara Sixt Christiane Bruck Csilla Schneider Eberhard Schulz 1 Abstract Background To date there are no empirically validated treatments of good quality for adolescents showing suicidality and non-suicidal self-injurious behavior. Risk factors for suicide are impulsive and non-suicidal self-injurious behavior depression conduct disorders and child abuse. Behind this background we tested the main hypothesis of our study that Dialectical Behavioral Therapy for Adolescents is an effective treatment for these patients. Methods Dialectical Behavioral Therapy DBT has been developed by Marsha Linehan - especially for the outpatient treatment of chronically non-suicidal patients diagnosed with borderline personality disorder. The modified version of DBT for Adolescents DBT-A from Rathus Miller has been adapted for a 16-24 week outpatient treatment in the German-speaking area by our group. The efficacy of treatment was measured by a pre- post- comparison and a one-year follow-up with the aid of standardized instruments SCL-90-R CBCL YSR ILC CGI . Results In the pilot study 12 adolescents were treated. At the beginning of therapy 83 of patients fulfilled five or more DSM-IV criteria for borderline personality disorder. From the beginning of therapy to one year after its end the mean value of these diagnostic criteria decreased significantly from to . 75 of patients were kept in therapy. For the behavioral domains according to the SCL-90-R and YSR we have found effect sizes between and . During treatment non-suicidal self-injurious behavior reduced .
