Dialektisk adferdsterapi - en relevant behandling for pasienter med rusmisbruk og emosjonelt
ustabil personlighetsforstyrrelse?
Sammanfattning
Borderline personality disorder and substance use disorders are prevalent in clinical samples, and they often co-occur. The co-occurrence of these disorders often increases the risk for problems, and has negative impact on the trajectory, prognosis and treatment. The assumption that both disorders share the same underlying problems of emotional dysregulation is supported by a large body of evidence. Dialectical behaviour therapy, a treatment developed for patients with borderline personality disorder addresses directly the core problems of regulating emotions. The aim of this literature review was to examine whether this specific treatment had evidence regarding effectiveness also for patients with co-morbid borderline personality disorder and substance use disorder. The article is based on non-systematic literature review, and found three studies who directly examined the effect of dialectical behaviour therapy for this group. The results from these studies are promising, indicating less use of substances, lower dropout rate, and the observed effect lasts over time.