Engelsk titel: Experiences with dialectical behavior therapy in Molde
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Författare:
Björnerem, Heidi
;
Jonsbru, Egil
Språk: Nor
Antal referenser: 30
Dokumenttyp:
Artikel
UI-nummer: 15013060
Sammanfattning
Offering proper treatment to people with emotional
instability and self-destructive behaviour is a challenge.
Dialectical Behavior Therapy (DBT) is an outpatient
treatment that has proven effective. The DBT-out-
patient clinic in Molde is the first of its kind in
Norway. In this study we want to evaluate patients
according to comorbidity, characteristics of those
who attended and those who dropped out of treat-
ment, changes during treatment, and differences
by length of treatment.
Of 128 patients evaluated for DBT, 60 attended the
programme. The patients were diagnosed by MINI
and SCID II, in addition to self-evaluations and
therapist assessments of psychiatric variables. The
degree of comorbidity was high and most of the
patients had personality disorders (80%). Dropout
was low (20 %). The dropouts showed little diffe-
rence at the beginning of treatment from those who
completed the treatment. The treatment group
showed significant positive changes in hopelessness,
depression, mental health, quality of life, personality
disorder scores and therapist-assessed scores for
symptoms and function. The patients who attended
for a short time were younger and had lower preva-
lence of eating disorder
The DBT outpatient clinic seems to offer suitable
and positive treatment for patients with emotional
dysregulation and self-destructive behaviour in rural parts of Norway.