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. 2017 Jul;44(5):266-273.
doi: 10.1055/s-0042-104096. Epub 2016 Jul 11.

[Influence and Change of Self-Directedness in Dialectical Behavior Therapy]

[Article in German]
Dorothee Bernheim  1   2 , Mathias Becker  3 , Manuela Gander  4 , Alexander Lischke  1   5 , Renate Mentel  1 , Anna Buchheim  4 , Harald J Freyberger  1   3
Affiliations

[Influence and Change of Self-Directedness in Dialectical Behavior Therapy]

[Article in German]
Dorothee Bernheim et al. Psychiatr Prax. 2017 Jul.

Abstract
in English, German

Objective Investigate influence and change of self-directedness (SD) in Dialectical-Behavior Therapy (DBT) for 26 female outpatients with borderline personality disorder (BPS). Method Variance analyses are used to evaluate psychopathology and interpersonal problems in 2 subgroups (low vs. high SD) with questionnaires at 3 measuring times over the period of 1 year. Results Low SD was associated with higher psychopathology, more interpersonal problems and lower symptomreduction. Over time of intervention the SD of all patients improved significantly. Conclusion DBT strengthens the SD of patients with BPD. A screening of SD before intervention, and systematic support should be considered.

Ziel der Studie Einfluss und Veränderung der Selbstlenkungsfähigkeit (SL) in der ambulanten Dialektisch-Behavioralen Therapie bei 26 Patientinnen mit Borderline-Persönlichkeitsstörung. Methode Varianzanalyse: Erhebung der Psychopathologie in 2 Subgruppen (niedrige vs. hohe SL), Intervention über 1 Jahr, Fragebögen zu 3 Messzeitpunkten. Ergebnisse Assoziation niedriger SL mit mehr Psychopathologie und weniger Symptomremission. Verbesserung der SL bei allen Patienten. Schlussfolgerung Die DBT unterstützt die Stärkung der SL. Ein Screening der SL und deren gezielte Förderung sind empfehlenswert.

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Conflict of interest statement

Interessenkonflikt: Der Autor gibt an, dass kein Interessenkonflikt besteht.

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