辩证行为治疗团体技能训练应用于神经性贪食症患者的案例报告  

A Case Report of the Group Dialectical Behavior Therapy for a Patient With Bulimia Nervosa

作　　者：高睿 段维 韩慧 陈珏[1] GAO Rui;DUAN Wei;HAN Hui;CHEN Jue(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《心理学通讯》2023年第4期240-245,共6页Psychological Communications

摘　　要：辨证行为治疗是一种有效的心理治疗方法,包括个体、团体等多种形式。该文呈现了一名神经性贪食症患者在辩证行为治疗框架下,参与了6个阶段共12次团体技能训练。通过正念、情绪调节、痛苦忍受和人际沟通四大核心技能训练,该患者学会了更好地认识自我、调节情绪、承受生活中不可避免的痛苦以及建立良好的人际关系,从而改善了适应不良的行为。治疗结束后,患者在进食相关症状、焦虑和抑郁情绪方面均有明显改善,治疗师和患者均对治疗效果评价较好。研究提示了辩证行为治疗在改善神经性贪食症方面的潜力,并为后续采用该方法治疗其他精神障碍提供了借鉴。Dialectical behavior therapy(DBT)is an effective method of psychotherapy which includes individual therapy,group therapy,and other forms.This study presents a patient with bulimia nervosa who participated in a 12-session,6-stage group skills training within the framework of DBT.Through training in the four core skills of mindfulness,emotion regulation,distress tolerance,and interpersonal communication,the patient learned to better understand herself,regulate emotions,tolerate life’s inevitable distress,and build good interpersonal relationships,thereby improving maladaptive behaviors.After treatment,patients showed significant improvements in eating related symptoms,anxiety,and depression,with both therapist and patient evaluating the treatment effect as positive.The study suggests the potential of DBT in improving bulimia nervosa and provides a reference for the subsequent use of this approach in the treatment of other mental disorders.

关 键 词：辩证行为治疗 神经性贪食症 个案研究 团体治疗 技能训练 

分 类 号：R749[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]