辩证行为疗法治疗边缘型人格障碍:研究进展与挑战  

Dialectical behavior therapy for borderline personality disorder:research progress and challenges

作　　者：李志远 何书涵 黄国平[1,2] Li Zhiyuan;He Shuhan;Huang Guoping(Sichuan Mental Health Center·The Third Hospital of Mianyang,Mianyang 621000,China;Clinical Medicine School of Southwest Medical University,Luzhou 646000,China;Mental Health School,North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]四川省精神卫生中心·绵阳市第三人民医院,四川绵阳621000 [2]西南医科大学临床医学院,四川泸州646000 [3]川北医学院精神卫生学院,四川南充637000

出　　处：《四川精神卫生》2025年第1期1-6,共6页Sichuan Mental Health

摘　　要：辩证行为疗法(DBT)作为获得实证支持的边缘型人格障碍(BPD)的治疗方法之一,其通过整合行为主义、辩证哲学、生物社会理论和禅宗思想,旨在提升患者情绪调节、人际交往及痛苦耐受能力,从而缓解BPD症状。本文通过梳理DBT的理论基础及其在BPD治疗中的研究进展,深入探讨DBT以及药物治疗和物理疗法辅助DBT对BPD的干预效果,并分析DBT在研究与应用中面临的挑战,以期为DBT在中国的本土化应用与理论研究提供新的思路。Dialectical behavior therapy(DBT)is one of the empirically supported therapeutic approaches for borderline personality disorder(BPD).By integrating behaviorism,dialectical philosophy,biosocial theory and Zen principles,DBT aims to enhance patients′emotional regulation,interpersonal effectiveness and distress tolerance,thereby alleviating BPD symptoms.This article systematically reviews the theoretical foundations of DBT and its research progress in BPD treatment,to Delve into the intervention effects of DBT,as well as the adjuvant role of pharmacotherapy and physiotherapy in enhancing DBT for BPD,and analyzes the challenges faced in DBT research and clinical application.The findings are expected to provide new insights for the localization and theoretical research of DBT in China.

关 键 词：辩证行为疗法 边缘型人格障碍 疗效 机制 

分 类 号：R749[医药卫生—神经病学与精神病学]