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首页> 外文期刊>Psychotherapy >Evaluating 'Mentalizing Positive Affect' as an Intervention for Enhancing Positive Affectivity in Borderline Personality Disorder Using a Single-Case Multiple-Baseline Design
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Evaluating 'Mentalizing Positive Affect' as an Intervention for Enhancing Positive Affectivity in Borderline Personality Disorder Using a Single-Case Multiple-Baseline Design

机译：评估“精神效应阳性影响”作为利用单个案例的多基线设计提高边界人格障碍积极情感的干预

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Evidence-based treatments for borderline personality disorder (BPD), including mentalization-based treatment (MBT), have not adequately examined changes in positive affect (PA) in the treatment of BPD. Therefore, we developed a new intervention, "mentalizing positive affect," and evaluated its effect on PA, negative affect, BPD severity, ego-resiliency, and quality of life during MBT treatment for BPD. In a single-case multiple-baseline design. 4 female BPD patients received 6 months of individual MBT, after which they were followed up for 2 months. Intensive repeated measurements data were subjected to hierarchical linear modeling to analyze whether the positive intervention was related to changes in self-reported outcome measures. Our results failed to support a co-occurring increase in the reporting of PA related to the "mentalizing positive affect" intervention. However, the slope of PA increased at a quicker rate after the end of treatment, perhaps indicating a delayed treatment effect. "Mentalizing positive affect" was related to a marginally significant decrease in the mean level of BPD severity compared with standard MBT. Moreover, focusing on PA in MBT seemed feasible for maintaining a good working alliance. Our findings call for more research to test interventions aimed at enhancing PA in the treatment of BPD. Such efforts might well involve treatment of longer duration and higher intensity to increase the number of sessions. as well as longer follow-up periods, than we used.
机译：边缘型人格障碍（BPD）的循证治疗，包括心理化治疗（MBT），尚未充分检查BPD治疗中积极情绪（PA）的变化。因此，我们开发了一种新的干预措施，“将积极情绪心理化”，并评估了其在MBT治疗BPD期间对PA、消极情绪、BPD严重程度、自我恢复能力和生活质量的影响。在单一情况下，采用多基线设计。4名女性BPD患者接受了6个月的个体MBT治疗，之后进行了2个月的随访。密集重复测量数据进行分层线性建模，以分析积极干预是否与自我报告的结果测量的变化有关。我们的结果未能支持与“心理化积极影响”干预相关的PA报告的同时增加。然而，在治疗结束后，PA的斜率以更快的速度增加，这可能表明治疗效果延迟。与标准MBT相比，“精神化积极情绪”与BPD严重程度的平均水平略微显著降低有关。此外，专注于MBT中的PA对于维持良好的合作联盟似乎是可行的。我们的发现需要更多的研究来测试旨在增强前列腺增生症治疗中PA的干预措施。这些努力很可能涉及更长时间和更高强度的治疗，以增加治疗次数。以及比我们过去更长的随访期。

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