Hva er dialektisk atferdsterapi? En kort oversikt

Forfattere

  • Lars Mehlum
  • Anita Johanna Tørmoen

DOI:

https://doi.org/10.5617/suicidologi.2266

Sammendrag

Dialektisk atferdsterapi (DBT) er en empirisk validert behandlingsmetode for personer med kronisk suicidalitet, selvskading og emosjonelt ustabil personlighetsforstyrrelse. DBT antar at emosjonell reguleringssvikt er underliggende årsak til dysregulert atferd, og kombinerer en kognitiv-atferdsorientert tilnærming med valideringsterapi. Behandlingen er prinsippstyrt og delvis manualbasert, og inneholder flere modaliteter. Denne artikkelen gir en kort introduksjon til behandlingen og en oppsummering av evidensbasen for DBT i sin opprinnelige form. DBT er etterhvert tatt i bruk overfor andre tilstander og forsøkt benyttet med bare utvalgte deler av behandlingen, og vi ser på evidensen for slike tilpasninger. Enkelte uformelle og formelle evalueringer av de økonomiske aspektene ved DBT er rapportert og gjengis her, og vi diskuterer kort DBTs mulige fortrinn i forhold til andre behandlingsformer. Dialectical behaviour therapy (DBT) is an evidence-based treatment for adults with repeated self-harm and borderline personality disorder and for self-harming adolescents with traits from the disorder. The assumption that a core problem of regulating emotions leads to dysregulated behaviour informs the treatment which consists of elements from cognitive-behavioural techniques and validation. The treatment is principle-driven and partially manual based. This paper intends to provide a brief introduction to DBT and lists the evidence for the full treatment programme as well as some of the literature on adaptions. Finally we discuss economic evaluations as well as DBT in relation to other evidence based treatments for borderline personality disorders.

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Publisert

2015-06-10
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