Erfaringar med dialektisk åtferdsterapi i Molde

Forfattere

  • Heidi Bjørnerem
  • Egil Jonsbu

DOI:

https://doi.org/10.5617/suicidologi.2267

Sammendrag

Det er ei stor utfordring å gi pasientar med kjenslemessig ustabilitet og sjølvdestruktiv åtferd eit godt behandlingstilbod. Dialektisk åtferdsterapi (DBT) er ein poliklinisk behandlingsmodell som har gitt gode resultat. DBT-poliklinikken i Molde er den første i sitt slag i Noreg. Vi ønskjer i dette arbeidet å evaluere våre pasientar i høve til komorbiditet, karakteristika for dei som deltok og dei som fall ut av behandlinga, endringar under behandling, samt å samanlikne pasientar med kort og lang behandlingstid. Pasientane blir evaluert i høve til alder, kjønn, diagnosar og psykometriske variablar. Av 128 pasientar evaluert for DBT, starta 60 opp i programmet. Pasientane vart diagnostisert med MINI og SCID-II, i tillegg til eigenvurderingar og terapeutvurderingar av psykometriske variablar. Det var høg grad av komorbiditet, og dei fleste hadde personlegdomsdiagnosar (80 %). Fråfallprosent var låg (20 %). Dei som fall frå skilte seg lite frå behandlingsgruppa ved oppstart av behandlinga. Behandlingsgruppa viste signifikant positiv endring for håpløyse, depresjon, livskvalitet, psykisk helse, skår for personlegdomsforstyrring og terapeutvurdert funksjons- og symptomskår. Dei med kort behandlingstid var yngre og hadde mindre eteforstyrringar. DBT-poliklinikk i Distrikts-Noreg synest å vere eit hensiktsmessig og godt behandlingstilbod for pasientar med kjenslemessig dysregulering og sjølvdestruktiv åtferd. Offering proper treatment to people with emotional instability and self-destructive behaviour is a challenge. Dialectical Behavior Therapy (DBT) is an outpatient treatment that has proven effective. The DBT-outpatient clinic in Molde is the first of its kind in Norway. In this study we want to evaluate patients according to comorbidity, characteristics of those who attended and those who dropped out of treatment, changes during treatment, and differences by length of treatment. Of 128 patients evaluated for DBT, 60 attended the programme. The patients were diagnosed by MINI and SCID II, in addition to self-evaluations and therapist assessments of psychiatric variables. The degree of comorbidity was high and most of the patients had personality disorders (80%). Dropout was low (20 %). The dropouts showed little difference at the beginning of treatment from those who completed the treatment. The treatment group showed significant positive changes in hopelessness, depression, mental health, quality of life, personality disorder scores and therapist-assessed scores for symptoms and function. The patients who attended for a short time were younger and had lower prevalence of eating disorder The DBT outpatient clinic seems to offer suitable and positive treatment for patients with emotional dysregulation and self-destructive behaviour in rural parts of Norway.

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Publisert

2015-06-10
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