OBJECTIVE We examined whether the emotions that clients experience within session are associated with treatment outcome in dialectical behavior therapy (DBT) for borderline personality disorder (BPD). METHOD Participants were 52 adults who met criteria for BPD and were enrolled in a 12-month DBT treatment. The Classification of Affective-Meaning States, an observer-rated measure of discrete emotions, was used to code videos of individual DBT sessions. Raters coded three psychotherapy sessions for each participant: one session from each of the early, working, and late phases of psychotherapy. Self-report measures of BPD symptoms were used to assess treatment outcome. RESULTS More emotional experience overall during the early phase predicted fewer BPD symptoms at 12-month treatment outcome, explaining 19% of the variance in symptoms. However, increases across treatment in global distress predicted higher levels of BPD (24% of the variance explained) and depression symptoms (15% explained) at termination. Increases in emotional flexibility (i.e., variation between states) from the early to working phase predicted fewer depressive symptoms at termination (14% explained). Self-compassion coded during the working phase also predicted a better treatment outcome (explaining 19%-34%). CONCLUSIONS Clients' in-session emotional experiences predict treatment outcome 8-10 months later. Clients with BPD may benefit from more overall exploration of their emotional experiences early in DBT, as well as expression of self-compassion. Increases in nonspecific, intense negative affect anticipates poor prognosis, whereas increases in emotional flexibility during early treatment anticipates better prognosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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在辩证行为疗法期间观察到的情绪可预测边缘型人格障碍的结果。


目的 我们检查了客户在会话中经历的情绪是否与边缘型人格障碍 （BPD） 的辩证行为疗法 （DBT） 的治疗结果相关。方法 参与者是 52 名符合 BPD 标准的成年人，他们参加了为期 12 个月的 DBT 治疗。情感意义状态分类是一种观察者评定的离散情绪测量方法，用于对单个 DBT 会话的视频进行编码。评分者为每位参与者编码了三个心理治疗课程：心理治疗的早期、工作和晚期各一个会话。使用 BPD 症状的自我报告测量来评估治疗结果。结果早期阶段总体上更多的情绪体验预示着 12 个月治疗结果的 BPD 症状较少，解释了 19% 的症状差异。然而，全球痛苦治疗的增加预示着终止时 BPD 水平较高（解释方差的 24%）和抑郁症状（解释的 15%）。从早期到工作阶段情绪灵活性的增加（即状态之间的差异）预示着终止时的抑郁症状较少 （14% 解释）。在工作阶段编码的自我同情也预测了更好的治疗结果（解释 19%-34%）。结论 客户在会话中的情绪体验可预测 8-10 个月后的治疗结果。患有 BPD 的客户可能会受益于在 DBT 早期对他们的情绪体验进行更全面的探索，以及表达自我同情。非特异性、强烈负面影响的增加预示着预后不良，而早期治疗期间情绪灵活性的增加预示着预后较好。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。