{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:41:25Z","timestamp":1792194085758,"version":"4.4.0"},"reference-count":58,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"abstract":"Zusammenfassung<\/jats:title>\n Die Behandlung von Substanzgebrauchsst\u00f6rungen (SUD) stellt eine anhaltende\n Herausforderung dar. Die Dialektische Verhaltenstherapie (DBT) ist ein\n kognitiv-verhaltenstherapeutisches, multimodales Verfahren, das Akzeptanz-\n und Ver\u00e4nderungsstrategien verbindet und urspr\u00fcnglich zur Behandlung\n schwerer Emotionsdysregulation entwickelt wurde. Im Suchtkontext werden\n insbesondere DBT-basierte Adaptationen und Skills-orientierte Formate\n eingesetzt, die auf Emotionsregulation, Belastungstoleranz, Achtsamkeit und\n R\u00fcckfallpr\u00e4vention abzielen.<\/jats:p>\n Die vorliegende \u00dcbersichtsarbeit b\u00fcndelt den gegenw\u00e4rtigen Forschungsstand,\n um den Einsatz und die Effektivit\u00e4t von DBT-basierten Interventionen bei SUD\n zu explorieren und zu bewerten. Methode: Anhand einer systematischen\n Literaturrecherche in Datenbanken, in Google Scholar sowie in Semantic\n Scholar wurden 13 relevante Studien aus dem Zeitraum 2010 bis 2024\n identifiziert und narrativ synthetisiert.<\/jats:p>\n Die Resultate deuten trotz methodischer Einschr\u00e4nkungen darauf hin, dass die\n angewandten DBT-basierten Formate, insbesondere das DBT Skills-Training\n (DBT-ST), Emotionsregulation, Belastungstoleranz sowie adaptive\n Bew\u00e4ltigungsstrategien verbessern. Zudem zeigten sich Hinweise auf g\u00fcnstige\n Effekte hinsichtlich Substanzkonsum, Abstinenz und Craving. Weiters sprechen\n mehrere Befunde f\u00fcr eine vielversprechende Behandlungsakzeptanz und\n Therapietreue, wobei diese Ergebnisse kontext- und studiendesignabh\u00e4ngig\n sind.<\/jats:p>\n In der Zusammenschau l\u00e4sst sich ableiten, dass insbesondere das DBT-ST f\u00fcr\n suchtkranke Personen eine geeignete Interventionsoption darstellen kann.\n Jedoch sind weitere robuste Studien mit standardisierter Diagnostik,\n l\u00e4ngeren Nachbeobachtungszeiten und aktiven Kontrollgruppen erforderlich, um\n die spezifische Wirksamkeit und Indikationsstellung pr\u00e4ziser zu\n bestimmen.<\/jats:p>","DOI":"10.1055\/a-2954-0980","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:53:45Z","timestamp":1792191225000},"source":"Crossref","is-referenced-by-count":0,"title":["Der Einsatz von Dialektisch-Behavioraler Therapie bei der Behandlung von Suchterkrankungen"],"prefix":"10.1055","author":[{"given":"Beatrix","family":"Marth","sequence":"additional","affiliation":[{"name":"Universit\u00e4t f\u00fcr Weiterbildung Krems, Lower Austria, Austria","place":["Krems an der Donau"],"department":["Department f\u00fcr Psychosomatische Medizin und Psychotherapie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Humer","sequence":"additional","affiliation":[{"name":"Universit\u00e4t f\u00fcr Weiterbildung Krems, Lower Austria, Austria","place":["Krems an der Donau"],"department":["Department f\u00fcr Psychosomatische Medizin und Psychotherapie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Human","family":"Unterrainer","sequence":"additional","affiliation":[{"name":"Sigmund Freud PrivatUniversit\u00e4t Wien, Vienna, Austria","place":["Vienna"],"department":["Fakult\u00e4t f\u00fcr Psychotherapiewissenschaft"]},{"name":"Gr\u00fcner Kreis GesmbH, Austria","place":["Vienna"],"department":["ARH - Addiction Research Hub"]},{"name":"Medizinische Universit\u00e4t Graz, Styria, Austria","place":["Graz"],"department":["Department f\u00fcr Psychiatrie und Psychotherapeutische Medizin"]},{"name":"Universit\u00e4t Wien, Vienna, Austria","place":["Vienna"],"department":["Department f\u00fcr Religionswissenschaft"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"ref4","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/j.jsat.2011.05.004","article-title":"A systematic review of interventions for co-occurring substance use disorder and\n borderline personality disorder","volume":"41","author":"A Pennay","year":"2011","journal-title":"J Subst Abuse Treat"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1097\/yco.0b013e328011740c","article-title":"Patients with addiction and personality disorder: treatment outcomes and\n clinical implications","volume":"20","author":"L M Van Den Bosch","year":"2007","journal-title":"Curr Opin Psychiatry"},{"key":"ref6","volume-title":"International standards for the treatment of drug use disorders: revised edition\n incorporating results of field-testing","author":"World Health Organization, United Nations Office on Drugs\n and Crime","year":"2020"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1016\/j.cpr.2007.01.013","article-title":"How does Dialectical Behavior Therapy facilitate treatment retention among\n individuals with comorbid borderline personality disorder and substance use\n disorders?","volume":"27","author":"M A Bornovalova","year":"2007","journal-title":"Clin Psychol Rev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.jcbs.2019.07.003","article-title":"Psychological flexibility-based interventions versus first-line psychosocial\n interventions for substance use disorders: Systematic review and meta-analyses\n of randomized controlled trials","volume":"13","author":"T Ii","year":"2019","journal-title":"J Context Behav Sci"},{"key":"ref9","volume-title":"Cognitive-Behavioral Treatment of Borderline Personality Disorder","author":"M M Linehan","year":"1993"},{"key":"ref10","volume-title":"Skills training manual for treating borderline personality disorder","author":"M M Linehan","year":"2018"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1176\/appi.psychotherapy.2015.69.2.97","article-title":"The Course and Evolution of Dialectical Behavior Therapy","volume":"69","author":"M M Linehan","year":"2015","journal-title":"Am J Psychother"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1016\/j.beth.2024.02.006","article-title":"The State of the Science: Dialectical Behavior Therapy","volume":"55","author":"S L Rizvi","year":"2024","journal-title":"Behav Ther"},{"key":"ref13","volume-title":"DBT Skills Training Manual, Revised edition. 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