アフリカ系アメリカ人の妊娠中の女性に対する対話型行動療法スキルの訓練:可行性,受容性,精神衛生上の障壁と態度に関するパイロット研究
Abigail Powers1, Imani Belton2, Rebecca Lipschutz1
1Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
European journal of psychotraumatology
|September 2, 2025
まとめ
この研究では,妊娠中の女性の方程式行動療法 (DBT) スキルトレーニングは,受験者の間で高い受け入れ率を示したが,維持率の低さは,この有毒ストレス介入の実現可能性の課題を示している.
科学分野:
- 生後期の精神的健康
- 毒性ストレスへの介入
- 健康上の格差
背景:
- 毒性ストレスは 世代間の健康格差を悪化させ 産前介入が必要になります
- ダイアレクティック行動療法 (DBT) スキルトレーニングは,うつ病とPTSDの有効性が証明されたスケーラブルな介入です.
- アフリカ系アメリカ人の妊婦に DBT を適応させることで 世代間の有毒なストレスを解消することを目指しています
研究 の 目的:
- 精神疾患の治療に対する障壁と態度を調べる
- 妊婦のための8週間のDBTスキルトレーニンググループ (DBTMTB) の可行性と受け入れ性を評価する.
- 試験的なランダム化対照試験 (RCT) で DBTMTB を待機リスト対照 (WLC) と比較する.
主な方法:
- 30人のアフリカ系アメリカ人の妊娠中の女性を対象とした混合メソッドの試験RCTで,ACEと現在のうつ病またはPTSDの症状がありました.
- 産前診療所での介入か 仮想的な介入か
- 定量的および質的測定は,障壁,態度,実行可能性 (保持),および受け入れ性を評価した.
主要な成果:
- 高いレベルの障壁が報告され,主に汚名と時間的な制約が報告されました.
- 治療継続 (実行可能性) は低いもので,DBTMTB群の26. 7%だけが介入を終えた.
- DBTMTBの介入を完了した少数の参加者の間で受け入れが高くなった.
結論:
- 完成率の低さは,この集団における DBTMTB 介入の実現可能性と受容性の大きな課題を強調しています.
- 汚名や時間的制約などの障害を取り除くことは,将来の実施に不可欠です.
- 毒性ストレスを経験している妊婦のエンゲージメントと完了率を改善するために,介入を洗練するためにさらなる研究が必要です.
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