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对于具有有害性性行为的智力障碍和/或自闭症的男性进行团体性认知性疗法
Glynis H Murphy1, Neil Sinclair1, Clare Melvin2
1Tizard Centre, University of Kent, Canterbury, UK.
The British journal of clinical psychology
|May 31, 2023
概括
适应SOTSEC-ID的认知行为治疗组在减少有害性行为 (HSB) 和改善智力障碍和/或自闭症男性的结果方面表现有前途. 需要进行进一步的受控研究.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 发育障碍 发育障碍 发育障碍 发育障碍
背景情况:
- 患有智力障碍 (ID) 和/或自闭症谱系障碍 (ASD) 的男性可能面临治疗有害性行为 (HSB) 的障碍.
- 认知行为疗法 (CBT) 是HSB的常见治疗方法.
研究的目的:
- 评估适应性CBT组的有效性,SOTSEC-ID,对于有ID和/或自闭症的男性,有HSB史.
主要方法:
- 98名患有ID和/或自闭症和HSB病史的男性参加了为期一年的适应性CBT组.
- 有害的性行为,性知识,扭曲的认知和受害者同情心在治疗前,治疗后和6个月的随访后被评估.
主要成果:
- 观察到进一步的HSB的发病率很低:在治疗一年期间为12%,在6个月的随访期间为8%.
- 随访时,性知识,扭曲的认知和受害者同情心的显著改善得到了维持.
- 与没有自闭症的男性相比,患有自闭症的男性表现出更多的非接触性HSB和更高的进一步HSB比率.
结论:
- 适应SOTSEC-ID的CBT组似乎是对ID/自闭症和HSB的男性有前途的干预措施.
- 局限性包括缺乏对照组,强调需要严格控制的研究.
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