适应认知行为疗法治疗智力障碍成年人焦虑的临床挑战和解决方案
Jill Pineda1,2,3, Lisa Nowinski4,2,3, Kirstin Birtwell4,2,3
1Lurie Center for Autism, Lexington MA, USA rthom@mgh.harvard.edu.
Journal of cognitive psychotherapy
|June 27, 2023
概括
认知行为疗法 (CBT) 可以适应智力障碍 (ID) 的成年人,包括那些患有威廉姆斯综合征的人. 修改可以提高这一群体的治疗可及性和有效性.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 发育障碍 发育障碍是一种发展障碍.
背景情况:
- 认知行为疗法 (CBT) 是焦虑症的主要治疗方法.
- 在智力障碍 (ID) 个体中,CBT的使用不足.
- 威廉姆斯综合征 (WS) 是一种遗传性疾病,通常与焦虑和轻度至中度的ID有关.
研究的目的:
- 提供对ID成年人的心理健康治疗的历史概述.
- 描述一种适应性CBT干预方法,用于治疗WS和ID的成年人的焦虑.
- 讨论针对ID成年人进行的CBT的一般化修改.
主要方法:
- 对ID成年人心理健康的历史治疗方法的审查.
- 对威廉姆斯综合征的成年人焦虑的适应性CBT协议的描述.
- 确定适应成年ID的CBT的具体策略.
主要成果:
- 在WS和ID的成年人中,CBT的成功适应得到了实现.
- 关键的调整包括使用基于儿童的手册,护理人员的参与,重复,简化语言,更慢的节奏和WS特定的例子.
- 这些策略显示出在适应智障成年人的CBT方面具有更广泛应用的潜力.
结论:
- 认知认知治疗可以有效地适应智力残疾的成年人,包括那些患有威廉姆斯综合征的人.
- 适应对于改善ID患者心理健康治疗的可访问性和有效性至关重要.
- 描述的修改提供了一个框架,使CBT能够根据ID成年人的需求量身定制.
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