药物使用和自杀念头在辩证行为治疗计划中的个人的日常生活中
Matison W McCool1, Kirk D Mochrie2, John E Lothes3,4
1The Center on Alcohol, Substance Use, and Addictions, The University of New Mexico, Albuquerque, New Mexico, USA.
Journal of clinical psychology
|July 18, 2023
概括
药物使用可以增加自杀念头长达两天,特别是在边缘性人格障碍 (BPD) 患者中. 这凸显了在接受辩证行为疗法 (DBT) 的BPD患者治疗自杀行为时需要考虑药物使用影响的必要性.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 成 药物 药物 药物 药物
背景情况:
- 药物使用障碍和边缘性人格障碍 (BPD) 经常同时发生.
- 辩证行为疗法 (DBT) 是这两种情况的常见治疗方法.
- 在日常DBT治疗中,药物使用和自杀念头之间的相互作用尚未得到充分理解.
研究的目的:
- 调查每日药物使用与接受DBT的个体中自杀念头之间的关系.
- 检查BPD症状严重程度对这种关系的缓解作用.
- 分析药物使用对自杀念头的滞后影响.
主要方法:
- 分析了部分医院和密集门诊计划中47名患者的DBT日记卡.
- 应用多层次建模来评估当天和滞后 (1,2,3天) 效应.
- 检查BPD症状严重程度作为一个调节者.
主要成果:
- 在同一天,1天滞后和2天滞后的药物使用和自杀念头之间发现了显著的联系.
- 边界性人格障碍 (BPD) 严重程度缓和了1天滞后使用毒品和自杀念头之间的联系.
- 研究结果表明,药物使用对自杀念头的持续影响.
结论:
- 在进行连锁分析时,临床医生应考虑药物使用对自杀念头的扩展影响.
- 该研究的局限性包括治疗前的BPD措施和对大麻使用的关注.
- 需要进一步的研究来更广泛地探索这些相互作用.
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