接受和承诺治疗对双相情绪障碍患者冲动性和自杀倾向的有效性:随机对照试验
Mona Metwally El-Sayed1, Eman Sameh Abd Elhay2, Samah Mohamed Taha2
1Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
BMC nursing
|August 17, 2023
概括
接受和承诺疗法显著降低了双相情感障碍患者的心理不灵活性,冲动和自杀念头. 这种新兴疗法为那些有自杀念头和冲动行为的人提供了有效的干预措施.
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
- 行为科学 行为科学
背景情况:
- 双极性障碍与高率的冲动性和自杀企图有关.
- 针对高危人群的干预计划缺乏确的证据.
- 这项研究解决了对双相情感障碍患者有效干预的需求.
研究的目的:
- 评估接受和承诺疗法 (ACT) 在降低双相情感障碍患者冲动和自杀倾向方面的有效性.
- 评估ACT对这一群体心理灵活性的影响.
主要方法:
- 进行了一项随机对照试验,其中60名符合条件的患者被诊断患有双相情感障碍.
- 参与者被随机分配到接受和承诺治疗组 (n=30) 或对照组 (n=30).
- 标准化问卷被用于测量心理不灵活性,冲动性和自杀念头在基线,干预后和两个月后的随访.
主要成果:
- 在ACT组中,心理不灵活性 (效果大小=0.846,P < 0.001),冲动性 (效果大小=0.906,P < 0.001) 和自杀念头 (效果大小=0.878,P < 0.001) 在统计学上显著降低.
- 在两个月后的随访中,改善得到了持续.
- 对照组对这些指标的平均得分有所增加.
结论:
- 接受和承诺疗法是对经历自杀念头和冲动行为的双相情感障碍患者的有效干预.
- ACT是一种第三波行为疗法,在这个临床群体中表现出显著的积极结果.
- 这些发现支持使用ACT作为治疗方案来管理双相情绪障碍中自杀倾向和冲动.
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