为青少年和年轻成年人提供依恋为基础的家庭治疗,这些青少年和年轻成年人有自杀念头和抑郁症
Nadia van der Spek1,2,3, Willemieke Dekker3, Jaap Peen4
1Department of Psychiatry, Academic Medical Center, Amsterdam, The Netherlands.
Crisis
|August 30, 2023
概括
基于依恋的家庭疗法 (ABFT) 是一种可行的治疗方法,用于患有自杀念头和抑郁的青少年. 这项研究发现ABFT是可以接受的,在门诊心理健康环境中具有高的遵守性和显著的症状减少.
科学领域:
- 儿童和青少年精神病学
- 家庭治疗 家庭治疗
- 心理健康服务研究 心理健康服务研究
背景情况:
- 青少年的自杀想法带来了重大的治疗挑战.
- 基于依恋的家庭治疗 (ABFT) 是一种基于证据的干预措施,针对青少年抑郁症和自杀念头.
- 社区精神卫生中心面临着对有效的青少年精神卫生服务的需求.
研究的目的:
- 评估依恋为基础的家庭治疗 (ABFT) 对有自杀念头和抑郁症的青少年的可行性.
- 在门诊环境中监测治疗遵守,满意度,剂量和症状减少.
- 评估ABFT在荷兰社区精神卫生中心的适用性.
主要方法:
- 一个公开的试验涉及25名青少年 (12-23岁) 自杀念头和抑郁症.
- 治疗师处于ABFT培训的早期阶段,接受监督.
- 在线评估包括抑郁症 (CDI-2),家庭功能 (SRFF),优势和困难 (SDQ) 和自杀念头 (SIQ-JR) 在会议和随访期间.
主要成果:
- 治疗遵守率高达89%,平均22次ABFT疗程.
- 患者表示对ABFT的满意度很高,自杀念头显著减少 (d = 0.69).
- 对于抑郁症,家庭功能以及随访时的优点和困难,观察到中大效果大小 (d = 0.53-0.94).
结论:
- 基于依恋的家庭治疗 (ABFT) 证明了在社区心理健康环境中治疗抑郁症和自杀念头的青少年的可行性.
- 该干预措施在减轻症状和患者满意度方面显示出有希望的结果.
- 需要与对照组进行进一步的研究来确认有效性.
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