在接受药物使用障碍治疗的退伍军人中预防自杀的认知行为疗法:随机试验结果
Mark A Ilgen1, Jennifer H Olson-Madden2, Amanda Price1
1Center for Clinical Management Research, Ann Arbor VA Healthcare System, Ann Arbor, MI, USA; Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Journal of psychiatric research
|November 13, 2023
概括
在药物使用障碍治疗中的退伍军人面临高自杀风险. 虽然用于预防自杀的认知行为疗法 (CBT-SP) 显示出希望,但它在24个月的时间内在减少自杀行为方面并没有显著超过对照组.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 有物质使用障碍 (SUD) 的退伍军人有自杀行为风险较高.
- 在SUD治疗期间的干预措施可以有效地针对这种高风险人群.
- 预防自杀的认知行为疗法 (CBT-SP) 旨在减少自杀想法和行为.
研究的目的:
- 评估CBT-SP与注意力匹配对照 (支持性精神教育控制 (SPC)) 相比,CBT-SP在减少SUD治疗中退伍军人的自杀行为方面的有效性.
- 在24个月的随访期间评估CBT-SP对自杀念头频率,持续时间和自杀企图的影响.
主要方法:
- 一个多站点随机对照试验,涉及299名接受门诊SUD治疗的退伍军人.
- 参与者被分配到CBT-SP或SPC,这是一个8个会话的控制条件.
- 包括自杀念头,自杀企图和准备性行为在内的结果在24个月内进行了评估.
主要成果:
- 自杀念头的频率保持稳定,但其持续时间在两组都下降了.
- 自杀企图在CBT-SP和SPC条件下相对于基线下降.
- 对于主要结果,CBT-SP和SPC之间没有发现统计学上显著的差异,尽管CBT-SP组的准备性自杀行为较少.
结论:
- 虽然在SUD治疗期间提供针对自杀的干预措施对退伍军人来说是可行的,但CBT-SP并没有证明对初级自杀相关结果的控制条件的优越性.
- 需要进一步的研究来识别和测试这种脆弱人群中减少自杀的替代方法.
相关概念视频
01:24Treatment Strategies for Psychological Disorders
143
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
143
01:25Cognitive Therapy
154
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
154
01:27Post-traumatic Stress Disorder
36
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
36
01:22Behavior Therapy
55
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
55
01:24Operant Conditioning Intervention
60
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
60
01:24Rational Emotive Behavior Therapy
55
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
55