辩证行为治疗在围产期的应用:一个范围审查
Samantha N Hellberg1, Amanda B Bruening2,3, Katherine A Thompson4,5
1Department of Psychology and Neuroscience, UNC Chapel Hill, Chapel Hill, North Carolina, USA.
Clinical psychology & psychotherapy
|December 20, 2023
概括
辩证行为疗法 (DBT) 对围产期心理健康有希望. 基于DBT的干预措施可以帮助高风险的孕妇,但需要更严格的研究.
科学领域:
- 围产期心理健康问题
- 心理干预 心理干预
- 辩证行为疗法是一种辩证行为疗法.
背景情况:
- 心理压力在怀孕期间很常见,影响护理人员和家庭.
- 高风险的担忧包括情绪失调,自杀倾向,自我伤害和危险行为.
- 对高风险围产期护理人员的有效干预措施是有限的.
研究的目的:
- 对围产期实施辩证行为疗法 (DBT) 进行范围审查.
- 确定现有研究并评估DBT原则在围产期护理中的应用.
- 为高风险围产期护理人员提供未来研究和临床实践的信息.
主要方法:
- 根据系统性审查和元分析 (PRISMA) 准则的首选报告项目进行范围审查.
- 确定和分析了七项研究,包括案例研究和单臂试点试验.
- 评估DBT组件的交付和遵守情况.
主要成果:
- 大多数研究使用了适应的DBT-informed协议,而不是完整的DBT.
- 很少有研究包含多个DBT组件 (技能组,个人治疗,电话指导,咨询团队).
- 基于DBT的干预措施显示出治疗围产期情绪障碍和改善情绪调节和育儿的潜力.
结论:
- 基于DBT的干预措施显示,初步支持解决围产期心理健康症状.
- 目前的文献有限,在围产期DBT研究中缺乏经验严格性.
- 进一步的研究和临床开发对于解决高风险护理人员的围产期心理健康危机至关重要.
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