远程医疗为青少年提供彻底开放的辩证行为疗法 (RO DBT-A):试点混合方法研究
Molly Fennig1, Uchechukwu Agali1, Melinda Looby1
1Department of Psychological and Brain Sciences, Washington University in St. Louis (Fennig); Department of Psychiatry, Washington University School of Medicine, St. Louis (Agali, Looby, Gilbert).
American journal of psychotherapy
|March 20, 2024
概括
这项研究表明,远程医疗为青少年提供激进开放的辩证行为治疗 (RO DBT-A) 有效地减少了过度控制,并改善了青少年的心理健康. 定性发现确定了治疗障碍和时间作为放弃的原因.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年心理学 青少年心理学
- 行为治疗是一种行为疗法.
背景情况:
- 过度控制障碍在青春期出现,通常伴有高并发症和治疗反应差.
- 激进开放的辩证行为疗法 (RO DBT) 是一种过度控制的跨诊断治疗方法.
- 由于这些疾病的发育阶段,适应青少年的RO DBT (RO DBT-A) 是至关重要的.
研究的目的:
- 为了测试远程医疗提供RO DBT-A的初步疗效.
- 在多元化的过度控制的青少年群体中评估RO DBT-A.
- 探索参与者的经验和学原因.
主要方法:
- 一个由20名女性青少年 (年龄在13-21岁) 组成的样本,具有较高的过度控制率.
- 在20周的时间里,RO DBT-A通过技能小组和个人课程为13名参与者提供.
- 对照组 (N=7) 接受其他治疗或不接受治疗;结果包括自我报告的症状和过度控制.
主要成果:
- 与对照组相比,RO DBT-A组在抑郁症和生活质量方面显著改善.
- 接受RO DBT-A的青少年从基线到治疗后的不适应性过度控制,焦虑,抑郁和生活质量显著改善.
- 定性分析确定了与治疗障碍,促进者和时间相关的主题.
结论:
- 远程医疗提供的RO DBT-A显示了针对青少年过度控制和减少症状的初步有效性.
- 在治疗组中观察到生活质量的改善.
- 退学原因包括与治疗有关的障碍和与其他干预相比的治疗时间.
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