性和性别少数群体青少年在辩证行为治疗计划中的临床结果
J Camp1,2, G Durante3, A Cooper3
1National & Specialist CAMHS, DBT Service, South London & Maudsley NHS Foundation Trust, Micheal Rutter Centre, Maudsley Hospital, London, UK.
Behavioural and cognitive psychotherapy
|April 8, 2024
概括
辩证行为疗法 (DBT) 显示出改善性和性别少数群体 (SGM) 青少年心理健康的前景. 虽然治疗完成率在各组之间是相似的,但需要进一步的研究来解决SGM年轻人吸收和结果的潜在差异.
科学领域:
- 青少年精神病学 青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 性欲和性别少数群体 (SGM) 青少年面临自伤和自杀的更高风险,以及对心理健康护理的重大障碍.
- 辩证行为疗法 (DBT) 在治疗青少年自我伤害和情绪失调方面的有效性得到了认可.
- 有限的研究存在于DBT的结果,特别是SGM年轻人.
研究的目的:
- 评估SGM青少年的治疗结果和DBT完成率,与他们的 cisgender 和异性恋同龄人相比.
- 检查性取向和性别认同群体在治疗前和治疗期间治疗中断率的差异.
- 评估到DBT治疗结束时情绪失调,自我伤害,住院,急诊和边界人格障碍,抑郁症和焦虑症症状的变化.
主要方法:
- 来自英国儿童和青少年心理健康服务 (CAMHS) 专家DBT计划的治疗数据的回顾性分析.
- 根据性取向和性别认同分层的治疗完成率和放弃率的比较.
- 评估临床措施的治疗前后变化,包括情绪失调,自我伤害和精神症状.
主要成果:
- 根据一般人口数据,SGM青少年在服务中比预期的更为普遍,甚至考虑到他们自我伤害风险较高.
- 在性取向和性别认同组之间没有观察到治疗完成的统计学意义上的差异.
- 初步的模式表明SGM青少年的治疗开始和完成的潜在差异需要进一步调查.
- 在所有组中,治疗完成者的临床结果都得到改善,除了少数例外.
结论:
- 在专业精神卫生机构内,DBT可能是SGM青少年的可行和有效治疗方法.
- 结果是基于小的子样本,应该谨慎地解释,以告知未来的研究方向.
- 需要进一步的研究来证实这些早期迹象,并探索各种SGM种群对治疗反应的潜在细微差别.
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