辩证行为疗法的有效性和安全性,用于自杀想法和自闭症成年人的行为:一个务实的随机对照试验
Anne Huntjens1,2, L M C Wies van den Bosch3, Bram Sizoo4
1Department of Clinical Psychology and Public Mental Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands.
Psychological medicine
|April 12, 2024
概括
辩证行为疗法 (DBT) 有效地减少了自闭症成年人的短期自杀念头和尝试. 虽然对抑郁症的益处持续存在,但对自杀行为的影响在12个月后减少.
科学领域:
- 临床心理学 临床心理学
- 神经发育障碍 神经发育障碍
- 心理健康干预 心理健康干预
背景情况:
- 获得心理健康服务的自闭症成年人表现出高水平的自杀想法和行为.
- 迫切需要有效的干预措施来解决这一群体内的自杀倾向.
研究的目的:
- 评估辩证行为疗法 (DBT) 与通常治疗 (TAU) 相比,在自闭症成年人中减少自杀想法和自杀企图的有效性.
- 评估DBT对二次结果的影响,包括抑郁症严重程度和社会焦虑.
主要方法:
- 一项随机对照试验,涉及123名自闭症成年人 (18-65岁),在6个荷兰心理健康中心有自杀行为史.
- 参与者被分配到DBT干预或TAU.
- 对自杀念头,自杀企图,抑郁和社会焦虑的评估是在基线,6个月 (治疗后) 和12个月 (随访) 进行的.
主要成果:
- 与TAU相比,DBT在治疗后立即显著减少了自杀想法和自杀企图.
- 这些对自杀行为的显著影响在12个月的随访中没有维持.
- 在6个月和12个月后,DBT导致抑郁症严重程度的显著和持续减少.
- 没有观察到对社会焦虑的显著影响.
- 在TAU组中发生了两起自杀事件,突出了研究群体中自杀行为的严重性.
结论:
- 辩证行为疗法 (DBT) 是一种可接受的,安全的,短期有效的干预措施,用于减少自杀想法和自杀行为的自闭症成年人的尝试.
- 在这个人群中,DBT对抑郁症有持续的益处.
- 可能需要进一步的研究来探索长期战略,以保持减少自杀行为.
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