在常规临床实践中对青少年进行辩证行为疗法的评估:一项前后研究
Anne Mari Syversen1, Viktor Schønning2, Gro Sydnes Fjellheim3
1Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, N-5021, Bergen, Norway. anne.mari.syversen@helse-bergen.no.
BMC psychiatry
|June 14, 2024
概括
青少年辩证行为疗法 (DBT-A) 在临床环境中显著减少了自我伤害行为. 这项研究表明DBT-A.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年健康 青少年健康
背景情况:
- 自伤和自杀念头是青少年的重要问题,导致残疾和危及生命的结果.
- 青少年辩证行为疗法 (DBT-A) 是一种减少自我伤害的既定干预措施.
- 在常规临床实践中DBT-A的有效性需要进一步调查.
研究的目的:
- 为了评估DBT-A在现实世界的临床环境中为青少年进行自我伤害行为的有效性.
- 评估接受DBT-A的参与者中自我伤害频率,自杀企图和住院治疗的变化.
- 在DBT-A治疗期间和之后检查自杀念头和情绪状态的变化.
主要方法:
- 在七个儿童和青少年心理健康门诊所进行了后续队列研究.
- 纳入标准包括最近的自我伤害,自杀行为,以及符合边界人格障碍 (BPD) 标准.
- 参与者接受了20周的DBT-A,包括多家庭技能培训和个人治疗,结果通过自我报告和医疗记录进行评估.
主要成果:
- 在整个20周的DBT-A治疗期间,观察到中等到大效果大小的自我伤害减少.
- 虽然住院治疗和自杀企图减少,但在自杀念头或情绪状态上没有发现统计学上显著的变化.
- 参与者平均参加了17.9个个人课程和14.7个小组技能培训课程.
结论:
- 在门诊儿童和青少年心理健康环境中的DBT-A治疗在减少自我伤害行为方面显示出有希望的结果.
- 这些发现支持DBT-A在例行临床实践中对青少年自我伤害的实用性.
- 进一步的研究可以探索持续的影响和有助于减少自我伤害的特定组件.
相关概念视频
Modeling in Therapy
65
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
65
Cognitive Therapy
151
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...
151
Psychodynamic Therapy
61
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
61
Operant Conditioning Intervention
56
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...
56
Rational Emotive Behavior Therapy
48
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...
48
Conduct Disorder
31
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
31


