在ADHD成年人中使用CBT的经验:一种混合方法研究
Sandy William1, Matthew Horrocks2,3, Jemma Richmond4
1School of Psychology, University of Nottingham, Nottingham, United Kingdom.
Frontiers in psychiatry
|July 4, 2024
概括
患有注意力缺陷多动症 (ADHD) 的成年人发现通用认知行为疗法 (CBT) 无助且压倒性. 适应ADHD的CBT对于有效性至关重要,并防止潜在的伤害.
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
- 神经发育障碍 神经发育障碍
背景情况:
- 国家卫生和护理卓越研究所 (NICE) 建议认知行为疗法 (CBT) 治疗成人注意力缺陷多动性障碍 (ADHD).
- 现有的文献经常讨论适应性CBT,对患者在常规实践中使用标准CBT的经验的理解有限.
研究的目的:
- 探索在常规临床环境中接受CBT的ADHD成年人的经验和感知.
- 了解CBT对管理ADHD症状的感知帮助性和有效性.
主要方法:
- 一种混合方法的方法,结合了调查 (n=46) 和半结构面试 (n=10).
- 专题分析用于采访数据,描述性叙述用于调查数据.
主要成果:
- 关键主题包括通用和严格的CBT框架的困难,以及治疗师缺乏专业化或同情心的问题.
- 参与者报告CBT没有帮助,压倒性,并可能有害,突出需要ADHD特定的适应.
结论:
- 标准的,不适应的CBT可能对ADHD的成年人来说是无效和有害的.
- 英国的临床实践应该适应CBT的交付,使其与NICE的指导方针保持一致,确保更好的结果,并减轻ADHD患者的伤害.
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