实践者评价:治疗自伤的年轻人 - - 挑战和研究和临床实践建议
Katrina Witt1,2, Anne Stewart3, Keith Hawton4
1Centre for Youth Mental Health, The University of Melbourne, Parkville, Vic., Australia.
概括
防止年轻人反复自我伤害需要更好的研究和临床指导. 青少年辩证行为疗法 (DBT-A) 是有前途的,但需要更多证据,才能有效地对青少年自我伤害进行干预.
科学领域:
- 儿童和青少年精神病学
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 在年轻人中,特别是女性中,自我伤害和自杀率正在增加.
- 迫切需要有效的干预措施,以防止年轻人反复自我伤害.
- 现有研究在指导青少年自我伤害的临床实践方面存在局限性.
研究的目的:
- 审查和更新有关青年自我伤害干预措施的证据.
- 确定研究和临床实施治疗的挑战.
- 为临床医生提供实际指导,并建议未来的研究方向.
主要方法:
- 综合性文献审查和现有研究的综合.
- 分析开发,实施和评估治疗的挑战.
- 发现研究缺陷,并为未来的研究提出建议.
主要成果:
- 目前对有效的自我伤害干预措施的证据有限,对青少年辩证行为疗法 (DBT-A) 有一些支持.
- 未来的研究应该侧重于心理社会因素,行动机制,并让年轻人参与研究设计.
- 建议实用性,适应性和基于注册的随机对照试验来提高研究质量.
结论:
- 建议对临床实践进行全面的评估和配方.
- 如果有必要,应提供青少年辩证行为疗法 (DBT-A).
- 进一步开发和评估适应的认知行为疗法,以及关注治疗关系,家庭参与和员工培训,至关重要.
相关概念视频
Treatment Strategies for Psychological Disorders
103
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
103
Self-Help Support Groups
28
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
28
Self-Evaluation: Self-Enhancement and Self-Verification
5.2K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.2K
Modeling in Therapy
60
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...
60
Psychotherapy
80
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
80
Conduct Disorder
30
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;...
30


