确定青少年无情无情特征的治疗要素:一个系统的叙事审查
Pamela M Waaler1, Josefine Bergseth2, Linda Vaskinn3
1Department of Special Needs Education, University of Oslo, Oslo, Norway. p.m.waaler@isp.uio.no.
Child and adolescent psychiatry and mental health
|September 3, 2024
概括
对于具有无情无情 (CU) 特征的青少年的治疗显示出有限的成功. 共同元素包括技能培养和家长培训,但实施细节往往缺失,需要进一步研究.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 具有无情无情 (CU) 特征的青少年面临严重的长期风险,包括精神病变和监禁.
- 目前对专门针对CU特征青少年的有效干预措施的了解有限.
- 确定特定的治疗要素及其有效性对于改善治疗结果至关重要.
研究的目的:
- 系统地审查现有文献,并确定用于具有CU特征的青少年 (12-18岁) 的心理社会干预措施.
- 在这些干预中确定常规实践和过程元素.
- 评估这些治疗方法在减少CU特征方面的报告有效性.
主要方法:
- 进行了叙事系统审查.
- 包括随机对照试验和准实验性研究,对具有CU特征的青少年进行心理社会干预.
- 研究重点关注在临床环境中为青少年或家庭提供干预措施.
主要成果:
- 分析了8项涉及1291名参与者的研究.
- 一小部分研究报告了CU特征的显著减少.
- 通常使用的实践元素包括目标设定,技能培养 (人际关系/沟通),终止准备和家长培训.
- 关键的过程要素包括正式治疗,实践练习,涉及其他重要的人,以及灵活的适应.
- 实施要素经常没有报告.
结论:
- 对于CU儿童的现有理论框架可能无法直接适用于青少年.
- 目前针对CU特征青少年的治疗方法的经验证据有限.
- 迫切需要进一步的研究来开发和验证针对这一群体的有效干预措施.
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