治疗联盟和自杀念头在门诊患者的简短认知行为疗法中
Laura Melzer1, Thomas Forkmann2, Sören Friedrich3
1Mental Health Research and Treatment Center, Faculty of Psychology, Ruhr-Universität Bochum, Massenbergstraße 9-13, 44787, Bochum, Germany. laura.melzer@rub.de.
BMC psychiatry
|October 31, 2024
概括
这项研究发现,在简短的认知行为疗法 (CBT) 中,治疗联盟和自杀倾向之间没有联系. 联盟的质量没有预测治疗期间自杀念头的变化.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 治疗联盟是有效心理治疗的基石.
- 有限的研究存在于治疗联盟和自杀倾向之间的相互作用.
- 了解这种关系对于优化心理健康治疗至关重要.
研究的目的:
- 调查治疗前的自杀倾向是否会影响短期认知行为疗法 (CBT) 的联盟形成.
- 确定治疗联盟是否预测自杀念头的变化,从治疗前期到治疗后期.
主要方法:
- 一组643名门诊患者接受了12次基于手动的短期CBT.
- 自我报告措施评估了治疗前和治疗后的自杀念头和行为.
- 患者评估的治疗联盟在治疗中期和后期被测量;进行了相关性和回归分析.
主要成果:
- 治疗前的自杀念头没有预测早期治疗联盟的质量.
- 没有发现治疗联盟在整个治疗期间预测自杀念头的变化.
结论:
- 在门诊CBT环境中,治疗联盟和自杀性之间没有发现显著的关联.
- 建议进行进一步的研究,以探索治疗联盟在各种临床环境中对自杀行为的预测作用.
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