在辩证行为疗法过程中情绪调节的变化:对两个样本的非自杀性自伤和暴饮暴食的影响
Lauren M Harris1,2, Emily R Weiss3, Margaret T Davis3
1Mental Health Service, Ann Arbor VA Medical Center, Ann Arbor, Michigan, USA.
Clinical psychology & psychotherapy
|November 20, 2024
概括
辩证行为疗法 (DBT) 减少了自我伤害和暴饮暴食等有害行为. 然而,改进的情绪调节 (ER) 并不能完全解释退伍军人的这些减少,这表明可能涉及其他因素.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 辩证行为疗法 (DBT) 对于情绪失调是有效的.
- DBT减少了非自杀性自伤 (NSSI) 和过度饮食.
- 在DBT的有效性中,情绪调节 (ER) 的作用受到辩论.
研究的目的:
- 检查是否改善ER调解DBT对NSSI和暴饮暴食的影响.
- 在两个不同的临床样本中调查DBT对ER,NSSI和暴饮暴食的影响.
- 确定ER变化在多大程度上解释了行为减少.
主要方法:
- 两个样本:189名退伍军人在门诊DBT,117名平民在密集的门诊DBT.
- 对ER,NSSI和在治疗期间过度饮食的变化进行纵向分析.
- 统计检查ER作为行为变化的调解者.
主要成果:
- 在退伍军人中,DBT改善了ER并减少了NSSI/暴饮暴食,但ER变化没有调解这些减少.
- 在平民中,DBT对ER和行为的影响并不显著.
- 研究结果表明,ER并不是DBT对NSSI和暴饮暴食影响的唯一机制.
结论:
- 针对自我伤害和暴饮暴食的DBT的有效性可能涉及到超出ER的机制.
- 治疗设置,持续时间和样本严重程度可能会影响DBT的结果.
- 需要进一步的研究来阐明DBT的多面性途径.
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