接受和承诺疗法可以减少自杀倾向患者对外感的排斥
Emilie Olié1,2,3,4, Manon Malestroit5,6, Véronique Brand-Arpon7
1IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France. e-olie@chu-montpellier.fr.
Annals of general psychiatry
|February 7, 2025
概括
接受和承诺疗法 (ACT) 减少了那些有过自杀企图的个体的社会痛苦. 这表明ACT可能有助于管理排斥和降低自杀风险.
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:
- 排斥是抑郁症和自杀行为的一个重要危险因素.
- 基于正念的疗法,如接受和承诺疗法 (ACT),显示出减轻社会痛苦和负面情绪的潜力.
研究的目的:
- 调查ACT与渐进性放松疗法 (PRT) 相比,ACT在减少近期自杀未遂历史的个人中社会痛苦方面的有效性.
- 探索社会痛苦变化与ACT核心治疗过程之间的关系.
主要方法:
- 这是一项随机对照试验,涉及32名在过去一年内有过自杀企图的患者.
- 参与者每周接受七次ACT或PRT课程.
- 在基线和治疗后使用网络球游戏和需要威胁量表 (NTS) 评估了社会痛苦.
主要成果:
- 与PRT相比,ACT显著降低了社会痛苦,这与其对抑郁症状的影响无关.
- 干预后的NTS分数在ACT组中较低 (表明较少的社会痛苦).
- 社会困境的改善与增加的正念,减少的认知融合和增加的接受度相关.
结论:
- 动作证明了治疗潜力管理与排斥相关的社会痛苦.
- 这些发现强调了ACT在通过解决社会困境来减少自杀念头方面的作用.
- 在减少社会痛苦方面,ACT的有效性与提高正念,认知融合和接受度有关.
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