在青少年自伤治疗中,家长批评的轨迹
Madison Aitken1,2,3, Florence Perquier1, Bomi Park3
1Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, ON, Canada.
概括
家长的批评会影响青少年自我伤害治疗的结果. 越来越多的批评轨迹预测年轻人的心理健康反应较差,父母的痛苦增加,这表明目前的干预措施可能无法完全解决父母因素.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 家庭治疗研究 家庭治疗研究
背景情况:
- 父母的批评是造成青少年不良心理健康结果的重要危险因素,包括自我伤害.
- 它还可以限制心理社会干预的有效性,青少年经历自我伤害.
研究的目的:
- 在治疗青少年自我伤害的过程中,确定父母批评的不同轨迹.
- 根据这些轨迹与青少年和家长心理健康治疗结果的相关性,对这些轨迹进行比较.
主要方法:
- 对自我伤害干预的二次分析:家庭治疗试验数据 (N=831).
- 利用增长混合模型识别基线,3个月和6个月的家长批评轨迹.
- 青年自我伤害,自杀念头,抑郁,绝望和父母精神困扰的比较轨迹.
主要成果:
- 确定了四种家长批评轨迹:高/稳定 (51.6%),急剧下降 (7.6%),低/稳定 (37.2%) 和增加 (3.6%).
- 越来越多的批评群中的年轻人显示,自杀念头的改善较小.
- 在越来越多的批评轨迹小组中,父母的精神困扰增加了.
结论:
- 目前针对青少年自我伤害的治疗方法可能不足以减少家长的批评.
- 越来越多的家长批评可能预示着对干预措施的反应较差,并表明家长精神困扰的增加.
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