通过抑郁症治疗经验问卷对患有抑郁症和自杀的年轻人进行治疗经验的描述
Kendall N Drummond1, Andrew G Guzick1, Samuel D Spencer1,2
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.
Clinical psychology & psychotherapy
|June 11, 2025
概括
治疗抑郁症和自杀倾向的青少年经常使用基于证据的技术,但可能不知道他们的治疗类型. 一个新的问卷,DTEQ,评估这些治疗经验.
科学领域:
- 心理健康 心理健康
- 青少年心理学 青少年心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 抑郁症和自杀倾向是美国青少年的重要心理健康问题.
- 像CBT,DBT和IPT-A这样的基于证据的实践 (EBP) 存在,但可能在社区环境中不一致提供.
- 年轻人经常寻求心理治疗治疗这些条件.
研究的目的:
- 描述目前正在接受治疗的8-20岁年轻人患有抑郁症/自杀行为的治疗经历.
- 确定新的抑郁症治疗经验问卷 (DTEQ) 的构造有效性和测试复试可靠性.
- 评估已收到的治疗技术与EBP的一致性.
主要方法:
- 在接受心理治疗的585名青少年中使用了抑郁症治疗经验问卷 (DTEQ).
- 进行了因素分析,以确定DTEQ的结构 (基于证据的实践和家长参与因素).
- 评估DTEQ因子的内部一致性和测试-重新测试可靠性.
主要成果:
- 近一半的参与者 (42.4%) 报告接受了某种形式的认知行为疗法 (CBT).
- DTEQ展示了一个可靠的两要素结构:"基于证据的实践" (强大的可靠性) 和"家长参与" (可接受的可靠性).
- 参与者普遍支持EBP结合的技术,但许多人也结合了诸如运动和睡眠习惯改变等非治疗要素.
结论:
- 接受抑郁症/自杀倾向心理治疗的年轻人使用EBP技术,但对治疗类型的认识很低,这表明沟通缺口.
- DTEQ是评估治疗内容,结构和客户对EBP的理解的宝贵工具.
- 将运动和睡眠等生活方式的改变融入治疗中,对于整体的青少年心理健康护理至关重要.
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