个人,群体,家庭和联合治疗格式对自杀倾向的比较有效性:一个元分析
Nikki Lyka van Eijk1,2, Renske Gilissen1,2, Daan Creemers3,4
1113 Suicide Prevention, Amsterdam, the Netherlands.
Clinical psychology & psychotherapy
|July 2, 2025
概括
综合心理治疗,将个人课程与小组或家庭治疗相结合,显著减少了自杀企图. 与单一模式相比,这种方法提供了一个更有效的策略来管理自杀倾向.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 基于证据的实践.
背景情况:
- 心理治疗干预旨在改善自杀行为治疗结果.
- 针对自杀结果的现有干预措施的效果大小相对较小,需要进一步研究最佳治疗形式.
- 了解不同心理治疗方式的比较疗效对于临床决策至关重要.
研究的目的:
- 评估个人,团体,家庭和联合心理治疗形式在减少自杀念头和企图方面的有效性.
- 通过元分析综合随机对照试验 (RCT) 的证据.
- 为了确定哪些治疗方法产生最大的自杀结果效果大小.
主要方法:
- 系统地搜索到2024年4月1日之前发布的RCT的数据库.
- 纳入标准:任何心理健康问题,任何环境,任何对照组,报告自杀想法或企图.
- 使用混合效应模型的元分析,由两个研究人员独立提取数据和进行质量评估.
主要成果:
- 个人治疗 (g = -0.33) 和小组治疗 (g = -0.39) 显著减少了自杀念头.
- 个人治疗 (RR = 0.75),组合的个人和团体治疗 (RR = 0.42),以及组合的个人和家庭治疗 (RR = 0.59) 在减少自杀企图方面是有效的.
- 与单一疗法相比,组合疗法在减少自杀企图方面显示出显著更大的效果大小 (p < 0.001).
结论:
- 结合心理治疗方法,将个人会议与小组或家庭会议相结合,在减少自杀企图方面非常有效.
- 这些联合策略产生了显著更高的效果大小,将自杀企图风险降低了约50%.
- 这些发现支持临床采用联合治疗策略,以有效管理自杀倾向.
相关概念视频
01:25Elements Crucial for Effective Psychotherapy
115
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
115
01:28Psychotherapy
177
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
177
01:24Treatment Strategies for Psychological Disorders
285
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
285
01:26Group Therapy
90
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
90
01:30Electroconvulsive Therapy
203
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
203
01:25Interpersonal Psychotherapy
101
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
101