情绪意识和技能增强 (EASE) 计划在自闭症中的有效性:一个随机对照试验
Susan W White1, Caitlin M Conner2, Kelly Beck2
1The University of Alabama, Tuscaloosa, Alabama.
概括
情绪意识和技能增强 (EASE) 计划有效地减少了自闭症青少年和年轻成年人的情绪失调. 与对照组相比,这种基于正念的干预措施显示了情绪反应和情绪障碍症的显著改善.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 发育神经科学的发展神经科学.
背景情况:
- 自闭症青少年和成年人经常经历情绪失调,需要有针对性的心理健康干预.
- 倡导增加对自闭症患者心理健康支持的研究正在进行中.
研究的目的:
- 评估情绪意识和技能增强 (EASE) 计划的有效性,这是一种心理治疗干预,用于改善自闭症青少年和年轻成年人的情绪失调.
- 将EASE程序与严格的主动控制条件 (ACC) 进行比较.
主要方法:
- 一个多站点随机对照试验,涉及109名参与者 (102人开始治疗,89人完成).
- 以正念为基础的干预EASE计划与旨在提供个性化,基于证据的支持而设计的ACC相比较,排除了EASE核心元素.
- 进行了治疗意图 (ITT) 和每协议 (PP) 分析.
主要成果:
- 与ACC相比,EASE参与者表现出情绪失调 (反应和失调) 的统计显著下降.
- 虽然EASE组的治疗反应率较高 (63%对44%),但这并没有达到统计学意义 (p = .052).
- EASE参与者在内化和外化症状方面有所改善 (自我和护理人员报告),而ACC参与者仅在护理人员报告的外化症状方面有所改善.
结论:
- EASE计划在改善自闭症青少年和年轻成年人的情绪失调方面表现出有效性.
- 研究结果表明,EASE程序是这个群体的可行的治疗选择.
- 治疗剂量可能会影响结果,PP分析中更强效应表明了这一点.
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