在诊所转诊的青少年中自我伤害功能的模式:与治疗结果的关联
在PubMed上查看摘要
概括
此摘要是机器生成的。了解青少年自伤的原因是有效治疗的关键. 这项研究确定了自我伤害功能的不同模式, 其中一些与更高的自杀念头和持续的自我伤害行为有关.
科学领域
- 心理学
- 精神病学
- 青少年的健康
背景情况
- 自我伤害,包括自我伤害行为,被理论化为逃避,应对和情绪调节等功能.
- 了解这些功能对于改善自我伤害青少年治疗结果至关重要.
研究的目的
- 确定青少年自我伤害功能的不同模式 (潜伏类别).
- 检查这些自我伤害功能与随后的自杀念头和自我伤害行为之间的关系.
主要方法
- 自我伤害干预:家庭治疗试验数据的二次分析.
- 在832名青少年 (年龄在11-17岁,89%为女性) 中,使用了潜在类别分析来确定自我伤害功能模式.
- 参与者完成了关于自我伤害功能和自杀念头的结构化采访和问卷.
主要成果
- 发现了五种不同的潜在自我伤害功能:愤怒/绝望,焦虑/焦虑,混合人际内在,人际内在/内在化,以及少数自我伤害功能.
- 在12个月的随访期内,与少数自我伤害功能的类别相比,内向/内化类别的自杀念头显著增加.
- 焦虑/焦虑和内向/内向类的人比少数自我伤害功能类的人更有可能重新参与自我伤害治疗.
结论
- 青少年的自我伤害可以分为不同的功能模式.
- 识别这些功能类对于定制干预措施至关重要.
- 治疗方法应适应自我伤害行为的具体功能,以改善结果.
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