接受和承诺治疗对过渡年龄的青少年的有效性:一个元分析
Janna Keulen1, Maja Deković2, Matthijs Oud3
1Department of Clinical Child & Family Studies, Utrecht University, Utrecht, The Netherlands. j.keulen@uu.nl.
Clinical child and family psychology review
|September 3, 2025
概括
接受和承诺治疗 (ACT) 在改善过渡年龄青年 (TAY) 的心理健康方面表现出中等效果. 然而,证据质量较低,需要进一步进行高质量的研究.
科学领域:
- 心理学
- 临床心理学
- 心理健康干预措施
背景情况:
- 过渡年龄的青年 (TAY) 面临着重大的心理挑战.
- 接受和承诺治疗 (ACT) 是一个潜在的干预措施.
研究的目的:
- 在各种心理结果中对ACT对TAY的疗效进行元分析.
- 通过元回归来探索影响ACT有效性的因素.
主要方法:
- 对65项研究 (n=5283) 的数据进行了三级元分析模型.
- 基于研究和干预特征的元回归分析检查了效果大小的变化.
主要成果:
- ACT对心理病理学,ACT过程,幸福感和应对表现有中等影响 (Hedges g=0. 72).
- ACT比等待列表和TAU更有效,但与CBT和其他积极治疗方法相比.
- 由于偏见,异质性和出版偏见的风险,证据质量被评为非常低.
结论:
- 在TAY中,ACT似乎有效减少精神病态,增强心理灵活性,幸福感和应对能力.
- 未来的研究应优先考虑采用更大样本,主动对照和更长时间的TAY群体的高质量研究.
相关概念视频
Modeling in Therapy
145
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
145
Cognitive Therapy
262
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
262
Rational Emotive Behavior Therapy
110
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
110
Elements Crucial for Effective Psychotherapy
112
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...
112
Humanistic Therapy
102
Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
102
Erikson's Theory on Socioemotional Development during Adolescence
353
Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and "What is my place in...
353


