在辅助生活中进行辩证行为治疗技能培训:对目标实现,自我有效性和症状严重性的跨诊断影响
Philipp Koziol1, Carina Florin1, Kathleen Heft2
1Division of Psychotherapy, Department of Psychology, University of Salzburg, Salzburg, Austria.
Frontiers in psychiatry
|October 23, 2025
概括
辩证行为疗法技能培训 (DBT-ST) 对辅助生活居民最初显示出希望,但在多次比较后,在实现目标或痛苦方面没有产生统计学上显著的改善. 对于情境敏感的适应,需要进一步的研究.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 辩证行为疗法技能培训 (DBT-ST) 是一种基于证据的情绪调节和福祉干预.
- 它在长期住院护理环境中的有效性和可行性尚未得到充分证实.
- 住院住户可能会从针对心理困扰和自我效能的干预中受益.
研究的目的:
- 为了研究一个为期8周的DBT-ST计划在辅助生活居民的有效性.
- 评估目标实现,自我效能和心理痛苦的变化.
- 评估在住院护理中实施DBT-ST的可行性.
主要方法:
- 来自四个辅助生活设施的52名居民参加了为期8周的DBT-ST小组计划.
- 由设施心理学家和监督人员提供的干预.
- 通过自我报告来衡量结果:目标实现,自我效能 (ASKU) 和心理痛苦 (K10).
主要成果:
- 观察到目标实现 (p = .040) 和心理困扰 (p = .034) 的初步改善.
- 这些名义上的改进在经过邦费罗尼校正后并没有保持显著.
- 在干预后和后续评估之间没有发现任何显著变化.
结论:
- 8周的DBT-ST计划证明了在辅助生活环境中的初步可行性.
- 统计学上显著的改进并未始终实现,突出挑战.
- 未来的研究应该专注于DBT-ST对这一群体的上下文敏感的适应.
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