治疗自我伤害的关系式方法 (RELATE):一种可行性随机对照试验,针对自我伤害的成年人进行认知分析疗法,与通常的治疗相比
Peter James Taylor1, Isabel Adeyemi2, Katie Marlow3
1Division of Psychology & Mental Health, School of Health Sciences, University of Manchester, Manchester Academic Health sciences Centre, UK.
Psychiatry research
|November 29, 2025
概括
这项研究发现,八次认知分析疗法 (CAT) 对自伤的成年人来说是一个可行的干预措施,有望减少冲动和痛苦. 建议在最终的试验中进行进一步评估.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 在NHS中,自我伤害的心理支持有限.
- 认知分析疗法 (CAT) 显示出自我伤害的个体的潜力.
- 一个简短的,八个会议版本的CAT已经开发用于评估.
研究的目的:
- 评估在最终试验中评估8个会话CAT的可行性.
- 为了评估成人门诊患者的简短CAT,他们自我伤害.
- 为了确定是否需要进行更大规模的试验.
主要方法:
- 八次CAT的随机对照试验 (RCT) 的可行性.
- 自伤的成人门诊患者被随机 (1:1) 分给CAT+通常治疗 (TAU) 或单独TAU.
- 在基线,12周和18周进行Rater盲评估.
主要成果:
- 招聘 (n=60),保留 (92%) 和数据完整 (<7%) 符合可行性标准.
- 治疗参与度很高 (90%的患者参加了4次以上的治疗).
- 与TAU相比,在CAT手臂中观察到自我伤害冲动和心理痛苦的显著减少.
结论:
- 这项研究支持评估简短CAT自我伤害的可行性.
- 进展到最终的疗效试验是合理的.
- 简要的CAT显示,在治疗成年人自我伤害方面初步有希望.
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