对与少数身份构造患者进行辩证行为疗法的范围审查
Frances M Aunon1, Polly Ingram1, Noah Wolkowicz1
1VA Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT 06517; Yale School of Medicine, 333 Cedar St, New Haven, CT 06510.
Counselling and psychotherapy research
|December 22, 2025
概括
辩证行为疗法 (DBT) 适应在不同的人群中很常见,但变化的原因往往是缺失的. 记录这些调整及其理由对于有效实施至关重要.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 实施科学 实施科学
背景情况:
- 辩证行为疗法 (DBT) 是一种基于证据的心理干预,用于减少自杀行为.
- 首次开发和评估的DBT是在西方,主要是白人群体.
- 在全球范围内,DBT的应用已经扩展到各种患者群体.
研究的目的:
- 评估如何采用或适应辩证行为疗法 (DBT) 对具有少数身份构造的患者群体.
- 用实施科学框架来描述DBT内容和背景中的适应性.
- 在不同临床环境中确定DBT修改背后的频率和理由.
主要方法:
- 对273篇文章进行了以PRISMA为指导的范围审查.
- 包括提到DBT并描述少数成年患者群体的研究.
- 使用报告调整和修改增强框架 (FRAME) 来对DBT修改进行分类.
主要成果:
- 83.5%的审查文章报告了对DBT内容的调整 (减少,扩展或更改).
- 42.1%的文章报告了对DBT环境的调整.
- 大多数调整 (57.5%的内容,65.3%的上下文) 缺乏具体的理由.
结论:
- 大多数使用DBT对少数群体进行DBT的研究适应了治疗.
- 值得注意的是,这些DBT调整缺乏提供理由.
- 进一步的研究应该集中在记录适应和评估其临床和实施结果.
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