辩证行为治疗后12.4年,青少年的成年生活结果 - 一个随机临床试验
Lars Mehlum1, Iselin Solerød Dibaj2, Egil Haga2
1National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. lars.mehlum@medisin.uio.no.
European child & adolescent psychiatry
|January 16, 2026
概括
接受辩证行为疗法 (DBT-A) 治疗的青少年在自我伤害频率较低,相比于增强常规护理 (EUC). 这项研究为青少年自杀和自我伤害行为的人提供了持续的成年康复的希望.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 具有自杀和自我伤害行为的青少年面临着重大风险.
- 对这一群体进行专业治疗后的长期结果在很大程度上是未知的.
- 边界人格特征在青少年中很常见,这些青少年经常出现自杀和自我伤害行为.
研究的目的:
- 检查青少年的长期成年生活结果,这些青少年有反复的自杀和自我伤害行为和边界特征.
- 为了比较青少年辩证行为疗法 (DBT-A) 和增强常规护理 (EUC) 之间的结果.
主要方法:
- 一项随机试验比较了青少年的DBT-A和EUC,这些青少年有反复的自杀和自我伤害行为和边缘特征.
- 在61名参与者 (79%) 的随访中,平均年龄为28岁,从基线后大约12.4年.
- 评估主要结果,包括自我伤害频率,自杀念头和抑郁症状,以及边界症状和心理社会功能等次要结果.
主要成果:
- 与DBT-A组相比,EUC组的自我伤害事件发生率是DBT-A组的两倍多 (平均差异为12.4年内每人90次).
- DBT-A显示,自杀念头,抑郁和边缘症状的初始减少显著更强,尽管这些差异随着时间的推移而减少.
- 在目前的精神病发病率,自我报告的抑郁症状或最终随访时的整体功能方面没有观察到显著差异.
结论:
- 这项研究表明,反复出现自杀和自我伤害行为以及边缘特征的青少年在成年后具有持续恢复的现实前景.
- 像DBT-A这样的专业心理社会干预可以为减少这个脆弱人群的自我伤害行为提供长期的好处.
- 需要进一步的研究,以了解干预措施对成人功能各方面的持续影响.
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