对于冲动性攻击性行为青少年的认知行为疗法:一个随机对照试验
Hassan Soleimani-Rad1, Abbas Abolghasemi1, Iraj Shakerinia1
1Department of Psychology, Faculty of Humanities, University of Guilan, Rasht, Iran.
Early intervention in psychiatry
|March 9, 2026
概括
认知行为疗法 (CBT) 有效地减少了攻击性,并改善了间歇性爆炸性障碍 (IED) 的青少年的情绪控制. 这些积极的结果在3个月的随访中得到维持,为冲动行为提供了有前途的治疗方法.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 冲动攻击性行为在寻求心理健康服务的年轻人中很常见.
- 儿童和青少年间歇性爆炸性障碍 (IED) 的有效心理治疗干预措施有限.
- 这项研究调查了青少年IED的认知行为疗法 (CBT).
研究的目的:
- 评估CBT在治疗被诊断患有IED的青少年中的有效性.
- 评估CBT对侵略,情绪调节和冲动控制的影响.
- 为了确定治疗效益是否随着时间的推移而保持.
主要方法:
- 一个随机对照试验,具有测试前/测试后设计和3个月的随访.
- 42名带有IED的青少年被随机分配到CBT或等候名单对照组.
- 接受CBT组每周接受12次会议;评估发生在基线,治疗后和随访.
主要成果:
- 与对照组相比,CBT显著降低了公开的侵略性,敌对的自动思想和情绪失调.
- 接受CBT组的青少年表现出更好的冲动控制 (更短的停止信号反应时间,更长的延迟时间) 和整体功能.
- 在3个月的随访中,治疗效果保持不变,通过反复测量ANOVA证实了这一点.
结论:
- 针对认知,情绪失调和自我控制缺陷的综合性多组件CBT对青少年IED有效.
- CBT提供了一个可行的基于证据的治疗方法,用于改善这一群体的行为和情绪结果.
- 研究结果支持使用CBT作为对青少年冲动性攻击行为的关键干预措施.
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