认知行为治疗成人智障焦虑的临床挑战与对策

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Jill Pineda, Lisa Nowinski, Kirstin Birtwell, Jacob M Hooker, Joseph F McGuire, Christopher J McDougle, Robyn P Thom
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引用次数: 0

摘要

虽然认知行为疗法(CBT)是焦虑的一线治疗方法,但它通常不提供给智力残疾(ID)的人。在这篇文章中,我们从历史的角度提供了对患有ID的成年人心理健康问题的治疗,描述了一种适用于患有Williams综合征(WS)和轻度至中度ID的成人焦虑的CBT治疗,并讨论了对患有ID的成人CBT的一般修改。用于成功地将CBT应用于WS成人的策略可以更广泛地推广到ID成人,包括:(a)使用基于儿童的CBT手册作为框架;(b)让照顾者作为治疗伙伴;(c)包含高水平的重复;(d)简化语言;(e)放慢教学节奏;(f)纳入WS的具体例子和适应措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Challenges and Solutions in Adapting Cognitive Behavioral Therapy for Anxiety in Adults With Intellectual Disability.

While cognitive behavioral therapy (CBT) is a first-line treatment for anxiety, it is not typically offered to those with intellectual disability (ID). In this article, we provide a historical perspective on the treatment of mental health concerns in adults with ID, describe an adapted CBT treatment for anxiety in adults with Williams syndrome (WS) and mild to moderate ID, and discuss general modifications to CBT for adults with ID. Strategies used to successfully adapt CBT for adults with WS that may generalize for adults with ID more broadly include: (a) using child-based CBT manuals as a framework; (b) involving a caregiver as a therapy partner; (c) incorporating a high level of repetition; (d) simplifying language; (e) slowing the pace of instruction; and (f) incorporating specific examples and adaptations for WS.

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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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