接受与承诺疗法治疗一名患有失音症的成年女性:案例研究。

IF 1.3 4区 医学 Q3 PSYCHIATRY
Samuel D Spencer, Katie H Mangen, Yasmine Omar, Eric A Storch
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引用次数: 0

摘要

失音症的特征是对人类发出的特异性和重复性声音(即诱因)的耐受性降低,再加上基于情感的反应,从而导致损伤和痛苦。失音症通常在青年时期发病,在关键的发育时期(包括成年期)尤为突出。虽然人们一直在努力开发针对失声症的干预措施,但对于推荐的一线治疗方法尚未达成共识。接受与承诺疗法(ACT)通过针对心理弹性过程来治疗各种精神疾病,已被证明具有疗效,它是治疗失音症的一种潜在可行方法。本案例研究描述了对一名 20 岁出头的患有失音症的黑人女性进行的 12 次 ACT 干预治疗。在 4 个时间点(治疗前、治疗中、治疗后和 2 个月的随访)收集的描述性数据表明,ACT 作为一种治疗失音症的方法,在改善心理灵活性过程、减少继发性抑郁和焦虑症状方面具有潜在的前景。研究结果将结合 ACT 最有可能导致失声症相关临床改善的可能机制进行讨论。需要进行更严格的研究(如临床试验),以证实现有病例研究中令人鼓舞的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acceptance and Commitment Therapy for an Emerging Adult Female With Misophonia: A Case Study.

Misophonia is characterized by decreased tolerance to idiosyncratic and repetitive human-generated sounds (ie, triggers), coupled with affective-based reactions that result in impairment and distress. Often having its onset in youth, misophonia can become especially prominent during key developmental periods, including emerging adulthood. While efforts to develop interventions for misophonia remain ongoing, a consensus has not yet been reached concerning recommended first-line treatments. Acceptance and commitment therapy (ACT), which has demonstrated efficacy in treating various psychiatric disorders via targeting psychological flexibility processes, represents one potentially feasible approach for addressing misophonia. This case study describes the application of an individually delivered, 12-session ACT intervention for a black female in her early 20s with misophonia. Descriptive data collected at 4 time points (pretreatment, mid-treatment, posttreatment, and at 2-month follow-up) suggested the potential promise of ACT as a treatment for misophonia, improving psychological flexibility processes and reducing secondary depression and anxiety symptoms. Findings are discussed in the context of the possible mechanisms of ACT most likely responsible for misophonia-related clinical improvement. More rigorous studies (eg, clinical trials) are needed to confirm promising findings from existing case studies.

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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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