积极搜索训练对易激青年的可行性、可接受性和有效性:单例实验设计

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Olivia M. Elvin, K. Modecki, A. Waters
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引用次数: 0

摘要

尽管易怒在年轻人中很常见,但对治疗的研究尚处于起步阶段。与低易怒青年相比,易怒青年的威胁偏见更为明显,这与焦虑青年的证据相似。因此,针对这些偏见的干预措施可能有助于减少易怒情绪。本研究采用多基线病例系列设计来确定积极搜索训练(PST)治疗易怒儿童的可行性、可接受性和有效性。纳入了三名儿童,他们符合破坏性情绪调节障碍(DMDD)的主要诊断标准,以及注意力缺陷多动障碍(ADHD)或严重抑郁障碍(MDD)的次要诊断标准。PST对三名参与者中的两名来说是可行的;一名儿童在一次治疗后拒绝继续治疗。对于完成PST的两名参与者来说,可接受性是稳定的,参与度和享受度为中到高,关键策略的治疗相关措辞也很高且稳定。这两例病例在整个治疗过程中DMDD的严重程度都有所下降,并且在治疗后不再符合标准。两名参与者在治疗后均符合对抗性违抗性障碍(ODD)的标准(被认为易怒程度低于DMDD)。父母报告的易怒情绪在这两种情况下都有所下降,但观察到一些回到了基线。总的来说,针对易怒青年的PST有望成为一种可接受和可行的干预措施。鉴于PST与破坏性行为障碍的高共病性,还需要进一步的研究将其与二级诊断策略相结合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Feasibility, Acceptability, and Efficacy of Positive Search Training for Irritable Youth: A Single-Case Experimental Design
Although irritability is common in youth, research on treatment is in its infancy. Threat biases are more pronounced in irritable compared to low irritable youth, similar to evidence found in anxious youth. Therefore, interventions targeting these biases may be promising for reducing irritability. This study utilised a multiple baseline case series design to determine the feasibility, acceptability, and efficacy of positive search training (PST) for irritable children. Three children were included who met criteria for a principal diagnosis of Disruptive Mood Dysregulation Disorder (DMDD), and a secondary diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) or Major Depressive Disorder (MDD). PST was feasible with two of the three participants; one child refused to continue after one session. For the two participants who completed PST, acceptability was stable with moderate-to-high ratings of engagement and enjoyment, and high and stable treatment-relevant verbalisations of the key strategies. Both cases showed declines in DMDD severity across treatment and no longer met criteria at post-treatment. Both participants met criteria for Oppositional Defiant Disorder (ODD) at post-treatment (considered less severe for irritability than DMDD). Declines in parent-reported irritability occurred for both cases, however some returns to baseline were observed. Overall, PST for irritable youth shows promise as an acceptable and feasible intervention. Further studies are needed combining PST with strategies for secondary diagnoses, given its high comorbidity with disruptive behaviour disorders.
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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