改善自闭症个体的认知行为治疗:与从业人员的德尔菲调查。

IF 1.7 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Debbie Spain, Victoria Milner, David Mason, Hannah Iannelli, Chris Attoe, Ruwani Ampegama, Lorcan Kenny, Aleks Saunders, Francesca Happé, Karina Marshall-Tate
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引用次数: 3

摘要

越来越多的证据表明,个体和群体认知行为疗法(CBT)对自闭症患者有效,尤其是在治疗焦虑、强迫症和抑郁症方面。许多CBT研究都纳入了相对严格的标准,包括参与者纳入/排除标准,手动方法的提供以及治疗师培训和监督的保证。我们对常规认知行为治疗的效果知之甚少,更重要的是,我们不知道如何为自闭症患者提供更好的服务。本研究招募了50名CBT从业者进行三轮德尔菲调查。研究的目的是征求专业人士对自闭症患者接受CBT的障碍和有效性的看法,并就加强服务提供的方式以及CBT从业者对自闭症相关培训的需求达成共识。研究结果表明,自闭症患者获得有效CBT的六个障碍与服务提供、从业人员相关因素、客户相关因素、CBT相关因素、国家指南和系统考虑有关。与会者一致认为,五个领域的变化(特别是与流程问题、服务提供、从业者、技术和治疗方法有关)可以改善CBT治疗途径。关于CBT从业者的培训需求达成了共识:关于自闭症、CBT特定问题、共同发生条件和参与的培训被认为是加强实践的基础。参与者还确定了与自闭症相关的问题,以便进行临床监督。需要进一步的持续研究来确定适应的服务提供和改进的从业人员知识和技能对接受CBT治疗的自闭症患者的结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners.

There is emerging evidence of the effectiveness of individual and group cognitive behaviour therapy (CBT) for autistic individuals, in particular to address anxiety, obsessive compulsive disorder and depression. Many CBT studies have incorporated relatively stringent standards, with regards to participant inclusion/exclusion criteria, delivery of manualised approaches and assurance of therapist training and oversight. We know less about what happens in routine CBT practice and, importantly, how service provision can be improved for autistic individuals. The present study recruited 50 CBT practitioners to a three round Delphi survey. The aims were to elicit professionals' perspectives regarding barriers to the acceptability and effectiveness of CBT for autistic individuals, and to generate consensus, both about ways of enhancing service provision, as well as the autism-relevant training needs of CBT practitioners. Study findings indicated six barriers to accessible and effective CBT for autistic individuals, relating to service provision, practitioner-related factors, client-related factors, CBT-related factors, national guidelines, and systemic considerations. There was participant consensus that changes in five domains (specifically relating to process issues, service provision, practitioners, techniques and therapeutic approach) could improve the CBT care pathway. Consensus was generated about the training needs of CBT practitioners: training about autism, CBT-specific issues, co-occurring conditions and engagement, were deemed fundamental for enhancing practice. Participants also identified autism-relevant issues for clinical supervision. Further sustained research is needed to determine the effects of adapted service provision and improved practitioner knowledge and skills on the outcomes of autistic individuals who have CBT.

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来源期刊
CiteScore
3.50
自引率
18.80%
发文量
49
期刊介绍: The Journal of Rational-Emotive and Cognitive Behavior Therapy is an international journal that publishes scholarly original papers concerning Rational Emotive Behavior Therapy (REBT), Cognitive Behavior Therapy (CBT), behavior therapy, cognitive-behavioral hypnosis, and hypnotherapy, clinical and counseling psychology, psychiatry, mental health counseling, and allied areas of science and practice. The journal encourages scholarly debate amongst professionals involved in practice, theory, research, and training in all areas of scholarship relevant to REBT and CBT. The Journal is particularly interested in articles that define clinical practice and research and theoretical articles that have direct clinical applications. The Journal seeks theoretical discussions and literature reviews on the cognitive bases of the development and alleviation of emotional, behavioral, interpersonal, personality, and addictive disorders. We consider submissions on the applications of REBT and CBT to new areas of practice and client populations. The Journal considers the term Cognitive Behavior Therapy to represent a generic, overriding category or school of psychotherapy approaches that includes many different theories and techniques. The journals encourages research that clearly identifies the specific hypothetical constructs and techniques being measured, tested, and discussed, and the comparison of the relative influence of different cognitive processes, constructs, and techniques  on emotional and behavioral disturbance. The Journal provides a timely introduction to unexplored avenues on the cutting edge of REBT and CBT research, theory, and practice.The Journal  publishes:discussions of the philosophical foundations of psychotherapiestheory-buildingtheoretical articlesoriginal outcome research articlesbrief research reportsoriginal research on the support of theoretical models development of scales to assess cognitive and affective constructsresearch reviewsclinical practice reviewsempirically-based case studiesdescriptions of innovative therapeutic techniques and proceduresadvances in clinical trainingliterature reviews book reviewsUnder the guidance of an expanded, international editorial board consisting of acknowledged leaders in the field, the journal disseminates current, valuable information to researchers and practitioners in psychology, psychotherapy, psychiatry, mental health counseling, social work, education, and related fields.Manuscripts usually are less than 35 pages, double-spaced, and using 11 or 12-point font. If the authors need more space to communicate their research or ideas, they should write to the editors to discuss this issue and provide a rationale why more than the commended number of pages is needed.
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