King's College London, Institute of Psychiatry, London, UK.
Suicide Life Threat Behav. 2012 Jun;42(3):255-65. doi: 10.1111/j.1943-278X.2012.0087.x. Epub 2012 Mar 21.
Research shows poor decision making in adolescents who self-harm and a positive correlation between decision-making abilities and duration since last self-harm episode. This exploratory study investigated whether decision making in self-harming adolescents could be improved through treatment with a novel cognitive behavior therapy (CBT). It also investigated whether improvement in decision making following treatment was linked to self-harm cessation. Adolescent self-harmers receiving CBT (n = 24) or no treatment (n = 9) and healthy controls (n = 22) were longitudinally compared on the Iowa gambling task (IGT). Significant IGT improvements were only observed for adolescents who self-harm following CBT. CBT may benefit adolescent self-harmers and generate decision-making improvements.
研究表明，自残的青少年在决策方面存在问题，且其决策能力与最近一次自残行为之间存在正相关。本探索性研究调查了通过新型认知行为疗法（CBT）治疗是否可以改善自残青少年的决策能力。此外，还研究了治疗后决策能力的提高是否与停止自残有关。对接受 CBT（n=24）或未接受治疗（n=9）的青少年自残者和健康对照组（n=22）进行了纵向比较，比较的方法是爱荷华赌博任务（IGT）。仅在接受 CBT 治疗后自残的青少年中观察到 IGT 显著改善。CBT 可能有益于青少年自残者，并改善其决策能力。
