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口吃成人的接纳与承诺疗法:心理社会适应和言语流畅性。

Acceptance and Commitment Therapy for adults who stutter: psychosocial adjustment and speech fluency.

机构信息

School of Psychology and Speech Pathology, Curtin Health Innovation Research Institute, Curtin University, GPO Box U 1987, Perth, Western Australia 6845, Australia.

出版信息

J Fluency Disord. 2012 Dec;37(4):289-99. doi: 10.1016/j.jfludis.2012.05.003. Epub 2012 Jun 6.

Abstract

UNLABELLED

The aim of the present study was to assess the effectiveness of an Acceptance and Commitment Therapy group intervention program for adults who stutter (N=20). The program consisted of 2-h therapeutic sessions conducted weekly for eight consecutive weeks. It was an integrated program designed to improve: (a) psychosocial functioning, (b) readiness for therapy and change, (c) utilisation of mindfulness skills and psychological flexibility, and (d) frequency of stuttering. The findings provide innovative evidence for Acceptance and Commitment Therapy as an effective intervention with statistically significant improvements in psychosocial functioning, preparation for change and therapy, utilisation of mindfulness skills, and overall speech fluency. Follow-up data collected at three months post-treatment revealed that therapeutic gains were successfully maintained over time. These findings enhance the understanding of the impact of stuttering on psychological wellbeing and offer a new perspective on what might constitute successful stuttering treatment. Further, clinical research support is provided for Acceptance and Commitment Therapy delivered in a group format as a promising and novel intervention for adults who stutter.

EDUCATIONAL OBJECTIVES

The reader will be able to: (a) appreciate the potential for Acceptance and Commitment Therapy for adults who stutter; (b) identify the improvements participants experienced in psychosocial functioning and frequency of stuttered speech; (c) appreciate the six core processes of Acceptance and Commitment Therapy; and (d) appreciate the differences between an ACT model of intervention for adults who stutter compared to a CBT approach.

摘要

本研究旨在评估成人口吃者接受和承诺治疗小组干预计划的有效性(N=20)。该方案包括每周进行 2 小时的治疗会议,连续进行 8 周。这是一个综合方案,旨在改善:(a)社会心理功能,(b)治疗和改变的准备,(c)正念技能和心理灵活性的利用,以及(d)口吃的频率。研究结果为接受和承诺治疗提供了创新性的证据,表明其是一种有效的干预措施,在社会心理功能、改变和治疗准备、正念技能的利用以及整体言语流畅度方面均有统计学意义的改善。在治疗后三个月收集的随访数据显示,治疗效果随着时间的推移得到了成功的维持。这些发现增强了对口吃对心理健康影响的理解,并为成功的口吃治疗提供了新的视角。此外,为接受和承诺治疗在小组形式下作为口吃成人的一种有前途和新颖的干预措施提供了临床研究支持。

教育目标

读者将能够:(a)欣赏接受和承诺治疗对成人口吃者的潜力;(b)识别参与者在社会心理功能和口吃频率方面的改善;(c)欣赏接受和承诺治疗的六个核心过程;(d)欣赏成人口吃者的干预模式与 CBT 方法相比的差异。

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