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导医自助接纳与承诺疗法(ACT)对心因性非癫痫性发作的疗效和可接受性。

The effectiveness and acceptability of a guided self-help Acceptance and Commitment Therapy (ACT) intervention for psychogenic nonepileptic seizures.

机构信息

Trent Doctorate in Clinical Psychology, University of Nottingham, YANG Fujia Building, B Floor, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, UK.

Trent Doctorate in Clinical Psychology, University of Lincoln, Brayford Wharf East, Lincoln LN5 7AY, UK.

出版信息

Epilepsy Behav. 2018 Nov;88:332-340. doi: 10.1016/j.yebeh.2018.09.039. Epub 2018 Oct 17.

DOI:10.1016/j.yebeh.2018.09.039
PMID:30342877
Abstract

This study utilized a nonconcurrent case-series design to examine the effectiveness and acceptability of a guided self-help Acceptance and Commitment Therapy (ACT) intervention for people with psychogenic nonepileptic seizures. A key aim of the study was to investigate the relationship between psychological flexibility (a key process within ACT), psychological health, quality of life, and seizure frequency. Six participants completed the study, with reliable and clinically significant changes in psychological flexibility, quality of life, and psychological health observed in the majority of participants. Notable reductions in self-reported seizure frequency were also observed. The implications of these findings for clinical practice are discussed and recommendations for future research suggested.

摘要

本研究采用非同期病例系列设计,考察了针对心因性非癫痫性发作患者的引导式自助接纳与承诺疗法(ACT)干预的有效性和可接受性。该研究的一个主要目的是探究心理灵活性(ACT 的一个关键过程)、心理健康、生活质量和发作频率之间的关系。六名参与者完成了研究,大多数参与者的心理灵活性、生活质量和心理健康均观察到可靠且具有临床意义的变化。自我报告的发作频率也显著降低。讨论了这些发现对临床实践的意义,并提出了未来研究的建议。

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