Department of Psychology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, China.
Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Brain Behav. 2020 Jun;10(6):e01621. doi: 10.1002/brb3.1621. Epub 2020 Apr 18.
Dialectical behavior therapy (DBT) is a first-line treatment for the prevention of suicide. Zhong-Yong thinking could be viewed as a Chinese way of dialectical thinking, has long been a culturally dictating thinking style in China. To enhance cultural adaptability, we integrated Zhong-Yong thinking into DBT group skills training and examined its efficacy in suicidal prevention compared with a supportive group therapy and a wait-list group in high-risk suicidal Chinese college students.
A total of 97 suicidal participants were randomized to either Zhong-Yong thinking based DBT group skills training (DBT , n = 33), or supportive group therapy (SGT; n = 32), or wait-list group (WL; n = 32). DBT was a 12-week program based on Zhong-Yong thinking instead of dialectical thinking, coaching participants mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Supportive group therapy was a 12-week program aiming at improving interpersonal effectiveness and emotion regulation skills. Outcome measures were assessed at pre- and post-treatment and 6-month follow-up.
At post-treatment measures, the levels of suicidal ideation, hopelessness, psychache symptoms, and general psychopathology had significantly decreased in both intervention groups; at the 6-month follow-up measures, the intervention effects were better maintained in the DBT group rather than in the SGT group. Specifically, DBT was more effective in relieving participants' long-term obsessive-compulsive, anxiety, hostility, phobic, psychotic, and additional symptoms.
Zhong-Yong thinking not only could integrate with DBT skills training in Chinese young adult population, but also has special strength in enhancing DBT's efficacy.
辩证行为疗法（DBT）是预防自杀的一线治疗方法。中永思维可以被视为中国辩证思维的一种方式，长期以来一直是中国文化主导的思维方式。为了增强文化适应性，我们将中永思维融入 DBT 团体技能训练中，并在中国高自杀风险的大学生中，将其与支持性团体治疗和等待名单组进行比较，以检验其在预防自杀方面的效果。
共有 97 名有自杀倾向的参与者被随机分为中永思维为基础的 DBT 团体技能训练组（DBT，n=33）、支持性团体治疗组（SGT，n=32）或等待名单组（WL，n=32）。DBT 是一个基于中永思维而不是辩证思维的 12 周项目，指导参与者进行正念、情绪调节、痛苦耐受力和人际关系效能。支持性团体治疗是一个为期 12 周的项目，旨在提高人际关系效能和情绪调节技能。结果评估在治疗前、治疗后和 6 个月随访时进行。
在治疗后评估时，干预组的自杀意念、绝望、心理困扰症状和一般精神病理学水平均显著降低；在 6 个月随访评估时，DBT 组的干预效果优于 SGT 组。具体来说，DBT 更有效地缓解了参与者的长期强迫性、焦虑、敌意、恐惧症、精神病性和其他症状。
中永思维不仅可以与中国年轻成年人的 DBT 技能训练相结合，而且在增强 DBT 的疗效方面具有特殊优势。
