Sokol Yosef, Ridley Josephine, Goodman Marianne, Landa Yulia, Hernandez Silvia, Dixon Lisa
VISN 2 South Mental Illness Research Education and Clinical Centers at James J. Peters VAMC, New York, NY, Mt. Sinai, Icahn School of Medicine, New York, NY.
VA Northeast Ohio Healthcare System, Cleveland, OH, Case Western Reserve University, Cleveland, OH.
J Cogn Psychother. 2021 Jan 4. doi: 10.1891/JCPSY-D-20-00023.
We introduce continuous identity cognitive therapy (CI-CT), a novel suicide intervention. CI-CT was developed based on evidence that suicidal individuals have difficulty viewing and experiencing continuity with their perceived future self, and having meaningful and achievable personal goals. CI-CT integrates aspects of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) with modality-specific techniques focusing on the individual's perceived present-to-future life story. The intervention guides the development of a meaningful life story with a vivid and positive future self. The results of an open-label pilot/feasibility trial ( = 17) for U.S. Veterans with a serious mental illness indicate that CI-CT feasible, acceptable to Veterans, and may help with suicidality, depression, hopelessness, and future self-continuity. Reductions in clinical symptoms were associated with improvement in future self-continuity and were largely maintained at the 1-month follow-up. These results, along with high retention rates and positive Veteran feedback, support further exploration of the utility of CI-CT.
我们引入了连续性身份认知疗法（CI-CT），这是一种新型的自杀干预方法。CI-CT的开发基于这样的证据：有自杀倾向的个体在看待和体验与他们所感知的未来自我的连续性以及拥有有意义且可实现的个人目标方面存在困难。CI-CT将认知行为疗法（CBT）和接纳与承诺疗法（ACT）的各方面与针对个体所感知的从当前到未来生活故事的特定模式技术相结合。该干预引导形成一个带有生动且积极的未来自我的有意义生活故事。一项针对患有严重精神疾病的美国退伍军人的开放标签试点/可行性试验（n = 17）结果表明，CI-CT是可行的，退伍军人可以接受，并且可能有助于解决自杀倾向、抑郁、绝望以及未来自我连续性问题。临床症状的减轻与未来自我连续性的改善相关，并且在1个月的随访中基本保持。这些结果，连同高保留率和退伍军人的积极反馈，支持进一步探索CI-CT的效用。
