Inserm U1114, 1 Place de l'Hôpital, 67000, Strasbourg, France.
Department of Psychology, University of Strasbourg, 12 Rue Goethe, 67000, Strasbourg, France.
J Autism Dev Disord. 2022 Oct;52(10):4337-4354. doi: 10.1007/s10803-021-05317-w. Epub 2021 Oct 9.
Self-harm and suicidal behaviors are prevalent among autistic adults without intellectual disability (ID). Emotion dysregulation (ED), the difficulty in modulating emotions, has been identified as an important risk factor. Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder. Our study aimed at assessing the feasibility, acceptability and preliminary efficacy of DBT in seven autistic adults without ID exhibiting self-harm and/or suicidal behaviors linked to severe ED. Our results suggest that DBT is feasible and highly acceptable to autistic adults without ID. Additionally, mean scores on the Difficulties in Emotion Regulation Scale decreased significantly post-treatment and at 4-month follow-up, suggesting that DBT might be efficacious in reducing ED in this population.
自伤和自杀行为在非智力障碍自闭症成人中很常见。情绪调节障碍（ED），即情绪调节困难，已被确定为一个重要的风险因素。辩证行为疗法（DBT）已被证明对治疗自闭症谱系障碍以外的疾病的 ED 有效。我们的研究旨在评估 DBT 在 7 名表现出自伤和/或与严重 ED 相关的自杀行为的非智力障碍自闭症成人中的可行性、可接受性和初步疗效。我们的结果表明，DBT 对非智力障碍自闭症成人是可行且高度可接受的。此外，情绪调节困难量表的平均分在治疗后和 4 个月随访时显著降低，这表明 DBT 可能在减少该人群的 ED 方面有效。
