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一项为期四周的基于 DBT 的团体治疗在提高有心理健康问题的大学生心理弹性方面的效果、可接受性和可持续性。

The effectiveness, acceptability, and sustainability of a 4-week DBT-informed group therapy in increasing psychological resilience for college students with mental health issues.

机构信息

Counseling Center, University of Maryland, Baltimore County (UMBC), Baltimore, Maryland, USA.

Department of Human Services Psychology, University of Maryland, Baltimore County (UMBC), Baltimore, Maryland, USA.

出版信息

J Clin Psychol. 2023 Sep;79(9):1929-1942. doi: 10.1002/jclp.23509. Epub 2023 Mar 15.

Abstract

OBJECTIVE

An adapted, time-limited dialectical behavior therapy (DBT) skills training group therapy can prove to be an evidence-based treatment that can easily fit the needs, demands, and limitations of University Counseling Centers to serve college students with mental disorders. The present naturalistic study investigated the effectiveness, acceptability, and sustainability of a 4-week DBT-informed group therapy in enhancing psychological resilience.

METHODS

Participants included 59 college students with heterogeneous mental health concerns. They attended weekly 1.5-hr DBT-informed, resilience-building group therapy for 4 weeks. Psychological resilience, mindfulness, emotional dysregulation, and overall distress were assessed at pretreatment and posttreatment, as well as at 1- and 3-month follow-ups.

RESULTS

Findings showed increased psychological resilience among the participants at posttreatment and follow-ups, and provided preliminary evidence for the role of mindfulness as an important contributor to enhancing psychological resilience even after controlling for risk factors, treatment dosage, pregroup psychological resilience, and changes in emotion dysregulation and overall distress.

CONCLUSION

A 4-week DBT-informed skills training group therapy can be utilized as a time-efficient, cost-effective, well-accepted preventative treatment with the potential longitudinal impact to boost psychological resilience for college students with mental health issues.

摘要

目的

经过调整、限时的辩证行为疗法(DBT)技能训练团体治疗可以被证明是一种基于证据的治疗方法,它可以轻松满足大学咨询中心的需求、要求和限制,为有精神障碍的大学生提供服务。本自然主义研究调查了为期 4 周的 DBT 知情团体治疗在增强心理弹性方面的有效性、可接受性和可持续性。

方法

参与者包括 59 名有不同心理健康问题的大学生。他们参加了每周 1.5 小时的 DBT 知情、增强韧性的团体治疗,共进行了 4 周。在治疗前、治疗后以及 1 个月和 3 个月的随访中评估心理弹性、正念、情绪调节障碍和总体困扰。

结果

研究结果表明,参与者在治疗后和随访中表现出更高的心理弹性,并且提供了初步证据,证明正念作为增强心理弹性的重要因素的作用,即使在控制风险因素、治疗剂量、治疗前心理弹性以及情绪调节障碍和总体困扰的变化后也是如此。

结论

为期 4 周的 DBT 知情技能训练团体治疗可以作为一种高效、经济、易于接受的预防治疗方法,具有潜在的纵向影响,可以提高有心理健康问题的大学生的心理弹性。

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