Bal Vanessa H, Wilkinson Ellen, Glascock Victoria, Hastings Richard P, Jahoda Andrew
Graduate School of Applied and Professional Psychology, Rutgers University - New Brunswick.
University of Warwick.
Cogn Behav Pract. 2023 Nov;30(4):589-596. doi: 10.1016/j.cbpra.2022.03.006. Epub 2022 Apr 8.
Despite high rates of co-occurring depression, few studies have developed or adapted treatments targeting depressive symptoms for autistic adults. Behavioral activation is widely accepted as an empirically-supported approach for treating depression in other populations. Careful attention to the mechanisms targeted by behavioral activation is an essential step toward adapting behavioral activation protocols for use with autistic adults. We consider the mechanisms targeted by behavioral activation and provide a framework for research to explore the facilitators and barriers to the use of behavioral activation to treat depression in autistic adults. Drawing upon clinical experience and extant literature, the suggestions presented are aimed at highlighting considerations for clinicians wanting to use behavioral activation programs in their clinical practices with autistic adults and to promote the research needed to establish behavioral activation as an evidence-based practice for treating depression in adults on the autism spectrum.
尽管共病抑郁症的发生率很高，但针对成年自闭症患者抑郁症状的治疗方法的研究却很少。行为激活被广泛认为是一种在其他人群中治疗抑郁症的经验证有效的方法。仔细关注行为激活所针对的机制是使行为激活方案适用于成年自闭症患者的关键一步。我们考虑了行为激活所针对的机制，并提供了一个研究框架，以探索在成年自闭症患者中使用行为激活治疗抑郁症的促进因素和障碍。借鉴临床经验和现有文献，提出的建议旨在突出临床医生在对成年自闭症患者的临床实践中使用行为激活方案时应考虑的因素，并推动开展相关研究，以确立行为激活作为治疗自闭症谱系成年患者抑郁症的循证实践。
