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针对具有亚阈值自闭症特质和复发性抑郁症个体的图式疗法:一项案例研究。

Schema Therapy for Individuals With Subthreshold Autistic Traits and Recurrent Depressive Disorder: A Case Study.

作者信息

Murakami Tsukasa, Oshima Fumiyo, Morimoto Takafumi, Annaka Hiroki

机构信息

Faculty of Rehabilitation Sciences, Niigata University of Health and Welfare, Niigata, JPN.

Research Center for Child Mental Development, Chiba University, Chiba, JPN.

出版信息

Cureus. 2025 Jul 5;17(7):e87357. doi: 10.7759/cureus.87357. eCollection 2025 Jul.

DOI:10.7759/cureus.87357
PMID:40765587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12322508/
Abstract

Schema therapy (ST) is a therapeutic approach to address chronic and complex psychological difficulties. ST is also used to treat mental health problems that individuals on the autism spectrum have. However, no practical reports exist on its application to cases involving subthreshold autistic traits with associated psychological difficulties. This report describes schema therapy for a woman with subthreshold autistic traits and raised in an abusive environment. The intervention was based on schema therapy for individuals on the autism spectrum and consisted of a total of 42 sessions. The effects of schema therapy remained effective at an eight-month follow-up. This practice suggests that the promotion of understanding of autistic traits and experiential techniques are helpful in schema therapy for cases with subthreshold autistic traits.

摘要

图式疗法(ST)是一种用于解决慢性和复杂心理问题的治疗方法。ST也被用于治疗自闭症谱系个体所患的心理健康问题。然而,关于其应用于伴有相关心理问题的阈下自闭症特质病例,尚无实际报告。本报告描述了对一名具有阈下自闭症特质且在虐待环境中成长的女性进行的图式疗法。该干预基于针对自闭症谱系个体的图式疗法,共包括42次治疗。在八个月的随访中,图式疗法的效果依然显著。这种实践表明,增进对自闭症特质的理解和体验技术,对伴有阈下自闭症特质的病例进行图式治疗是有帮助的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3122/12322508/60f493bdd291/cureus-0017-00000087357-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3122/12322508/60f493bdd291/cureus-0017-00000087357-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3122/12322508/60f493bdd291/cureus-0017-00000087357-i01.jpg

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本文引用的文献

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May Female Autism Spectrum Be Masked by Eating Disorders, Borderline Personality Disorder, or Complex PTSD Symptoms? A Case Series.女性自闭症谱系障碍会被饮食失调、边缘型人格障碍或复杂性创伤后应激障碍症状掩盖吗?病例系列研究
Brain Sci. 2023 Dec 30;14(1):37. doi: 10.3390/brainsci14010037.
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Schema therapy in adults with autism spectrum disorder: A scoping review.成人自闭症谱系障碍的图式疗法:一项范围综述。
Clin Psychol Psychother. 2024 Jan 12. doi: 10.1002/cpp.2949.
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Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial.
自闭症青少年认知行为疗法,自闭症特质觉察与关怀计划:一项多中心随机对照试验。
BMC Psychiatry. 2023 Sep 7;23(1):661. doi: 10.1186/s12888-023-05075-2.
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The efficacy of schema therapy for personality disorders: a systematic review and meta-analysis.图式治疗对人格障碍的疗效:系统评价和荟萃分析。
Nord J Psychiatry. 2023 Oct;77(7):641-650. doi: 10.1080/08039488.2023.2228304. Epub 2023 Jul 4.
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Schema therapy for personality disorders in autistic adults: Results of a multiple case series study.针对成年自闭症患者人格障碍的图式疗法:多案例系列研究结果
Clin Psychol Psychother. 2023 Mar;30(2):458-472. doi: 10.1002/cpp.2817. Epub 2022 Dec 28.
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What misdiagnoses do women with autism spectrum disorder receive in the DSM-5?患有自闭症谱系障碍的女性在《精神疾病诊断与统计手册》第五版(DSM-5)中会被误诊为什么疾病?
CNS Spectr. 2023 Jun;28(3):269-270. doi: 10.1017/S1092852922000037. Epub 2022 Feb 2.
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The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda.图式疗法对焦虑障碍、强迫症或创伤后应激障碍患者的疗效:系统评价和研究议程。
Br J Clin Psychol. 2022 Sep;61(3):579-597. doi: 10.1111/bjc.12324. Epub 2021 Jul 23.
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A preliminary study of schema therapy for young adults with high-functioning autism spectrum disorder: a single-arm, uncontrolled trial.针对高功能自闭症谱系障碍青年成人的图式疗法初步研究:一项单臂非对照试验。
BMC Res Notes. 2021 Apr 29;14(1):158. doi: 10.1186/s13104-021-05556-1.
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MMWR Surveill Summ. 2020 Mar 27;69(4):1-12. doi: 10.15585/mmwr.ss6904a1.
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