Dialectical Behavior Therapy in Autism.

IF 6.7 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2025-05-01 Epub Date: 2025-03-06 DOI:10.1007/s11920-025-01596-7

Luisa Weiner, Doha Bemmouna, Madalina Elena Costache, Emilie Martz

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Abstract

Purpose of review: Recent research indicates that Dialectical Behavior Therapy (DBT) is feasible, acceptable, and effective for autistic adults. This review aims to provide conceptual arguments and empirical evidence to support DBT as a relevant therapeutic alternative for autistic individuals experiencing emotion dysregulation (ED).

Recent findings: ED is frequent in autism whereby it is associated with severe mental health challenges. However, appropriate therapeutic options are limited. Currently, DBT has amassed the most evidence for treatment of ED across a range of clinical conditions, although it was originally developed for borderline personality disorder (BPD). In the context of autism, there is evidence supporting the efficacy of DBT for ED, life-threatening behaviors and depression, but adaptations are likely to improve its dissemination and acceptability. While similar biosocial factors seem to be involved in ED in BPD and autism, alexithymia is prominent in autism and autistic features such as sensory sensitivity and social overload also contribute to ED in autistic adults.

Conclusion: Given the significant impact of ED on the well-being of autistic adults, there is an urgent need to enhance our understanding of the mechanisms involved in ED in autism and the adaptations likely to improve the acceptability and dissemination of DBT for autistic people.

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自闭症的辩证行为疗法。

综述目的：近年来的研究表明，辩证行为疗法（DBT）对成年自闭症患者是可行的、可接受的和有效的。本综述旨在提供概念论证和经验证据，以支持DBT作为自闭症患者情绪失调（ED）的相关治疗选择。最近的发现：ED在自闭症中很常见，这与严重的精神健康挑战有关。然而，适当的治疗选择是有限的。虽然DBT最初是针对边缘型人格障碍（BPD）开发的，但目前，DBT在一系列临床条件下治疗ED的证据最多。在自闭症的背景下，有证据支持DBT对ED、危及生命的行为和抑郁症的疗效，但适应性可能会改善其传播和可接受性。虽然类似的生物社会因素似乎与BPD和自闭症的ED有关，但述情障碍在自闭症中很突出，而自闭症的特征，如感觉敏感和社交超载也会导致自闭症成人的ED。结论：鉴于ED对成年自闭症患者幸福感的显著影响，我们迫切需要加强对ED在自闭症中的作用机制的理解，以及可能提高自闭症患者对DBT的接受和传播的适应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.