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Ethnocultural Aspects of Hoarding Disorder 囤积障碍的民族文化方面
Pub Date : 2016-05-31 DOI: 10.2174/1573400512666160316004521
L. F. D. L. Cruz, A. Nordsletten, D. Mataix-Cols
Hoarding Disorder (HD) is characterized by difficulty discarding and parting with possessions, resulting in the accumulation of belongings that congest and clutter active living areas and compromises their use. While HD is thought to be a universal phenomenon, the phenomenological, epidemiological, and clinical research studies published to date have mainly been conducted in Western, industrialized countries, precluding conclusions about the prevalence and phenomenological differences that may exist across cultures in the expression of HD. A systematic review of treatment studies in HD revealed that all have been carried out in the US and have included a large majority (about 90%) of White/Caucasian individuals, making it difficult to ascertain whether existing treatments are equally effective for minority groups. There is a need to consider HD from a transcultural perspective in order to understand the expression of this disorder across different cultures and ethnic groups. We highlight areas of priority for future studies to ensure that the conception of hoarding and its study is inclusive, sensitive, and informative.
囤积障碍(HD)的特点是难以丢弃和放弃物品,导致物品堆积,使活跃的生活区域拥挤和混乱,并影响其使用。虽然HD被认为是一种普遍现象,但迄今为止发表的现象学、流行病学和临床研究主要是在西方工业化国家进行的,因此无法得出关于HD在不同文化表达中可能存在的患病率和现象学差异的结论。一项对HD治疗研究的系统回顾显示,所有这些研究都是在美国进行的,其中包括绝大多数(约90%)的白人/高加索人,因此很难确定现有的治疗方法是否对少数群体同样有效。有必要从跨文化的角度来考虑HD,以便了解这种疾病在不同文化和种族群体中的表现。我们强调了未来研究的优先领域,以确保囤积的概念及其研究具有包容性,敏感性和信息性。
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引用次数: 10
Suicide in Racial and Ethnic Minority Adults: A Review of the Last Decade 少数族裔成年人的自杀:近十年的回顾
Pub Date : 2016-05-31 DOI: 10.2174/1573400512666160530124538
Mary O. Odafe, David C. Talavera, Soumia Cheref, Judy H Hong, R. Walker
There has been an increase in literature that addresses risks associated with suicide vulnerability and death for American Indian/Alaska Native, Asian American, Black American, and Hispanic American adults. However, much more definitive work is needed. In comparison to previous decades, research in the area of ethnic minority suicide may have lost some momentum for certain racial/ethnic groups. As the U.S. population becomes increasingly diverse, the need for advanced research efforts regarding the full spectrum of suicide behavior grows increasingly urgent. Objective: To provide a summary of putative risk factors and plausible protective factors highlighting both unique and common factors for American Indian/Alaska Native, Asian American, Black American, and Hispanic American adults. The dearth of literature is also addressed by the proposition of emergent needs in the study of ethnic minority suicide. Further, we will examine the ways in which the last decade of research has expanded suicide science as well as areas that have been understudied. Conclusions: A review of empirical studies and conceptual reports published in the last decade revealed common trends associated with suicide across ethnic groups, including sociodemographic variables, psychiatric risks, cultural factors, and factors related to interpersonal relations. Ethnic minority groups also shared notable protective factors, such as religious and spiritual beliefs, and familial ties. Suggested directions for future research include the examination of individual subgroups within ethnic communities as well as the exploration of understudied correlates that show promising evidence as influential to suicidal behavior. Additionally, factors that lead to suicide attempts for American Indian/Alaska Native, Asian American, Black American, and Hispanic American adults remain relatively unexamined.
关于美国印第安人/阿拉斯加原住民、亚裔美国人、黑人美国人和西班牙裔美国成年人自杀脆弱性和死亡风险的文献越来越多。然而,还需要更明确的工作。与过去几十年相比,少数民族自杀领域的研究可能在某些种族/民族群体中失去了一些动力。随着美国人口变得越来越多样化,对自杀行为全谱的先进研究工作的需求变得越来越迫切。目的:总结美国印第安人/阿拉斯加原住民、亚裔美国人、黑人美国人和西班牙裔美国成年人的推定危险因素和可能的保护因素,强调其独特因素和共同因素。少数民族自杀研究的迫切需要命题也解决了文献匮乏的问题。此外,我们将考察过去十年研究如何扩大自杀科学以及尚未充分研究的领域。结论:对过去十年发表的实证研究和概念性报告的回顾揭示了不同种族的自杀相关的共同趋势,包括社会人口学变量、精神风险、文化因素和人际关系相关因素。少数民族群体也有显著的保护因素,如宗教和精神信仰以及家庭关系。建议的未来研究方向包括检查种族社区内的个别亚群体,以及探索未充分研究的相关性,这些相关性显示出有希望的证据对自杀行为有影响。此外,导致美国印第安人/阿拉斯加原住民、亚裔美国人、黑人美国人和西班牙裔美国成年人自杀企图的因素相对而言仍未得到研究。
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引用次数: 19
Cognitive-Behavioral Therapy for Youth with Obsessive-Compulsive and Related Disorders 青少年强迫症及相关疾病的认知行为治疗
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930232800
Brittany M. Riggin, Caleb W. Lack
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引用次数: 0
Cognitive behavioral approaches for treating suicidal behavior in adolescents 认知行为方法治疗青少年自杀行为
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930231932
M. Berk, Jennifer L. Hughes
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引用次数: 3
Behavioral Intervention Technologies and Psychotherapy with Youth: A Review of the Literature 行为干预技术与青少年心理治疗:文献综述
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930232254
E. Bunge, Benjamin Dickter, Megan Jones, G. Alie, A. Spear, R. Perales
The dominant model of delivering psychological interventions is face-to-face (F2F) in oneto- one psychotherapy. Behavioral Intervention Technologies (BITs) may have the capacity to expand delivery models and/or increase the outcomes of therapy. This article is a systematic review of the available literature on BITs for children and adolescents with DSM-5 mental health diagnoses. All articles on EBSCOhost published between 1 st January 2000 and 31 st December 2014 referencing terms related to youth, BITs, and therapy were collected for analysis (n=7179). After inclusion/exclusion criteria were applied, 53 articles were included in the review, discussing BIT interventions for Anxiety, Depression, Obsessive-Compulsive Disorder, Attention-Deficit/Hyperactivity Disorder, Conduct Disorder, and Oppositional Defiant Disorder. The review found general support for BITs as interventions for child and adolescent disorders. Limitations of the current research and suggestions for future directions are discussed.
提供心理干预的主要模式是一对一心理治疗中的面对面(F2F)。行为干预技术(BITs)可能有能力扩展交付模式和/或提高治疗结果。这篇文章是对DSM-5心理健康诊断的儿童和青少年的BITs现有文献的系统回顾。收集2000年1月1日至2014年12月31日在EBSCOhost上发表的所有与青年、BITs和治疗相关的文献进行分析(n=7179)。采用纳入/排除标准后,53篇文章被纳入本综述,讨论了BIT干预对焦虑、抑郁、强迫症、注意力缺陷/多动障碍、行为障碍和对立违抗性障碍的影响。该综述发现,人们普遍支持将BITs作为儿童和青少年疾病的干预措施。讨论了当前研究的局限性和对未来研究方向的建议。
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引用次数: 12
Advances in Cognitive-Behavioral Therapy for Youth with Anxiety Disorders: A Brief Summary 青少年焦虑症认知行为治疗进展综述
Pub Date : 2016-02-29 DOI: 10.2174/157340051201160215102844
R. Berry
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引用次数: 2
Training Community Clinicians in CBT for Youth 对社区临床医生进行青少年CBT培训
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930233042
Sandra Trafalis, R. Friedberg, Paul J. Sullivan, A. Teague, L. Hoyman, M. Berlyant
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引用次数: 2
Changing Adolescent Dysfunctional Core Beliefs with Group Trial-based Cognitive Training (G-TBCT): Proposal of a Preventative Approach in Schools 以团体试验为基础的认知训练(G-TBCT)改变青少年功能失调的核心信念:学校预防方法的建议
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930233251
I. D. Oliveira, Ana Cristina Santana Matos, M. Ribeiro, M. Velasquez
Group trial-based cognitive training (G-TBCT) is an adaptation of trial-based cognitive therapy (TBCT) which, in turn, is derived from standard cognitive-behavior therapy (CBT). CBT is recognized as an effective treatment for several psychiatric disorders. Core belief (CB) change seems to play an important role in this regard. However, little is known about methods and techniques specifically used to change dysfunctional CBs in children and adolescents. We present here an approach used as a preventative tool to help adolescents change their dysfunctional CBs in an engaging fashion, by asking them to role-play Detectives of the Mind to uncover such CBs; Attorneys of the Mind to help them evaluate if such CBs are true; Judges of the Mind to help them take distance and become metacognitively aware of the critical voices represented by internal prosecutors and sue them; and finally Masters of the Mind to help them make decisions that help them choose assertive and ethical behaviors. In this paper, we introduce the idea and principles of GTBCT, and, more specifically, the trial-based thought record, a method that was designed to help adolescents restructure dysfunctional CBs about themselves.
群体认知训练(G-TBCT)是对基于试验的认知疗法(TBCT)的一种适应,而TBCT又衍生自标准认知行为疗法(CBT)。CBT被认为是治疗多种精神疾病的有效方法。核心信念(CB)变化似乎在这方面发挥了重要作用。然而,对于专门用于改变儿童和青少年功能失调的CBs的方法和技术知之甚少。我们在这里提出了一种方法,作为一种预防工具,帮助青少年以一种吸引人的方式改变他们功能失调的CBs,要求他们扮演心理侦探来发现这样的CBs;心理律师帮助他们评估这些CBs是否真实;心智法官,帮助他们保持距离,对内部检察官所代表的批评声音进行元认知,并起诉他们;最后是心智大师,帮助他们做出决定,帮助他们选择自信和道德的行为。在本文中,我们介绍了GTBCT的理念和原理,更具体地说,是基于试验的思想记录,一种旨在帮助青少年重建关于自己的功能失调的CBs的方法。
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引用次数: 5
Fit to Practice: Augmenting Modular Cognitive Behavioral Procedures with Case Conceptualization 适合实践:用案例概念化增强模块化认知行为程序
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930233612
S. Ularntinon, R. Friedberg, Simone Behar, J. Paternostro
Modular Cognitive Behavioral Therapy (mCBT) is guiding child psychotherapy into the future. mCBT is founded on a growing body of empirical research and clinical applications. Despite its compelling advantages, there are some potential cautions. In order to fit children’s diverse presentations mCBT must be individually tailored via case conceptualization. Case conceptualization is widely regarded as an essential CBT competency area and a pivotal component of evidence based procedures. Nonetheless, case conceptualization is a demanding task and the literature suggests that inter-related reliability is suspected. This article addresses these issues and offers several recommendations for improving inter-clinician reliability. Finally, the paper ends with a presentation of a bench-to-bedside confabulated case to illustrate the cognitive behavioral case conceptualization process.
模块化认知行为疗法(mCBT)正在引导儿童心理治疗走向未来。mCBT建立在越来越多的实证研究和临床应用的基础上。尽管它有令人信服的优势,但也有一些潜在的警告。为了适应儿童多样化的表现,mCBT必须通过案例概念化进行个性化定制。案例概念化被广泛认为是CBT的基本能力领域,也是基于证据的程序的关键组成部分。尽管如此,案例概念化是一项艰巨的任务,文献表明相互关联的可靠性是可疑的。本文解决了这些问题,并提出了一些建议,以提高临床医生之间的可靠性。最后,本文以一个从床到床的虚构案例来说明认知行为案例的概念化过程。
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引用次数: 2
School-Based Cognitive Behavioral Therapy: Current Status and Alternative Approaches 基于学校的认知行为治疗:现状与替代方法
Pub Date : 2016-02-29 DOI: 10.2174/1573400511666150930232419
Torrey A. Creed, S. Waltman, Sarah A. Frankel, Michael A. Williston
Cognitive Behavioral Therapy (CBT) is among the most studied EBPs with support for its efficacy across a range of presenting problems in youth, but broad uptake of traditional CBT in school-based settings has been slow. A review of CBT in schools is presented, which suggests that most school-based studies have examined the use of a protocol for a single disorder or presenting problem, delivered by an individual provider (e.g., teacher, counselor). Evidence supports the effectiveness of these interventions for targeted problems, but limitations of these practices may present barriers to broader implementation of CBT. A review of alternative strategies is then presented, which suggests an approach that may flexibly meet the needs of a broader range of students, capitalize on the unique characteristics of a school setting, and emphasize principles of resilience. Finally, the University of Pennsylvania Beck Community Initiative is presented to illustrate an integrated approach to CBT within schools that is case conceptualization-driven, milieu-focused, and resilience-oriented to apply these strategies in a school setting.
认知行为疗法(CBT)是研究最多的EBPs之一,它对青少年一系列表现问题的有效性得到了支持,但传统CBT在学校环境中的广泛采用速度很慢。对学校CBT的回顾表明,大多数以学校为基础的研究都检查了单个提供者(如教师、辅导员)对单一障碍或呈现问题的协议的使用情况。证据支持这些干预措施对目标问题的有效性,但这些做法的局限性可能会阻碍CBT的广泛实施。然后对备选策略进行了回顾,提出了一种可以灵活地满足更广泛学生需求的方法,利用学校环境的独特特征,并强调弹性原则。最后,提出了宾夕法尼亚大学贝克社区倡议,说明了在学校中采用案例概念化驱动、环境关注和弹性导向的综合CBT方法,以在学校环境中应用这些策略。
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引用次数: 8
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Current Psychiatry Reviews
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