Richard Vuijk, Wesley Turner, David Zimmerman, Hugh Walker, Brechje Dandachi-FitzGerald
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引用次数: 0
摘要
背景：自闭症谱系障碍（ASD）成人的模式疗法（ST）在临床实践和研究中越来越受到关注。然而，迄今为止，还没有关于 ST 治疗成人自闭症谱系障碍的文献综述。通过范围综述，我们旨在总结有关ST治疗成人ASD的新兴研究和文献：方法：我们采用 "系统性综述和荟萃分析的首选报告项目"（Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews，PRISMA-ScR）指南对三个电子数据库进行了全面的文献检索。结果：系统检索共发现 11 篇出版物，均发表于 2014 年之后，其中大部分由荷兰和日本研究人员撰写。在这11篇论文中，1篇描述了以ST为基础的社会互动训练，1篇是ST协议，2篇描述了概念性ST模型，2篇是案例，2篇研究了早期适应不良图式（EMS），3篇调查了ST干预的有效性。总之，对 ST 的理论探索、应用 ST 的实际案例以及初步证明 ST、EMS 和图式模式（SM）在成人 ASD 患者中应用的研究结果，都表明 ST 有可能用于成人 ASD 患者的治疗：当前的范围界定综述强调了初步研究结果，并为治疗成人 ASD 的临床医生提供了有价值的建议。本综述强调了开发和研究专门的 ST 方案和计划的必要性，这些方案和计划是为患有慢性精神疾病（如人格障碍）的 ASD 成人量身定制的。
Schema therapy in adults with autism spectrum disorder: A scoping review
Background
Schema therapy (ST) in adults with autism spectrum disorder (ASD) have gained increasing interest in clinical practice and research. However, to date, there has been no synthesis of the literature on ST as treatment for adults with ASD. Through a scoping review, we aim to summarize the emerging research and literature on ST for adults with ASD.
Methods
A comprehensive literature search of three electronic databases was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Publications were included that examined ST in adults with ASD and non-clinical adults with autistic traits.
Results
Systematic searches identified a total of 11 publications, all published since 2014, with the majority being conducted by Dutch and Japanese researchers. Of the 11 publications, 1 described an ST-informed social interaction training, 1 was an ST protocol, 2 described conceptual ST models, 2 were case examples, 2 examined early maladaptive schemas (EMSs) and 3 investigated the effectiveness of ST interventions. In summary, the theoretical exploration, practical examples of the application of ST and research findings with preliminary evidence of ST, EMSs and schema modes (SMs) in adults with ASD point towards the potential of ST for the treatment of adults with ASD.
Discussion
The current scoping review highlights preliminary research findings and offers valuable suggestions for clinicians treating adults with ASD. This review underscores the need for development of and research in specialized ST protocols and programmes tailored to adults with ASD with chronic mental conditions, such as personality disorders (PDs).
期刊介绍：
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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