Applying the Unified Protocol Transdiagnostic Treatment to Nonsuicidal Self-Injury and Co-Occurring Emotional Disorders: A Case Illustration
Applying the Unified Protocol Transdiagnostic Treatment to Nonsuicidal Self-Injury and Co-Occurring Emotional Disorders: A Case Illustration
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DOI：
10.1002/jclp.22452
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发表时间：
2017-05-01
影响因子：
3
通讯作者：
Bentley, Kate H.
中科院分区：
文献类型：
--
作者：
Bentley, Kate H.
本文介绍了对一名患有非自杀性自残(NSSI)、社交焦虑症和广泛性焦虑症的年轻女性进行跨诊断、以情绪为重点的治疗。患者还出现亚临床抑郁、创伤后应激和进食障碍症状。情绪障碍跨诊断治疗统一方案(Barlow等人，2011年)是一种认知行为干预措施，旨在适用于具有强烈情绪成分的焦虑、抑郁和相关障碍，用于解决劳拉提出的一系列关切。在16次单独治疗后，劳拉经历了NSSI(以及参与NSSI的冲动)的显著减少，以及她自我报告的对激烈情绪做出更适应反应的能力的明显改善。她还报告说，她的焦虑症症状略有减轻。这个案例说明了一种短期的、跨诊断的治疗方法如何灵活地应用于由对强烈情绪的厌恶和回避反应所维持的各种问题。(C)2017威利期刊公司。
This article presents the use of a transdiagnostic, emotion-focused treatment with a young woman with nonsuicidal self-injury (NSSI), social anxiety disorder, and generalized anxiety disorder. The patient also presented with subclinical depressive, posttraumatic stress, and eating disorder symptoms. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (Barlow et al., 2011), a cognitive-behavioral intervention designed to be applicable across anxiety, depressive, and related disorders with strong emotional components, was used to address the range of Laura's presenting concerns. After 16 individual treatment sessions, Laura experienced significant reductions in NSSI (and urges to engage in NSSI) as well as observable improvements in her self-reported ability to respond more adaptively to intense emotion. She also reported moderate reductions in her anxiety disorder symptoms. This case illustration demonstrates how a short-term, transdiagnostic treatment approach can be flexibly applied to a variety of problems maintained by aversive and avoidant reactions to intense emotion. (C) 2017 Wiley Periodicals, Inc.