Attachment-Based Family Therapy for Suicidal Lesbian, Gay, and Bisexual Adolescents: A Treatment Development Study and Open Trial With Preliminary Findings
Attachment-Based Family Therapy for Suicidal Lesbian, Gay, and Bisexual Adolescents: A Treatment Development Study and Open Trial With Preliminary Findings
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DOI：
10.1037/a0026247
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发表时间：
2012-03-01
期刊：
影响因子：
2.5
通讯作者：
Siqueland, Lynne
中科院分区：
文献类型：
--
作者：
Diamond, Gary M.;Diamond, Guy S.;Siqueland, Lynne
本文的目的是适应依恋为基础的家庭治疗（ABFT）用于自杀的女同性恋，男同性恋和双性恋（LOB）青少年，并获得初步数据的可行性和有效性的治疗与这一人口。在第一阶段，一个治疗开发小组修改了ABFT，以满足LOB自杀青年的独特需求。在第二阶段，10名有自杀倾向的LOB青年接受了12周的LGB敏感性ABFT。在治疗前、6周和12周（治疗后）收集青少年的自杀意念、抑郁症状和与母亲依恋相关的焦虑和回避报告。在第一阶段，治疗被调整为：（a）包括更多的个人时间与父母一起工作，以处理他们的失望，痛苦，愤怒和恐惧与他们的青少年的少数性取向;（B）解决的意义，影响和接受的过程;和（c）提高父母的意识，微妙的，但有力的无效反应，他们的青少年的性取向。II期的结果表明，这一人群可以招募和成功治疗的家庭为基础的治疗，证明了高水平的治疗保留和自杀意念，抑郁症状，和母亲依恋相关的焦虑和回避显着减少。这是第一个专门针对有自杀倾向的LOB青少年进行调整和测试的家庭治疗。虽然有希望，但结果是初步的，需要对更大的样本进行更多的研究。
The objective of this paper is to adapt attachment-based family therapy (ABFT) for use with suicidal lesbian, gay, and bisexual (LOB) adolescents and to obtain preliminary data on the feasibility and efficacy of the treatment with this population. In Phase I, a treatment development team modified ABFT to meet the unique needs of LOB suicidal youth. In Phase II, 10 suicidal LOB youth were offered 12 weeks of LGB sensitive ABFT. Adolescents' report of suicidal ideation, depressive symptoms, and maternal attachment related anxiety and avoidance were gathered at pretreatment, 6 weeks, and 12 weeks (posttreatment). In Phase I, the treatment was adapted to: (a) include more individual time working with parents in order to process their disappointments, pain, anger, and fears related to their adolescent's minority sexual orientation; (b) address the meaning, implications, and process of acceptance; and (c) heighten parents' awareness of subtle yet potent invalidating responses to their adolescents' sexual orientation. Results of Phase II suggest this population can be recruited and successfully treated with a family based therapy, evidenced by high levels of treatment retention and significant decreases in suicidal ideation, depressive symptoms, and maternal attachment related anxiety and avoidance. This is the first family-based treatment adapted and tested specifically for suicidal LOB adolescents. Though promising, the results are preliminary and more research on larger samples is warranted.