Effectiveness of Zhong-Yong thinking based dialectical behavior therapy group skills training versus supportive group therapy for lowering suicidal risks in Chinese young adults: A randomized controlled trial with a 6-month follow-up
Effectiveness of Zhong-Yong thinking based dialectical behavior therapy group skills training versus supportive group therapy for lowering suicidal risks in Chinese young adults: A randomized controlled trial with a 6-month follow-up
复制标题
基于中庸思维的辩证行为疗法团体技能训练与支持性团体疗法在降低中国年轻人自杀风险方面的有效性：一项为期 6 个月随访的随机对照试验
DOI：
10.1002/brb3.1621
复制
发表时间：
2020
影响因子：
3.1
通讯作者：
Xiaoyuan Zhang
中科院分区：
文献类型：
--
作者：
Xueling Yang;Ding Liu;You Wang;Yu Chen;Weichen Chen;Caiyan Yang;Peining Zhang;Siyuan Ding;Xiaoyuan Zhang
背景辩证行为疗法（DBT）是预防自杀的一线治疗方法。中庸思维是中国人的一种辩证思维方式，长期以来一直是中国人的一种文化支配性思维方式。为了增强文化适应性，我们将中庸思维融入DBT团体技能培训中，并与支持性团体治疗和等候名单组相比，检验了其在自杀高危中国大学生中预防自杀的功效。方法将97例自杀者随机分为3组，分别接受以中庸思维为基础的DBT团体技能训练（DBTZYT，n = 33）、支持性团体治疗（SGT，n = 32）和等待组（WL，n = 32）。DBTZYT是一个为期12周的计划，基于中庸思维而不是辩证思维，指导参与者正念，情绪调节，痛苦容忍和人际交往效能。支持性团体治疗是一个为期12周的项目，旨在提高人际交往效率和情绪调节技能。在治疗前后和6个月随访时评估结局指标。结果治疗后两组患者的自杀意念、绝望感、精神疼痛症状和一般精神病理学评分均显著降低; 6个月随访时，两组患者的干预效果均优于SGT组。具体而言，DBTZYT在缓解参与者的长期强迫症，焦虑，敌意，恐怖，精神病和其他症状方面更有效。结论中庸思维不仅可以与我国青壮年人群DBT技能训练相结合，而且在提高DBT疗效方面具有独特的优势。
Background Dialectical behavior therapy (DBT) is a first-line treatment for the prevention of suicide. Zhong-Yong thinking could be viewed as a Chinese way of dialectical thinking, has long been a culturally dictating thinking style in China. To enhance cultural adaptability, we integrated Zhong-Yong thinking into DBT group skills training and examined its efficacy in suicidal prevention compared with a supportive group therapy and a wait-list group in high-risk suicidal Chinese college students. Methods A total of 97 suicidal participants were randomized to either Zhong-Yong thinking based DBT group skills training (DBTZYT, n = 33), or supportive group therapy (SGT; n = 32), or wait-list group (WL; n = 32). DBTZYT was a 12-week program based on Zhong-Yong thinking instead of dialectical thinking, coaching participants mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Supportive group therapy was a 12-week program aiming at improving interpersonal effectiveness and emotion regulation skills. Outcome measures were assessed at pre- and post-treatment and 6-month follow-up. Results At post-treatment measures, the levels of suicidal ideation, hopelessness, psychache symptoms, and general psychopathology had significantly decreased in both intervention groups; at the 6-month follow-up measures, the intervention effects were better maintained in the DBTZYT group rather than in the SGT group. Specifically, DBTZYT was more effective in relieving participants' long-term obsessive-compulsive, anxiety, hostility, phobic, psychotic, and additional symptoms. Conclusions Zhong-Yong thinking not only could integrate with DBT skills training in Chinese young adult population, but also has special strength in enhancing DBT's efficacy.