Development of a cognitive behavioral therapy with integrated mindfulness for Latinx immigrants with co-occurring disorders: Analysis of intermediary outcomes.
Development of a cognitive behavioral therapy with integrated mindfulness for Latinx immigrants with co-occurring disorders: Analysis of intermediary outcomes.
复制标题
与同时发生疾病的拉丁族移民的认知行为疗法的开发：中间结果分析。
DOI：
10.1037/tra0000949
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Alegría M
中科院分区：
文献类型：
--
作者：
Fortuna LR;Falgas-Bague I;Ramos Z;Porche MV;Alegría M
跨诊断干预越来越多地用于各种精神健康和物质使用状况的管理以及慢性压力的背景下。我们讨论了双重问题和早期行动的综合干预（IIDEA）的发展和评估，这是一种包括认知治疗和正念练习的十期人工干预，旨在改善焦虑、抑郁、创伤后应激和同时发生的物质使用问题的症状。在对IIDEA的随机对照试验进行的二次分析中，我们评估了中间结果——正念意识、与临床医生的合作以及疾病自我管理——并将统计结果与参与者的定性访谈结果相结合。IIDEA干预组表现出更高水平的正念意识、疾病自我管理和工作联盟，高于常规对照组的强化治疗（常规治疗加计划评估），定性数据提供了治疗联盟的重要性，以及正念实践与认知治疗管理技能的整合。研究结果表明，与所研究的中介结果相关的技能可以帮助正在经历逆境和创伤性压力的拉丁裔移民。
Transdiagnostic interventions have been increasingly utilized in the management of a variety of mental health and substance use conditions, and in the context of chronic stress. We discuss the development and evaluation of the Integrated Intervention for Dual Problems and Early Action (IIDEA), a ten-session manualized intervention that includes cognitive therapy and mindfulness practice designed to improve symptoms of anxiety, depression, posttraumatic stress, and co-occurring substance use problems. In this secondary analysis of a randomized-controlled trial of IIDEA conducted with an international sample of immigrant Latinx in the US and Spain, we evaluate intermediate outcomes – mindful awareness, working alliance with clinician and illness self-management – and integrate statistical findings with results from qualitative interviews with participants. The IIDEA intervention group showed higher levels of mindful awareness, illness self-management, and working alliance over an enhanced treatment as usual control group (usual treatment plus scheduled assessments) and qualitative data offer insights into the importance of therapeutic alliance and integration of mindfulness practice with cognitive therapy management skills. Findings suggest that skills related to the studied intermediary outcomes can be helpful for Latinx immigrants experiencing circumstances of ongoing exposure to adversity and traumatic stress.
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影响因子：
4.2
作者：
Chavez, Ligia M.;Shrout, Patrick E.;Alegria, Margarita
通讯作者：
Alegria, Margarita
影响因子：
3.8
作者：
Atdjian, S;Vega, WA
通讯作者：
Vega, WA
影响因子：
3.3
作者：
Cepeda-Benito, A;Gleaves, D H
通讯作者：
Gleaves, D H
影响因子：
2
作者：
Gallardo, Miguel
通讯作者：
Gallardo, Miguel
DOI：
10.1111/papt.12143
发表时间：
2018-03-01
影响因子：
3.4
作者：
Fortuna，Lisa R.;Porche，Michelle V.;Padilla，Auralyd
通讯作者：
Padilla，Auralyd