Attachment-based family therapy versus nondirective supportive therapy for lesbian, gay, bisexual and questioning adolescents with depression, and suicidal ideation: An exploratory study.
Attachment-based family therapy versus nondirective supportive therapy for lesbian, gay, bisexual and questioning adolescents with depression, and suicidal ideation: An exploratory study.
复制标题
针对患有抑郁症和自杀意念的女同性恋、男同性恋、双性恋和质疑青少年的基于依恋的家庭治疗与非指导性支持治疗：一项探索性研究。
DOI：
10.1111/sltb.12995
复制
发表时间：
2023
影响因子：
3.2
通讯作者：
Diamond,GuyS
中科院分区：
文献类型：
--
作者：
Russon,Jody;Abbott,CarolineH;Jin,Bora;Rivers,AlannahShelby;Winston-Lindeboom,Payne;Kobak,Roger;Diamond,GuyS
女同性恋、男同性恋、双性恋和有问题的（LGBQ）青少年特别容易产生自杀意念；然而，很少有临床研究关注于治疗这一人群。基于依恋的家庭治疗（ABFT）是少数实证支持的适用于LGBQ青少年的青少年自杀治疗方法之一。本探索性研究的目的是确定接受ABFT或家庭强化非指导性支持治疗（FE - NST）的LGBQ和异性恋青少年抑郁和自杀意念的差异治疗效果和变化率。方法选取年龄12 ~ 18岁的青少年129例（31%为LGBQ），随机分为两组。在16周的治疗过程中，采用多水平模型来检验个体抑郁和自杀意念的变化。结果ABFT组比NST组抑郁症状减轻率（斜率= - 0.41,p= 0.12）显著高于ABFT组（斜率= - 0.94,p< 0.001）。异性恋青少年在两种治疗条件下均表现出症状减轻（ABFT斜率= - 0.47,p< 0.001； NST斜率= - 0.79,t(113) = - 7.48,p< 0.001）。自杀意念的变化随时间而变化，但不随条件而变化。结论ABFT条件下lgbq青少年抑郁症状在第16周明显减轻，治疗效果较好。
IntroductionLesbian, gay, bisexual, and questioning (LGBQ) adolescents are particularly at risk for suicidal ideation; however, little clinical research is focused on treating this population. Attachment‐based family therapy (ABFT) is among the few empirically supported youth suicide treatments adapted for LGBQ adolescents. The purpose of this exploratory study is to determine the differential treatment effects and rates of change for LGBQ and heterosexual adolescents with depression and suicidal ideation receiving either ABFT or family enhanced nondirective supportive therapy (FE‐NST).MethodThe sample included 129 adolescents (31% LGBQ), ages 12–18 randomized to the two treatment groups. Multilevel modeling was used to examine individual changes in depression and suicidal ideation over the 16‐week treatment.ResultsResults revealed that LGBQ adolescents in the ABFT condition showed a greater rate of reduction in depressive symptoms over treatment, slope = −0.94,p< 0.001, than did LGBQ adolescents in the NST condition, slope = −0.41,p= 0.12. Heterosexual adolescents showed symptom reduction in both treatment conditions (ABFT slope = −0.47,p< 0.001; NST slope = −0.79,t(113) = −7.48,p< 0.001). Changes in suicidal ideation were found across time, but not across conditions.ConclusionLGBQ adolescents in the ABFT condition had a sharper decrease in depressive symptoms and better outcomes at week 16.