Theorie-Praxis-Netzwerke in verhaltenstherapeutischer Ausbildung: Schulung, Selbsterfahrung und Einsatz in der Therapie am Beispiel von Achtsamkeit

Theorie-Praxis-Netzwerke in verhaltenstherapeutischer Ausbildung: Schulung, Selbsterfahrung und Einsatz in der Therapie am Beispiel von Achtsamkeit
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行为治疗培训中的理论实践网络:以正念为例进行培训、自我意识和治疗中的使用

DOI:
10.1159/000455163
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发表时间:
2017
期刊:
影响因子:
0.6
通讯作者:
Heidenreich
Heidenreich
中科院分区:
医学4区
文献类型:
--
作者:
Mander;Kröger;Blanck;Heidenreich

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背景:构成行为治疗理论和实践培训的模块通常彼此关系不大。培训,实践间隔,并融入相关的治疗干预需要更紧密地联系在一起。这份手稿描述了通过调查正念干预来解决这个问题的尝试。方法:由27名治疗指导员艾德的有自我发现间隔的正念工作坊。在此基础上,将具有正念元素的标准化sessionintroducing干预措施整合到36例患者的训练疗法中。从可接受性、可行性和有效性等方面对该方案进行了分析。采用方差分析比较第1次治疗和第15次治疗之间的症状减轻(Beck抑郁量表(BDIII)、简明症状量表(BSI))与接受标准治疗的对照组的症状减轻。结果:正念的积极经验,在定性访谈中披露。总体而言,理论-实践网络的接受度和可行性被评为高。根据治疗指导员的陈述,在理论和实践培训之间建立了有意义的界面。在症状减轻方面,正念组和接受标准治疗组的患者显示出相似的结果;在这方面没有显著差异。结论:正念工作坊和开放练习的结合被认为是有意义的,但临床效果并不比标准治疗更强。未来的研究应该旨在调查其他领域的理论实践网络(例如,渐进式肌肉放松,同情心)。在此,除了关于可接受性和可行性的积极结果外,还可以确定临床相关效应。
Background: The modules that make up theoretical and practical training in behavioral therapy often bear little relationship to one another. Training, practice intervals, and integration into rel evant therapeutic interventions need to be interlinked more closely. This manuscript describes an attempt to address this topic by investigating mindfulness interventions. Method: Mind fulness workshops with intervals for selfdiscovery were facilitat ed by 27 therapy instructors. Building on this, standardized ses sionintroducing interventions with mindfulness elements were integrated into the training therapy in 36 patients. The program was analyzed in terms of acceptance, feasibility, and effective ness. Analyses of variance were used to compare the symptom reduction (Beck Depression Inventory (BDIII), Brief Symptom In ventory (BSI)) achieved between the first session and the 15th session against that of a control group consisting of patients re ceiving standard treatment. Results: Positive experiences of mindfulness were disclosed during qualitative interviews. In gen eral, the acceptance and feasibility of the theorypractice network was rated as high. According to statements made by the therapy instructors, meaningful interfaces were established between the oretical and practical training. In terms of symptom reduction, patients in the mindfulness group and the group receiving stand ard treatment showed similar results; there were no significant variances in this respect. Conclusion: The combination of mind fulness workshops and opening exercises building on these was found to be meaningful, but the effects were not clinically strong er than those achieved by standard treatment. Future research should aim to investigate theorypractice networks in other areas (eg, Progressive Muscle Relaxation, compassion). Here, clinical ly relevant effects may be identified in addition to the positive findings on acceptance and feasibility.
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