Computerized DBT Skills Training for Suicidal and Heavy Episodic Drinkers

针对有自杀倾向和间歇性酗酒者的计算机化 DBT 技能培训

• 批准号: 9046188
• 负责人: Chelsey Rochelle Wilks
• 金额: $ 4.31万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-12-16 至 2018-12-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9046188
• 关键词: Acute; Addictive Behavior; Address; Adverse event; Aftercare; Alcohol consumption; Alcoholic Intoxication; Alcoholic beverage heavy drinker; Alcohols; Behavior; Behavioral; Cause of Death; Client; Clinical; Cognitive Therapy; Computers; Control Groups; Dialectical behavior therapy; Disease; Educational Intervention; Emotions; Evidence based treatment; Exhibits; Feeling suicidal; Goals; Health; Health Personnel; Heavy Drinking; Hospitalization; Individual; Internet; Intervention; Literature; Measures; Mental Health; Methods; Outcomes Research; Population; Populations at Risk; Problem behavior; Psychotherapy; Randomized; Recruitment Activity; Research; Research Infrastructure; Research Methodology; Review Literature; Risk Factors; Role; Safety; Stress; Study models; Suicide; Suicide attempt; Target Populations; Technology; Telephone; Time; Touch sensation; Treatment Effectiveness; Treatment outcome; United States; Waiting Lists; Work; alcohol use disorder; binge drinker; binge drinking; comparison group; computerized; cost; design; distress tolerance; drinking; effective intervention; emotion dysregulation; emotion regulation; experience; high risk; improved; indexing; pilot trial; public health relevance; skills; skills training; social stigma; suicidal; suicidal behavior; suicidal individual; suicidal morbidity; suicidal risk; suicide attempter; therapy development

 DESCRIPTION (provided by applicant): Alcohol use is considered to be a significant risk factor among those who die by suicide, especially among those who drink to regulate their emotions. Unfortunately, there is a dearth of treatment outcome research for suicidal heavy drinkers. Further, treatments that target this population must be maximally effective and widely disseminable. The application of technology has been increasingly utilized as an efficacious and acceptable way to rapidly disseminate evidence-base treatment. However, these methods are used infrequently for individuals deemed too high risk for computerized treatment. Along these lines, the goal of this project is to begin a line of research focused on developing interventions o reduce heavy drinking and risk for suicide through the use of technology. Dialectical Behavior Therapy (DBT) skills training is an effective intervention for behaviors associated with emotion dysregulation including addictive and suicidal behaviors. Further, DBT skills use has been identified as the active ingredient for treatment effectiveness; thus, a skills training interventin delivered via the Internet has the capacity to be a potent and efficient method of treatment delivery. The goal of this research is to establish a proof of concept for developing and evaluating a potentially efficacious and acceptable intervention for heavy episodic drinkers who are suicidal. Specifically, this project proposes to conduct a randomized controlled pilot trial ofa computerized DBT skills training intervention for suicidal individuals who engage in heavy episodic drinking (HED) to regulate emotions.

 描述（由申请人提供）：酒精使用被认为是自杀死亡的一个重要风险因素，特别是那些通过饮酒来调节情绪的人。不幸的是，缺乏对自杀性酗酒者的治疗结果研究。此外，针对这一人群的治疗必须是最有效和广泛传播的。技术的应用越来越多地被用作迅速传播循证治疗的有效和可接受的方式。然而，这些方法很少用于被认为对计算机化治疗风险太高的个人。沿着这些路线，该项目的目标是开始一系列研究，重点是开发干预措施，通过使用技术减少酗酒和自杀风险。辩证行为疗法（DBT）技能训练是一种有效的干预与情绪失调的行为，包括成瘾和自杀行为。此外，DBT技能的使用已被确定为治疗有效性的有效成分;因此，通过互联网提供的技能培训干预有能力成为一种有效和有效的治疗方法。本研究的目的是建立一个概念的证据，为开发和评估一个潜在的有效和可接受的干预重度间歇性饮酒者谁是自杀。具体而言，本项目建议进行一项随机对照试验，对那些进行大量间歇性饮酒（HED）以调节情绪的自杀者进行计算机化DBT技能培训干预。