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青少年抑郁症接受与承诺疗法的体验:对良好结局案例的解释现象学分析。

Adolescents' experiences of acceptance and commitment therapy for depression: An interpretative phenomenological analysis of good-outcome cases.

作者信息

Ma Jinping, Ji Lili, Lu Guohua

机构信息

School of Public Health, Weifang Medical University, Weifang, China.

School of Nursing, Weifang Medical University, Weifang, China.

出版信息

Front Psychol. 2023 Mar 22;14:1050227. doi: 10.3389/fpsyg.2023.1050227. eCollection 2023.

Abstract

INTRODUCTION

Acceptance and commitment therapy (ACT) has been shown to help treat depression. However, little is known about the patient's experiences with ACT. This study aimed to learn how it was used in adolescents with major depressive disorder who have achieved good treatment outcomes.

METHODS

Five adolescents with major depressive disorder with good treatment outcomes of ACT were enrolled in the semi-structured qualitative interview and analyzed using systematic textual condensation and interpretative phenomenological analysis.

RESULTS

Four primary themes emerged from the investigation. "Therapist relationships and characteristics" describes the therapist's receptiveness and respect for adolescents with depression and having a trustworthy and sincere therapist. "Spaces to explore and experience" describes the ongoing process and content of acceptance of negative emotions and mindfulness practices in the healing process. "Do important things" refers to values and committed action. The "time settings" include the frequency and duration of treatment.

CONCLUSION

Adolescents make positive changes with a receptive and respectful therapist by exploring themselves in a genuine and trusting therapeutic relationship. Improvement seems to come from being open to all thoughts and feelings and developing the ability to live in the present moment. Teenagers attach great importance to value-oriented behaviour. Therefore, treatment should target the critical areas of depressed adolescents to guide them towards recovery effectively.

摘要

引言

接纳与承诺疗法(ACT)已被证明有助于治疗抑郁症。然而,对于患者接受ACT治疗的体验却知之甚少。本研究旨在了解ACT在治疗重度抑郁症青少年且取得良好治疗效果时是如何应用的。

方法

选取五名接受ACT治疗且取得良好效果的重度抑郁症青少年进行半结构化定性访谈,并采用系统文本浓缩和解释现象学分析方法进行分析。

结果

调查中出现了四个主要主题。“治疗师关系及特点”描述了治疗师对抑郁症青少年的接纳和尊重,以及拥有一位值得信赖且真诚的治疗师。“探索与体验的空间”描述了在康复过程中接纳负面情绪和正念练习的持续过程及内容。“做重要的事”指的是价值观和承诺行动。“时间设置”包括治疗的频率和时长。

结论

青少年在与接纳且尊重他们的治疗师建立真诚且信任的治疗关系中进行自我探索,从而实现积极改变。改善似乎源于对所有思想和感受保持开放,并培养活在当下的能力。青少年非常重视以价值观为导向的行为。因此,治疗应针对抑郁青少年的关键领域,以有效引导他们走向康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/10074419/e84bf500ff05/fpsyg-14-1050227-g001.jpg

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