Video Experimental Relacionado

Updated: Sep 10, 2025

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Published on: December 6, 2024

Cuidados escalonados versus cuidados estratificados para jóvenes con trastornos de ansiedad: un ensayo piloto

Elin Olsson^1,2, Per Andrén^3,4, Emma Claesdotter-Knutsson^3,4

¹Department of Child and Adolescent Psychiatry, Skåne University Hospital, Lund, Sweden. elin.olsson@med.lu.se.

Child psychiatry and human development

|August 21, 2025

Resumen

Este estudio piloto encontró que es factible comparar modelos de atención escalonados y estratificados para los trastornos de ansiedad juveniles. La atención estratificada mostró tasas de respuesta inicial más altas, lo que sugiere el potencial para futuros ensayos definitivos.

Área de la Ciencia:

Psiquiatría Infantil y Adolescente
Investigación en servicios de salud mental
Diseño del ensayo clínico

Sus antecedentes:

Los trastornos de ansiedad son frecuentes entre los jóvenes, sin embargo, el acceso a tratamientos basados en la evidencia sigue siendo un desafío.
Las directrices actuales a menudo sugieren cuidados estratificados, pero se están explorando modelos de cuidados escalonados para una posible rentabilidad.
Existe una investigación limitada sobre los modelos de atención comparativa para los trastornos de ansiedad pediátrica.

Objetivo del estudio:

Evaluar la viabilidad, la aceptabilidad y la seguridad de un ensayo piloto aleatorio controlado (ECA).
Comparar el cuidado gradual frente al cuidado estratificado para el tratamiento de jóvenes con trastornos de ansiedad.
Informar el diseño de un ensayo definitivo que investigue estos modelos de atención.

Principales métodos:

Un ECA piloto (NCT06016907) incluyó a 51 jóvenes (edad media de 14,18 años) con trastornos de ansiedad.
La atención escalonada comenzó con la TCC proporcionada por Internet; la atención estratificada comenzó con la TCC en persona para casos complejos.
Ambos grupos recibieron TCC en persona para los no respondedores; se monitoreó la adherencia y la seguridad.

Principales resultados:

Se observó una alta adherencia (78-84%) y asistencia (96%) en todas las intervenciones.
No se han notificado reacciones adversas graves, lo que indica seguridad.
Las tasas de respuesta inicial fueron del 40% para la atención escalonada y del 75% para la atención estratificada.

Conclusiones:

Es factible un ensayo definitivo que compare la atención gradual y estratificada para los trastornos de ansiedad juvenil.
El estudio piloto demostró diferencias aceptables de adherencia, seguridad y respuesta preliminar.
Se requiere más investigación para establecer la eficacia y las vías óptimas de atención para la ansiedad pediátrica.

Palabras clave:

Adolescentes Trastornos de ansiedad TC y TC Modelos de cuidado Los niños Ha dado un paso.Estratificado

Más Videos Relacionados

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents

Published on: July 10, 2017

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Videos de Conceptos Relacionados

Randomized Experiments

Randomized Experiments

The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...

Anxiety: Overview

Anxiety: Overview

Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.

Behavior Therapy

Behavior Therapy

Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...

Treatment Strategies for Psychological Disorders

Treatment Strategies for Psychological Disorders

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...

Generalized Anxiety Disorder

Generalized Anxiety Disorder

Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...

Blind Procedures

Blind Procedures

Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...