不安な青年に対する集団認知行動療法介入
Liza Takács1, Dóra Perczel-Forintos2, Martina Greskó1
1Department of Pediatrics, Semmelweis University, Budapest, Hungary.
まとめ
この研究は、集団認知行動療法(CBT)が青年期の不安、うつ病、絶望感を効果的に軽減することを示しています。介入は、併存気分障害のある患者に対しても有益であることが証明されました。
科学分野:
- 精神医学
- 臨床心理学
- 青年期のメンタルヘルス
背景:
- 不安障害は青年期の7%、小児期の6.5%に影響を与え、多くは適切な心理療法を受けていません。
- 認知行動療法(CBT)は、不安障害の確立された第一線の治療法です。
- 不安症状のある青年を対象とした8セッションの集団CBT介入が開発されました。
研究 の 目的:
- 不安のある青年を対象とした、短期間の集団CBT介入を適応および評価すること。
- 青年期の不安患者における認知的歪み、回避行動、および関連する身体症状を軽減すること。
- ハンガリーの青年集団における集団CBTの効果を評価すること。
主な方法:
- 不安および併存気分障害と診断された51人の青年(15〜20歳)に集団CBT介入を実施しました。
- 参加者は8〜12人の患者のグループに分けられました。
- 標準化された質問票(BDI、STAI-S、RSES-H、BHS、CERQ、FNE-8、NPTQ-C)を介入前および介入後の評価に使用しました。
主要な成果:
- 不安(p<0.001)、抑うつ症状(p<0.001)、否定的な評価に対する恐怖(p=0.001)の有意な減少が観察されました。
- 非生産的な思考(p<0.001)とうつ病(p=0.049)の減少、および自尊心の向上(p=0.042)が含まれていました。
- 併存気分障害は、介入の効果を低下させませんでした。
結論:
- この研究は、ハンガリーにおける青年期の不安に対する短期間の集団CBTの最初の検討を表しています。
- 集団CBTは、青年期の不安、うつ病、絶望感を効果的に軽減し、自尊心を向上させました。
- これらの発見は、青年期の不安治療のためのこの集団CBTモデルのより広範な実施を支持しています。
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