基于小组的可行性和有效性,简短的跨诊断性认知行为治疗青少年与内化问题
Gudmundur Skarphedinsson1, Gunnar Karl Karlsson2
1Faculty of Psychology, University of Iceland, Sæmundargata 12, 102, Reykjavik, Iceland. gskarp@hi.is.
Child psychiatry and human development
|June 9, 2023
概括
这项研究表明,简短的,以小组为基础的认知行为疗法 (CBT) 计划可以有效地减少青少年的焦虑和抑郁. 治疗表现出良好的坚持和参与者和家长的高满意度.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年健康 青少年健康
背景情况:
- 青少年中普遍存在焦虑和抑郁等内化问题.
- 初级医疗保健机构为早期干预提供了机会.
- 跨诊断方法可以有效地解决并发性疾病.
研究的目的:
- 评估一个简短的,以小组为基础的跨诊断性认知行为疗法 (CBT) 计划对内化障碍的青少年的疗效.
- 评估冰岛初级医疗保健机构的治疗结果.
- 通过多次后续评估,检查长期影响.
主要方法:
- 一个随机对照试验,包括53名青少年,将组CBT与等候名单对照进行比较.
- 每周八次110分钟的课程包括精神教育,认知重组,行为激活,暴露,解决问题,社交技能和正念.
- 自我报告和家长评估的儿童焦虑和抑郁度量 (RCADS) 分数在基线,治疗中期,治疗后以及2个月,4个月和1年的随访期间收集.
主要成果:
- 随着时间的推移和在治疗组中观察到自我报告的抑郁和焦虑总分的显著降低.
- 父母报告的结果在研究期间没有显示出显著的治疗效果,但在自然关注期间有所改善.
- 青少年和家长都报告了高的治疗坚持和满意度.
结论:
- 简短的,以小组为基础的跨诊断性CBT是减少青少年焦虑和抑郁症状的可行和有效干预措施.
- 这些发现强调了解决伴随性疾病在青少年心理健康治疗中的重要性.
- 这种方法显示出在初级医疗保健机构实施的希望.
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