随机对照试验用于选择性预防性跨诊断性干预,针对有情绪障碍风险的青少年
Manuel Vivas-Fernandez1, Luis-Joaquin Garcia-Lopez2,3, Jose A Piqueras4
1University of Jaen, Jaen, Spain.
Child and adolescent psychiatry and mental health
|June 23, 2023
概括
这项研究引入了第一个针对青少年选择性跨诊断预防计划的随机对照试验. PROCARE+在长期减少情绪问题方面表现出卓越的有效性.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 跨诊断干预有效地治疗临床人群中的情绪问题.
- 选择性跨诊断预防干预缺乏随机对照试验 (RCT).
- 具有高风险和低保护因子的青少年容易患有情绪障碍.
研究的目的:
- 评估选择性跨诊断性预防计划对青少年情绪问题的有效性和有效性.
- 将PROCARE (情绪障碍风险青少年的预防性跨诊断干预) 和PROCARE+ (具有个性化模块的PROCARE) 与主动对照条件 (ACC) 进行比较.
- 评估这些干预措施对焦虑和抑郁症发作的长期影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及208名高风险青少年.
- 干预包括PROCARE,PROCARE+和基于情感心理教育的积极控制 (ACC).
- 数据采集于基线,干预后,1个月后的强化剂和6个月后的随访,使用自我和家长报告.
主要成果:
- 干预组之间在大多数结果指标中观察到显著的差异.
- 与PROCARE和ACC相比,PROCARE+在短期和长期都显示出更高的效果大小.
- 两种干预措施都被认为是可以接受的,参与者对干预措施的满意度很高.
结论:
- 量身定制的,选择性的跨诊断干预措施有望减轻风险因素,促进脆弱青少年的保护因素.
- PROCARE+代表了一种有效的,基于证据的方法,用于预防处于危险的年轻人的情绪障碍.
- 这项研究为青少年心理健康的选择性跨诊断预防提供了第一个RCT证据.
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