多重功能体综合征的青少年群体接受和承诺疗法 (AHEAD):一项随机试验
Karen Hansen Kallesøe1,2, Andreas Schröder1,2, Jens Søndergaard Jensen1
1The Research Clinic for Functional Disorders and Psychosomatics Aarhus University Hospital Aarhus C Denmark.
JCPP advances
|July 11, 2023
概括
青少年健康接受和承诺疗法 (AHEAD) 在功能性体力综合征 (FSS) 的青少年中显示出更快的症状改善. 虽然AHEAD在12个月后没有改善身体健康,但为严重受影响的年轻人提供了一种结构化的方法.
科学领域:
- 青少年健康 青少年健康
- 心理干预 心理干预
- 慢性疾病管理 慢性疾病管理
背景情况:
- 治疗多功能体征综合征 (FSS) 的青少年的证据有限.
- 这项研究评估了青少年健康接受和承诺疗法 (AHEAD),这是针对青少年同时发生的FSS的基于小组的干预措施.
研究的目的:
- 检查AHEAD与增强常规护理 (EUC) 相比,在患有多重FSS的青少年中的有效性.
- 评估AHEAD对身体健康,症状严重程度和疾病感知的影响.
主要方法:
- 一项随机试验包括91名青少年 (15-19岁) 患有至少一年持续的FSS.
- 参与者被随机分配到AHEAD (27小时+随访) 或EUC.
- 身体健康 (SF-36) 是主要结局;次要结局包括症状严重程度和疾病感知. 分析使用了线性混合效应模型.
主要成果:
- 在12个月后,在AHEAD和EUC之间没有发现身体健康的显著差异.
- 与EUC相比,AHEAD患者在身体健康,症状严重程度和疾病感知方面表现得更快.
- 在AHEAD患者中,对治疗的满意度很高,而EUC患者则接受了更多的外部心理治疗.
结论:
- 与EUC相比,AHEAD在12个月的身体健康方面没有显著的优势.
- 前进促进了身体健康和症状的更快改善轨迹.
- 这项研究强调了需要有组织的,系统的治疗严重受影响的青少年与FSS.
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