检查社区临床医生使用童年焦虑障碍的想象性暴露
1Department of Psychiatry and Psychology, Mayo Clinic, West 11, 200 First St., SW, Rochester, MN, 55905, USA. whiteside.stephen@mayo.edu.
Child psychiatry and human development
|July 20, 2023
概括
社区治疗师很少使用暴露疗法来治疗青少年焦虑. 想象式暴露经常被使用,而不是更有效的方法,这表明焦虑障碍的治疗实践不足于最佳.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 焦虑症 焦虑症 焦虑症
背景情况:
- 暴露疗法是青年焦虑障碍的关键治疗方法.
- 社区治疗师未充分利用暴露疗法,特别是体内和体内受体形式.
- 想象式暴露比其他暴露方式更频繁地得到认可.
研究的目的:
- 调查社区治疗师使用影像暴露是否是体内暴露的最佳替代品,还是针对引起焦虑的想法进行有针对性的干预.
- 检查青少年焦虑症治疗中的影像曝光的具体应用和感知效用.
主要方法:
- 178名社区临床医生对年轻人治疗焦虑障碍的调查回复.
- 对不同暴露技术 (想象式,体内,内感) 和认知重组的治疗师认可率的分析.
- 检查认可的影像曝光干预措施的声明目标和目标.
主要成果:
- 治疗师对明确定义的影像暴露的认可程度低于认知重组.
- 想象式暴露经常被用作更强烈的暴露技术的替代品.
- 大多数认可的影像曝光干预都专注于应对焦虑,而不是纠正学习.
- 图像曝光使用与一般性焦虑症治疗之间没有发现任何关联.
结论:
- 社区治疗师对青少年焦虑的影像曝光的使用似乎不够理想.
- 与其他暴露形式相比,目前使用图像暴露不太可能提高治疗结果.
- 需要进一步的研究来澄清暴露治疗在社区心理健康环境中的有效整合.
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