基于学校的认知行为治疗结果的预测者对于焦虑的年轻人来说是如此
Gro Janne H Wergeland1, Åshild T Haaland2, Krister W Fjermestad3
1Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Norway.
Behaviour research and therapy
|September 10, 2023
概括
父母因素,如照顾者的压力和干预的可信度,会影响青少年焦虑治疗的结果. 针对父母的期望可能会提高认知行为疗法 (CBT) 在学校环境中的有效性.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 基于学校的认知行为疗法 (CBT) 在预防焦虑症状方面显示出小但显著的效果.
- 对于哪些年轻人从焦虑预防计划中受益最多以及对不同干预强度的差异性反应的理解有限.
研究的目的:
- 检查青少年中基于学校的CBT结果的预测因素.
- 根据青少年和家长因素以及干预特征,调查干预效应的调节者.
主要方法:
- 一项随机等候名单对照试验对302名年轻人进行了10次和5次组CBT干预 (84%为女性,平均年龄为14.0岁).
- 预测因素包括青年/家长因素,干预的可信性/预期性,干预前的焦虑/抑郁,以及临床医生评估的严重程度.
- 结果测量了青年和家长报告的焦虑和抑郁症状在干预后和1年的随访.
主要成果:
- 较高的家长报告的青少年焦虑障碍预测了更大的症状减少.
- 增加护理人员的压力与较少的症状改善有关.
- 较高的家长评级干预可信度和预期与更好的干预后结果相关.
- 在1年的随访期间,没有发现任何预测因素或调节因素.
结论:
- 照顾者压力较高的家庭可能需要额外的支持来治疗青少年焦虑,无论干预的长度如何.
- 优化基于学校的CBT可能包括针对家长对干预措施的信誉和期望.
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