对有选择性沉默症的儿童和青少年进行非药物干预的系统审查和元分析
Gino Hipolito1,2,3, Emma Pagnamenta1, Helen Stacey1
1School of Psychology and Clinical Language Sciences University of Reading Reading UK.
JCPP advances
|September 18, 2023
概括
非药物干预对儿童和青少年的选择性沉默症 (SM) 显示出可变的效果. 综合行为方法在说话行为和焦虑方面显示出显著的改善,这需要进一步的系统评估.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 焦虑症 焦虑症 焦虑症
背景情况:
- 选择性沉默症 (SM) 是一种儿童焦虑障碍,具有潜在的长期后果.
- 非药物干预是SM的主要治疗方法.
- 本综述考察了年轻人中MS非药物治疗的结果和结果.
研究的目的:
- 确定用于SM非药物干预的结果指标.
- 评估这些干预措施对儿童和青少年的有效性.
- 综合关于说话行为,焦虑和其他结果的发现.
主要方法:
- 对13个电子数据库进行了系统搜索,并进行了手动搜索.
- 包括1992年以来出版的同行评审和灰色文献.
- 25项研究符合审查的纳入标准.
主要成果:
- 说话行为和焦虑是最常见的结果.
- 非药物干预对说话行为和焦虑症状产生了可变的影响.
- 综合系统/行为方法显示说话行为的显著改善 (Hedges g = 1.06) 和趋向于SM缓解.
结论:
- 对MS的非药物干预措施的系统评估是有限的.
- 综合系统/行为干预措施在治疗MS方面表现有前途.
- 需要进一步的系统评估和测量协调,以推进治疗方法和结果.
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