现在开始:对有行为或反对性挑障碍的青少年女孩进行认知行为技能培训 - 一个随机临床试验
Christina Stadler1, Christine M Freitag2, Arne Popma3
1University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Journal of child psychology and psychiatry, and allied disciplines
|October 10, 2023
概括
认知行为疗法START NOW计划显示,在青少年女孩中,行为障碍 (CD) 和反对性挑性障碍 (ODD) 症状的延迟但临床上有意义的减少. 这表明对管理这些具有挑战性的行为有持久的积极影响.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 发展心理学 发展心理学
背景情况:
- 行为障碍 (CD) 和反对性挑性障碍 (ODD) 构成长期不适应的重大风险.
- 这些疾病在青春期的女孩中显著缺乏研究.
- 早期干预对于改善CD或ODD的女性青少年的结果至关重要.
研究的目的:
- 确认START NOW计划对被诊断患有CD或ODD的女性青少年的有效性.
- 评估该程序提高情绪调节和心理社会调整的能力.
- 评估该计划对减少CD和ODD症状的影响.
主要方法:
- 一个前性的,集群随机的,多中心的,受控的III期试验,涉及127名青少年女孩 (12-20岁).
- 开始现在干预组 (n=72) 与标准护理 (常规治疗,TAU) (n=55) 的比较.
- 主要终点测量了从基线到治疗后和12周后续对CD/ODD症状的变化.
主要成果:
- 两组患者在治疗后都出现了症状减轻,START NOW和TAU之间没有显著差异.
- 从基线到12周的随访期,START NOW组的症状减少显著增加 (Hedge的g=-0.563).
- 第二次结局表明,START NOW组的侵略性和易怒性降低.
结论:
- 在减轻症状方面,START NOW并没有显示出对TAU的立即优势.
- 在随访时,START NOW组观察到临床意义上的延迟治疗效果.
- 这些发现表明,START NOW为患有CD或ODD的青少年女孩提供了持久的好处.
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