一种基于暴露的认知行为疗法,用于严重易怒的青少年:可行性和初步有效性
Reut Naim1,2, Kelly Dombek2, Ramaris E German2
1School of Psychological Sciences, Tel-Aviv University.
概括
这项研究表明,一种新的基于暴露的疗法是可接受的,并且可用于治疗年轻人的严重易怒. 治疗显著降低了易怒症状,随着随访时的持续增长.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 严重的易怒和气暴发在年轻人中很常见,但缺乏机械上明智的治疗方法.
- 现有的治疗方法往往不能解决易怒的潜在机制.
- 需要针对儿科易怒的有效干预措施.
研究的目的:
- 测试一种基于暴露的新型治疗方法的可接受性,可行性和初步疗效,用于严重易怒的年轻人.
- 在治疗中评估一个集成的家长管理技能组成部分.
- 用随机多重基线设计来评估治疗结果.
主要方法:
- 使用随机多重基线设计,对41名年轻人 (平均年龄11.23岁) 进行了随机多重基线设计,他们经历了严重的易怒.
- 参与者接受了12次基于暴露的认知行为疗法,并集成了家长管理技能.
- 临床医生评估的易怒,抑郁,焦虑和ADHD症状在基线,治疗和3个月和6个月的随访期间进行了评估.
主要成果:
- 该疗法表现出高可接受性和可行性,在开始治疗后没有脱离治疗,也没有报告的不良事件.
- 在积极治疗阶段观察到易怒症状的显著改善 (科恩的d范围: -0.33到 -0.98).
- 治疗效果在3个月和6个月的随访中保持不变,65%的患者表现出明显的改善或康复.
结论:
- 基于暴露的新型治疗与家长管理技能是可以接受的,可行的,并显示了初步有效性,对于严重易怒的年轻人.
- 这种方法提供了一个有希望的新途径,用于解决儿童群体中具有挑战性的易怒症状.
- 需要进一步的研究来探索长期的结果和通用性.
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