专门针对焦虑选择性沉默症的综合行为疗法:在五名参与者之间进行非并发的多个基线设计
Allison K Siroky1, John S Carlson2, Aimee Kotrba3
1Nationwide Children's Hospital Big Lots Behavioral Health Services, Columbus, OH 43215, USA.
Pediatric reports
|October 24, 2023
概括
这项研究发现,选择性沉默症 (IBTSM) 的16次综合行为疗法显示出出色的坚持和护理人员接受. 虽然并非所有儿童都完全缓解,但许多儿童在社交焦虑和说话行为方面表现出显著的改善,其中60%不再符合SM标准.
科学领域:
- 儿童心理学 儿童心理学
- 焦虑症 焦虑症 焦虑症
- 行为疗法是一种行为疗法.
背景情况:
- 选择性沉默症 (SM) 是一种罕见的儿童焦虑障碍,影响学术和社会功能.
- 认知行为治疗对MS有效,但新手临床医生的手动方法需要进一步研究.
研究的目的:
- 为了检查选择性沉默症 (IBTSM) 的简化,16次综合行为疗法的坚持性,有效性和可接受性.
- 在临床环境中评估MS的第一个手动治疗方法.
主要方法:
- 采用非并发的多个基线单个病例设计,对5名被诊断为SM的纯焦虑亚型的儿童进行了研究.
- 实施了IBTSM,并收集了每周护理人员对社会焦虑和说话行为的评分.
主要成果:
- IBTSM表现出极好的坚持 (98%) 并被所有护理人员评为可接受.
- 虽然视觉分析没有显示复制的干预效应,但Tau-U和RCI表明社会焦虑和说话行为的显著个体改善.
- 60% (五分之三) 的儿童在治疗后不再符合MS诊断标准.
结论:
- 缩IBTSM是一种可行的和可接受的治疗选择性无声症的儿童.
- 该治疗有望改善社会焦虑和说话行为,导致大多数参与者的诊断缓解.
- 新手临床医生对SM手动治疗的进一步研究是有必要的.
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