随机试验比较标准与光强度的父母培训对焦虑的年轻人
Eric A Storch1, Andrew G Guzick2, Daphne M Ayton1
1Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Behaviour research and therapy
|December 28, 2023
概括
父母主导的儿童焦虑情绪支持育儿 (SPACE) 干预措施在儿童焦虑和强迫症 (OCD) 的标准和低剂量格式中是有效的. 两种版本都显示了类似的结果,突出了针对家庭住宿的家长主导方法的有效性.
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:
- 焦虑和强迫症 (OCD) 严重影响年轻人的发展.
- 父母主导的干预措施在治疗儿科焦虑和强迫症方面表现有前途.
- 家庭适应,父母调整日常生活以避免孩子的痛苦,是维持这些疾病的关键因素.
研究的目的:
- 为了比较标准的儿童焦虑情绪支持育儿 (SPACE) 计划与低剂量版本 (SPACE-light) 对于焦虑/强迫症的青少年的有效性.
- 评估治疗形式是否影响治疗反应和症状严重程度.
- 检查家庭住宿在治疗结果中的作用.
主要方法:
- 一项随机对照试验 (RCT) 涉及68名患有焦虑/强迫症的青少年 (7-17岁) 和他们的父母.
- 参与者被分配到12个每周的远程医疗 SPACE 会议 (SPACE-标准) 或书法治疗与4个远程医疗会议 (SPACE-光).
- 评估是在基线,治疗后和一个月的随访期间进行的,由独立评估者盲目对待治疗条件进行评估.
主要成果:
- 在SPACE-标准 (70%) 和SPACE-光 (68%) 之间,治疗响应率没有显著差异.
- 两种治疗条件都没有预测治疗后或随访时的焦虑严重程度或功能障碍.
- 在SPACE-light组中,治疗后自我报告的焦虑程度较高,但随访后这种差异减少了. 父母报告的家庭住宿变化与焦虑严重程度相关.
结论:
- 在标准和低剂量形式中,SPACE干预是有效的,用于治疗儿童和青少年的焦虑和强迫症.
- 针对家庭住宿的家长主导治疗是治疗儿科焦虑和强迫症的可行方法.
- 这项研究将SPACE的证据基础扩展到更多样化的临床群体.
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