强化认知行为疗法 (eCBT) 对患有强迫症的儿童和青少年的二次结果
Bo Wang1, Gudmundur Skarphedinsson2, Bernhard Weidle3,4
1Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.
Frontiers in human neuroscience
|January 23, 2024
概括
增强的认知行为疗法 (eCBT) 显著减少了强迫症 (OCD) 症状,改善了年轻人的生活质量. 儿童强迫症患者的这些积极结果在治疗后持续了长达12个月.
科学领域:
- 儿童和青少年精神病学
- 心理健康干预 心理健康干预
- 行为治疗是一种行为疗法.
背景情况:
- 强迫症 (OCD) 是年轻人的严重心理健康状况,经常出现并发症症状.
- 针对儿科强迫症的传统面对面认知行为疗法 (CBT) 在可访问性和一致性方面面临挑战.
- 增强性CBT (eCBT) 是为了解决儿童强迫症标准CBT的局限性而开发的.
研究的目的:
- 评估eCBT对青年中强迫症相关的并发症症状的广泛影响.
- 评估eCBT在改善生活质量和减少功能障碍方面的有效性.
- 检查eCBT对儿童强迫症家庭住宿的影响.
主要方法:
- 一项涉及25名强迫症儿童患者 (7-17岁) 的公开试验,接受了14周的eCBT.
- 评估伴随性症状 (SDQ,SCARED,MFQ),生活质量 (KINDL-R),功能障碍 (COIS-R) 和家庭住宿 (FAS) 在基线,治疗后以及3个月,6个月和12个月的随访.
- 分析使用线性混合效应模型来确定治疗效应.
主要成果:
- 在治疗后观察到并发症症状 (SDQ,SCARED,MFQ) 和家庭住宿 (FAS) 的显著减少.
- 生活质量 (KINDL-R) 和功能结果 (COIS-R) 在eCBT后显著改善.
- 这些改善在3个月的随访中持续并放大,并在12个月的随访中保持一致.
结论:
- eCBT在减少青少年中强迫症相关的并发症症状和功能障碍方面表现出显著的有效性.
- 该研究强调了eCBT对强迫症儿童和青少年日常生活的积极和持久影响.
- 电子CBT为儿科强迫症提供了一个有前途的治疗方法,改善了整体健康和日常功能.
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