优化指示认知行为疗法以预防儿童焦虑和抑郁:一个集群随机因子试验
Carina Lisøy1, Simon-Peter Neumer2, Frode Adolfsen3
1Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks 4623 Nydalen, 0405, Oslo, Norway; Department of Psychology, University of Oslo, Harald Schjelderups hus Forskningsveien 3A, 0373, Oslo, Norway.
Behaviour research and therapy
|March 24, 2024
概括
这项研究没有发现儿童焦虑或抑郁症状的显著差异,基于干预交付格式,父母参与或测量反系统. 对于优化干预措施,建议使用最不资源密集的组合.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 临床心理学 临床心理学
- 干预科学 干预科学
背景情况:
- 识别认知行为疗法 (CBT) 干预措施的成本效益组件对于现实应用至关重要.
- 跨诊断性CBT干预旨在有效地解决多种儿童心理健康问题.
研究的目的:
- 调查干预交付格式,家长参与和测量反系统 (MFS) 对儿童焦虑和抑郁症状的影响.
- 评估儿童对不同干预组件的用户满意度.
主要方法:
- 一个2×2×2集群随机因子试验,涉及701名儿童 (8-12岁) 患有高焦虑或抑郁症状.
- 我们比较了儿童小组格式与混合格式 (小组和基于网络的会议).
- 评估基于小组的与精神教育的小册子,家长的参与和MFS的存在或不存在.
主要成果:
- 对于儿童症状水平的分娩形式,家长参与或MFS,没有发现重要的主要或相互作用效应.
- 儿童用户满意度也显示,测试组件之间没有显著差异.
- 研究结果表明,更简单,更少资源密集的干预组件可能同样有效.
结论:
- 跨诊断性CBT干预的测试组件没有显著改变儿童焦虑或抑郁的结果.
- 结果支持使用混合配送格式与家长手册和没有MFS的混合配送格式,以实现潜在的更有效的资源干预.
- 进一步的研究可能会探索其他影响学校儿童心理健康干预措施有效性的因素.
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