认知行为疗法在常规门诊护理中对患有焦虑症的青少年的长期有效性
Karen Krause1, Xiao Chi Zhang1, Silvia Schneider1,2
1Mental Health Research and Treatment Center, Ruhr University Bochum, Bochum, Germany.
Psychotherapy and psychosomatics
|April 14, 2024
概括
认知行为疗法 (CBT) 在日常护理中显示出对青少年焦虑障碍的长期有效性. 对焦虑症状和功能的治疗效益在治疗后两年内保持稳定.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 儿童和青少年心理健康
背景情况:
- 焦虑障碍 (AD) 在年轻人中很普遍,经常持续到成年.
- 在常规护理环境中,认知行为疗法 (CBT) 的长期有效性数据至关重要.
- 年轻人正处于发展的关键时期,增加了并发症的风险.
研究的目的:
- 评估CBT对青少年初级焦虑障碍的长期有效性.
- 为了评估治疗效果的持久性,治疗后的两年超出治疗后的两年.
- 将常规护理环境中的结果与疗效研究结果进行比较.
主要方法:
- 一项临床试验涉及210名患有主要焦虑障碍和并发症的儿童.
- 参与者接受了基于证据的CBT,作为"儿童殴打焦虑" (KibA) 研究的一部分.
- 评估包括诊断,症状严重程度和在基线,治疗后和长期随访 (>2年) 的功能.
主要成果:
- 在长期随访中观察到63.64%的高缓解率.
- 在焦虑严重程度,损伤和生活质量方面保持了显著的改善.
- 效应大小与之前的元分析中报告的效应大小相似或超过,没有观察到恶化.
结论:
- 认知行为疗法 (CBT) 在日常护理中对青少年焦虑障碍表现出稳定且显著的长期有效性.
- 这些发现支持在现实世界临床实践中使用标准化CBT协议.
- 这些结果尤其值得注意,因为这个年龄段对进一步发展心理健康问题的脆弱性.
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