使用基于实践元素的坚持和能力测量来评估两项针对青少年焦虑症的CBT计划的治疗忠实性
Stephanie Violante1, Bryce D McLeod1, Michael A Southam-Gerow1
1Virginia Commonwealth University.
Behavior therapy
|April 26, 2024
概括
青少年坚持度尺度 (CBAY-A) 中焦虑的认知行为治疗显示出对衡量青少年焦虑计划中的治疗忠实性的承诺. 然而,CBAY能力量表 (CBAY-C) 显示出混合的结果,引发了对其通用性的担忧.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 对治疗的忠实性对于评估青少年情绪和行为问题的干预措施的有效性至关重要.
- 需要评估治疗实践的数量和质量的观察措施,以可靠地评估治疗忠实性.
- 现有的措施需要严格的验证,以确保它们适用于各种治疗方案.
研究的目的:
- 检查两个观察指标的可靠性和有效性,即青少年执着度表 (CBAY-A) 和CBAY能力度表 (CBAY-C) 中焦虑的认知行为治疗.
- 评估CBAY-A和CBAY-C在青少年焦虑治疗计划中测量治疗实践的数量和质量的能力.
- 评估这些措施在不同治疗方式中的通用性.
主要方法:
- 55名患有焦虑症的年轻参与者的79次观察会被训练有素的评分员编码.
- 参与者接受了标准的认知行为疗法,模块化认知行为和家长培训计划,或通常的临床护理.
- 评级人员使用CBAY-A和CBAY-C评估了治疗数量,质量以及青少年与临床医生的联盟.
主要成果:
- CBAY-A显示出良好的interrater可靠性和在标准和模块化治疗条件下构建有效性的证据.
- 在CBAY-C显示混合interrater可靠性和结构有效性的混合证据.
- 初步发现表明,CBAY-A适合在不同的青少年焦虑治疗计划中使用,而CBAY-C的概括性是可疑的.
结论:
- 在青少年焦虑干预中,CBAY-A显示出作为一种可靠和有效的衡量方法来评估治疗忠实性的潜力.
- 在CBAY-C在各种治疗环境中广泛应用之前,需要进一步的改进和验证.
- 这些发现对提高儿童和青少年心理健康的有效性和实施研究的严谨性有影响.
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