模块化跨诊断认知行为疗法的有效性与表现出学校上学问题的青少年通常的治疗相比:随机对照试验
Daniel B Johnsen1, Johanne J Lomholt2,3, David Heyne4
1Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Research on child and adolescent psychopathology
|May 13, 2024
概括
这项研究发现,与标准护理相比,Back2School (B2S) 计划是针对学校出勤问题 (SAP) 的认知行为疗法,改善了年轻人的心理健康和自我效能. 虽然B2S和常规治疗都改善了出席率,但B2S在情绪和行为问题上显示出显著的好处.
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
- 教育心理学教育心理学
背景情况:
- 学校上学问题 (SAPs) 对年轻人的成绩产生了负面影响,但基于证据的干预措施很少.
- 目前的干预措施往往是针对拒绝上学或学的问题,造成了全面解决方案的缺口.
- 模块化,跨诊断的方法可能为各种SAP提供更有效的策略.
研究的目的:
- 评估Back2School (B2S) 模块化跨诊断性认知行为疗法 (CBT) 对SAPs的有效性.
- 为了比较B2S干预与通常的治疗 (TAU) 关于青少年的上学和心理健康结果.
- 评估B2S对情绪问题,行为问题,同行互动和上学的自我效能的影响.
主要方法:
- 一个随机对照试验 (RCT) 的组 (B2S,TAU) ×时间 (前,后,3个月后续) 设计.
- 招募了152名年龄在6至16岁的年轻人,过去三个月缺席率≥10%.
- 使用混合线性模型分析了干预效应.
主要成果:
- 无论是 B2S 组还是 TAU 组,学校上学率都显著改善,两者之间没有显著差异.
- 与TAU相比,B2S组表现出与TAU相比,情绪和行为问题的显著减少.
- B2S带来了同行互动,整体问题影响,青少年在上学方面的自我效能,以及父母在管理SAP方面的自我效能等方面的显著改善.
结论:
- 模块化Back2School (B2S) 跨诊断CBT是首个针对青少年SAPs的评估干预措施.
- B2S对年轻人的心理健康和自我效能有显著的好处,解决了干预的关键差距.
- 虽然出席率的改善与TAU相似,但B2S提供了更全面的方法来管理SAP的多方面的挑战.
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