在CBT治疗儿童焦虑后,子最佳变化模式
Lizel-Antoinette Bertie1,2,3, Kristian Arendt4, Jonathan R I Coleman5
1School of Psychology, UNSW, Sydney, NSW, Australia.
概括
患有焦虑障碍的儿童在认知行为疗法 (CBT) 后没有完全恢复,表现出不同的模式. 较高的初始严重程度和某些临床因素预示着较差的结果,指导未来的治疗量身定制.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 认知行为疗法 (CBT) 对青少年焦虑障碍的疗效不同.
- 了解非最佳治疗反应对于改善治疗结果至关重要.
- 这项研究检查了患有持续性或复发性焦虑症的青少年在CBT后的诊断.
研究的目的:
- 在焦虑的年轻人中识别和区分CBT对次优反应的模式.
- 调查治疗前预测的最小,复发和延迟治疗反应的预测因素.
- 为儿童焦虑的临床决策和治疗个性化提供信息.
主要方法:
- 来自10个临床场所的1483名年轻人的纵向数据 (治疗前,治疗后,3-12个月的随访).
- 根据诊断状况将患者分为最小,复发或延迟反应组.
- 增长曲线建模以分析变化模式并确定相关的人口,临床和治疗因素.
主要成果:
- 较高的基线严重程度,年龄较大,多重焦虑障碍,社会焦虑和母亲精神病理学预测了最小的反应.
- 主要疾病的严重程度和治疗方式 (CBT组) 影响了线性变化模式.
- 较大的初始严重程度与最小和复发反应者的改善程度较低有关.
结论:
- 治疗前的变量在焦虑的年轻人中部分区分了次优反应模式.
- 了解这些模式可以指导针对特定患者群体量身定制的治疗策略.
- 在治疗期间监测进展,可能可以更早地检测新出现的反应模式.
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