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两项针对抑郁和焦虑的普遍学校预防计划:一个RCT的24个月随访
Karlie J Rice1, Junwen Chen2, Eva Kemps3
1Faculty of Health & Medical Sciences, University of Adelaide, Australia.
Journal of behavior therapy and experimental psychiatry
|August 14, 2024
概括
基于学校的情绪调节 (ER) 和行为激活 (BA) 计划没有显著影响长期抑郁或焦虑. 然而,这两种干预措施都显示了分离焦虑症 (SAD) 和强迫症 (OCD) 症状的减少.
科学领域:
- 儿童和青少年心理健康
- 预防心理学的预防心理学.
- 基于学校的干预措施
背景情况:
- 跨诊断方法针对抑郁症和焦虑症中相互关联的病理.
- 基于学校的通用计划旨在最大限度地提高跨多个心理健康问题的预防效果.
- 情绪调节 (ER) 和行为激活 (BA) 计划针对焦虑来促进弹性.
研究的目的:
- 研究ER和BA计划对抑郁和焦虑的长期影响.
- 评估这些干预措施对性和担忧的影响.
- 检查弹性作为干预效应的潜在调解者.
主要方法:
- 澳大利亚六所学校的162名学生 (8-13岁) 的后续研究.
- 集群随机对照试验与BA,ER和对照组.
- 干预包括每周8次50分钟的会议;结果在24个月的随访中测量.
主要成果:
- 在24个月后,ER或BA对抑郁症,焦虑,担忧或性没有显著的影响.
- 在ER和BA组的参与者较少在随访时达到分离焦虑症 (SAD) 和强迫症 (OCD) 的临床值.
- 没有发现性的调解效应.
结论:
- ER和BA干预措施可能对SAD和强迫症症状提供有限的短期保护作用.
- 对SAD和强迫症的节目效应似乎具有不到24个月的保质期.
- 在更短的间隔内进行刷新会话可能是必要的,以保持干预效应.
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