基于互联网的,家长主导的自闭症青少年的认知行为疗法与焦虑相关的障碍:一个随机试验比较电子邮件与远程医疗支持
Andrew G Guzick1, Sophie C Schneider2, Minjee Kook3
1Department of Psychiatry, University of Pennsylvania, 3535 Market St., Ste 6-600, Philadelphia, PA, 19046, USA.
Behaviour research and therapy
|October 5, 2024
概括
通过互联网提供的认知行为疗法 (iCBT) 有效地治疗自闭症青少年的焦虑. 电子邮件和视频支持的家长领导的iCBT都显示出可比的结果,需要最小的治疗师时间.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 自闭症谱系障碍研究研究
- 焦虑症 焦虑症 治疗方法
背景情况:
- 自闭症青少年经常经历焦虑障碍,影响他们的日常运作.
- 由家长领导,通过互联网提供的认知行为疗法 (iCBT) 提供了一个可扩展的治疗方法.
- 在iCBT中比较不同的支持模式对于优化治疗提供至关重要.
研究的目的:
- 为了比较两个家长主导的,通过互联网提供的认知行为治疗 (iCBT) 格式对自闭症青少年焦虑的疗效.
- 调查每周邮件支持对每周两次邮件/视频通话支持对治疗结果的影响.
- 评估治疗师在不同ICBT交付方法中的时间承诺.
主要方法:
- 一项随机对照试验涉及57名患有自闭症的青少年 (7-15岁) 患有焦虑障碍.
- 参与者被分配到iCBT,每周提供电子邮件支持 (iCBT-电子邮件) 或每两周交替发送电子邮件和视频通话 (iCBT-视频通话) 持续12周.
- 测量结果包括临床医生评级,儿童报告和家长报告的焦虑严重程度和功能障碍.
主要成果:
- 在iCBT电子邮件和iCBT视频组之间,在焦虑严重程度或功能障碍改善方面没有发现显著差异.
- 治疗后反应率为iCBT-电子邮件的55%,iCBT-视频的67%.
- 完成模块与改善结果相关,但完成率在各组之间没有差异. 在iCBT-电子邮件条件下,治疗师的时间较短.
结论:
- 电子邮件和远程医疗支持的,由家长领导的iCBT都是对自闭症青少年焦虑的有效治疗方法.
- 这些iCBT方法需要减少治疗师的努力,使其具有潜在的可访问性.
- 需要进一步的研究,以确定在这个人群中增强对iCBT内容的参与度的方法.
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