对于患有自闭症和焦虑症的青少年进行短期团体远程医疗认知行为疗法干预:试点研究
Erin Rivelis1, Maria Valicenti-McDermott1
1Developmental and Behavioral Pediatrics, Montefiore Hospital and Medical Center, Bronx, New York, USA.
Journal of child and adolescent psychopharmacology
|October 11, 2024
概括
这项研究表明,为期16周的远程医疗认知行为疗法 (CBT) 组是可行的,并且有效地减少了城市西班牙裔青少年患有自闭症的焦虑症状. 参与者对这项干预表示高度满意,强调了它对类似人群的潜力.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 自闭症经常与儿童的焦虑障碍同时发生,需要有效的治疗.
- 认知行为疗法 (CBT) 是一种基于证据的焦虑治疗方法,但它在自闭症青少年中的应用,特别是在通过远程医疗的各种城市环境中,研究不足.
- 应对猫课程是一项为期16周的CBT干预,对其对城市,主要是西班牙裔青少年患有自闭症和焦虑症的群体远程医疗适应的数据有限.
研究的目的:
- 评估对患有自闭症和焦虑障碍的青少年进行短期,群体远程医疗CBT干预的可行性和初步有效性.
- 为了评估参与者对远程医疗CBT干预的满意度,在一个城市,主要是西班牙裔人口.
- 检查干预措施对目标人群焦虑症状减轻的影响.
主要方法:
- 一个单臂试点研究,利用基于修改的应对猫课程的16周团体远程医疗CBT计划.
- 参与者是有自闭症和焦虑障碍的青少年,他们在城市发展中心的心理治疗等待名单上.
- 焦虑症状在干预前和后使用儿童焦虑相关情绪障碍屏幕 (SCARED) 测量父母和自我报告.
主要成果:
- 在18名入学儿童中,有16名 (89%是男性,61%是西班牙裔,平均年龄为11±2.5岁) 完成了该计划.
- 通过家长和自我报告 (p ≤0.0010.041) 观察到整体焦虑,恐慌障碍和分离焦虑障碍症状的显著减少.
- 自我报告数据显示,社会焦虑症症状显著下降 (p ≤ 0.001),青年和家长均报告高满意度.
结论:
- 通过远程医疗提供的修改组CBT计划是一种可行的和有效的干预措施,用于减少城市西班牙裔青少年患有自闭症的焦虑症状.
- 高的合规率 (89%) 和满意度表明,远程医疗CBT是这一群体的可行选择.
- 这些发现支持使用远程医疗CBT作为一种有价值的工具,用于解决自闭症青少年的并发性焦虑,特别是在服务不足的社区.
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