对焦虑障碍儿童应用的认知行为干预措施对他们的焦虑水平的影响:一项元分析研究
1Duzce University, Duzce University Health Services Vocational School, Duzce, Türkiye.
Journal of pediatric nursing
|January 8, 2025
概括
认知行为疗法 (CBT) 显著降低了儿童的焦虑. 认知行为游戏治疗是最有效的形式,在12个月内观察到持久的好处.
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
- 心理健康研究 心理健康研究
背景情况:
- 焦虑症影响10-20%的儿童,使其成为一个重要的公共卫生问题.
- 认知行为疗法 (CBT) 是儿童焦虑症的主要治疗方法.
- 这一元分析评估了CBT干预儿童焦虑治疗的有效性.
研究的目的:
- 系统地评估认知行为疗法 (CBT) 在减少儿童焦虑症状方面的有效性.
- 确定儿童焦虑症治疗中最有效的CBT干预类型.
- 评估CBT对儿童焦虑水平的长期影响.
主要方法:
- 2015年至2024年间发表的29项随机对照和准实验研究的元分析.
- 研究通过对PubMed,Science Direct,Scopus和Web of Science的全面搜索来确定研究.
- 使用Joanna Briggs Institute (JBI) 批判性评估清单来评估方法质量;使用审查经理5.4.1.1.进行元分析程序.
主要成果:
- 通过CBT干预,焦虑障碍儿童的焦虑水平显著降低 (SMD:-1.51,p < 0.00001).
- 认知行为游戏治疗是最有效的CBT模式,显示焦虑的减少更大 (SMD: -2.41,p < 0.00001).
- 在3,6个月和12个月的随访期间观察到持续的焦虑减轻,这表明长期有效性.
结论:
- 这一元分析证实了CBT在治疗儿童焦虑障碍方面的显著疗效.
- 认知行为游戏疗法代表了治疗儿科焦虑的高度有效的干预措施.
- CBT为儿童的心理健康提供了持续的好处,支持其在临床实践中继续使用.
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