缓解儿童特定恐惧症的试验:在临床服务中实施随机对照试验的挑战和解决方案
Lucy Tindall1,2, Alexander J Scott3,4, Katie Biggs4
1Child Oriented Mental Health Intervention Centre (COMIC), Leeds and York Partnership NHS Foundation Trust, York, United Kingdom.
Frontiers in child and adolescent psychiatry
|January 16, 2025
概括
该ASPECT试验将认知行为疗法 (CBT) 与儿童特定恐惧症的一次治疗 (OST) 进行了比较. 在临床环境中开展儿童心理健康研究存在重大挑战.
科学领域:
- 儿童和青少年心理健康 儿童和青少年心理健康
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 特定恐惧症影响着许多儿童和青少年 (CYP).
- 认知行为疗法 (CBT) 是一种常见的治疗方法,但与较短的干预措施相比,它的有效性需要评估.
- 国家卫生和护理研究院 (NIHR) 委托进行研究,以解决这一差距.
研究的目的:
- 为了比较多次会议CBT与一次会议治疗 (OST) 的临床和成本效益,用于CYP中的特定恐惧症.
- 探索将儿童和青少年心理健康研究纳入常规临床实践的挑战.
主要方法:
- 儿童体验的缓解特定恐惧症试验 (ASPECT) 招募了274名患有特定恐惧症的CYP (7-16岁).
- 招聘发生在26个儿童和青少年心理健康服务 (CAMHS) 中心,志愿部门中心和英国大学福利服务中心.
- 数据是在2016年至2020年期间收集的.
主要成果:
- 该试验成功实现了招聘目标.
- 在试验的交付过程中遇到了重大挑战.
- 这些挑战凸显了将儿童心理健康研究纳入临床环境中的困难.
结论:
- 将研究纳入儿童和青少年心理健康服务是复杂的.
- 从ASPECT试验中吸取的经验教训为未来该领域的研究提供了洞察力.
- 提供了改善儿童心理健康临床试验的考虑.
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