基于互联网的认知行为疗法干预 掌握您的担忧 对10-13岁的芬兰焦虑儿童进行电话辅导:基于人口的随机对照试验
Andre Sourander1, Tarja Korpilahti-Leino2, Katri Kaajalaakso2
1Research Centre for Child Psychiatry, University of Turku, Finland; INVEST Research Flagship Centre, University of Turku, Finland; Turku University Hospital, Finland.
Journal of the American Academy of Child and Adolescent Psychiatry
|February 6, 2025
概括
基于互联网的认知行为疗法 (ICBT) 有效地减少了13岁及以下儿童的焦虑症状. 这项人口层面的查研究表明,ICBT改善了儿童报告的焦虑和生活质量.
科学领域:
- 儿童和青少年精神病学
- 数字健康干预措施 数字健康干预措施
- 临床心理学 临床心理学
背景情况:
- 童年焦虑是一种普遍的心理健康问题.
- 之前的研究还没有评估在人口层面上选的13岁以下儿童的基于互联网的认知行为疗法 (ICBT).
- 早期干预对于管理童年焦虑至关重要.
研究的目的:
- 评估ICBT与电话指导相结合的疗效,与儿童焦虑的教育对照组相比.
- 评估在人口层面上查的儿童焦虑症状,生活质量和其他相关结果的改善.
- 为开发早期,基于人口的儿童焦虑干预策略提供证据.
主要方法:
- 对465名儿童 (平均年龄为11.5岁) 进行了一项开放的2组并行随机对照试验 (RCT).
- 参与者被随机分配到一个为期10周的ICBT计划 (数字材料,练习和每周的电话) 或一个教育对照组.
- 评估包括儿童和家长的焦虑报告 (SCARED),焦虑的影响,生活质量,并发病症和父母心理健康在基线和6个月的随访.
主要成果:
- 与对照组 (p = .04) 相比,ICBT组在儿童报告的初级结局 (SCARED总分) 中的改善显著更高.
- 在ICBT组中观察到几种次要结果的显著改善,包括儿童报告的泛性焦虑,分离焦虑,社会焦虑和生活质量.
- 父母报告的结果显示,ICBT组的优点和困难问卷总得分,情绪困难和过度活跃度有显著改善.
结论:
- 结合电话指导的ICBT在改善焦虑和生活质量方面表现出有效性,这些儿童在人口层面进行了查.
- 这些发现支持对儿童焦虑的早期,基于人口的干预策略的开发.
- 该研究强调了数字干预在解决儿童心理健康问题的潜力.
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