一项系统性审查,比较了四个针对学龄儿童的跨诊断方案.
Giorgio Ghizzoni1, Maria Mirandi1, Carlo Garofalo1
1Department of Philosophy, Social Sciences and Education, University of Perugia, Perugia, Italy.
Clinical psychology & psychotherapy
|May 7, 2025
概括
跨诊断方案有效地治疗儿童内化症状. 儿童统一协议 (UP-C) 和生活超级技能 (SSL) 显示出预防和治疗儿童焦虑和抑郁症的前景.
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
- 心理病理学 心理病理学
背景情况:
- 跨诊断计划解决了在内化症状和并发性精神病理学的共同过程.
- 儿童经常比成年人表现出不那么差异化的精神病理表现,这使得跨诊断方法具有价值.
- 基于证据的跨诊断计划提供了一种统一的方法来治疗青年的心理健康.
研究的目的:
- 系统地审查四个基于证据的跨诊断项目的有效性:FRIENDS,金字塔俱乐部,儿童统一协议 (UP-C) 和生活超级技能 (SSL).
- 检查2018年至2023年期间发表的涉及4至14岁儿童的研究.
- 评估这些计划在预防和治疗上下文中的应用.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括48项符合特定标准的研究.
- 分析的重点是2018-2023年发表的关于4至14岁儿童的研究.
主要成果:
- 所有审查的跨诊断方案都显示出有效性.
- 儿童统一协议 (UP-C) 和生活超级技能 (SSL) 成为最近研究支持的儿童焦虑和抑郁症最有前途的方法.
- 在减少外部化问题和增强社会和亲社会行为方面,UP-C和SSL表现特别有效.
结论:
- 跨诊断程序,特别是UP-C和SSL,对于儿童内化障碍是有效的.
- 需要进一步的随机对照试验来确认这些计划的增量效益和长期有效性.
- 这些干预措施有可能改善儿童的心理福祉,并减少医疗保健负担.
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