社会响应作为适应性认知行为疗法的调解者,用于患有不适应性和干扰性焦虑症的自闭症青少年
Jeffrey J Wood1,2,3, Eric A Storch4, Katherine Sung5,6
1Department of Education, University of California, Los Angeles, CA, USA. jeffwood@ucla.edu.
Journal of autism and developmental disorders
|May 7, 2025
概括
适合自闭症青少年的认知行为疗法 (CBT) 改善了社会反应能力,这反过来又减少了参与者的焦虑,并改善了参与者的整体心理健康. 这种适应的CBT方法为支持自闭症儿童提供了一个有希望的途径.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
背景情况:
- 认知行为疗法 (CBT) 对自闭症青少年进行了大量的适应.
- 根据自闭症个体的社会需求量身定制的CBT的有效性需要进一步研究.
- 了解社会反应对自闭症青少年心理健康结果的影响至关重要.
研究的目的:
- 检查适应自闭症青年的社会需求的CBT在多大程度上促进了社会反应能力.
- 确定增强的社会反应能力是否调解了适应性认知治疗对焦虑和一般心理健康的影响.
- 在一项随机临床试验中,将适应性CBT与标准CBT和常规治疗进行比较.
主要方法:
- 一个多站点随机临床试验的二次分析,涉及167名自闭症青年 (7-13岁) 患有焦虑.
- 适应性CBT (BIACA) 与标准CBT和常规治疗的比较.
- 焦虑的评估 (儿科焦虑评分表),社会反应能力 (社会反应表,第二版) 和一般心理健康 (简要问题检查表).
- 使用SPSS PROCESS宏观的调解分析.
主要成果:
- 适应性CBT显著改善了自闭症青少年的社会反应能力.
- 适应性CBT对焦虑的积极影响是由社会响应能力的改善介导的.
- 接受适应性CBT的年轻人表现出更好的整体心理健康治疗后,也通过增强的社会反应来调解.
结论:
- 适应社会需求的CBT可以通过改善社会反应来提高自闭症青少年的心理健康结果.
- 这种方法可能会提高自闭症青少年在社交场合的轻松性和有效性.
- 适应性CBT代表了改善自闭症儿童焦虑和心理健康的有希望的干预措施.
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