谁受益最多?谁受益最多? 在儿童情绪障碍小组干预中治疗反应的预测因素
B Gomes-Pereira1, A C Góis2, B Caiado2
1Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115, Coimbra, Portugal. barbarapereirapsi@outlook.com.
在儿童的认知行为疗法 (CBT) 组中确定了治疗成功的预测因素. 更高的日常生活干扰和儿童统一协议 (UP-C) 预测了更好的结果,以及年龄较大和父母抑郁症较低. 父母的参与是关键.
科学领域:
- 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
- 发展心理学 发展心理学
背景情况:
- 认知行为疗法 (CBT) 有效地治疗年轻人的情绪障碍.
- 小组干预措施在减少儿童焦虑和抑郁症状方面取得了成功.
- 儿童群体CBT有效性的预测因素仍然未被确定和不一致.
研究的目的:
- 检查儿科组CBT中治疗反应的预测因素.
- 确定影响儿童统一议定书 (UP-C) 和应对猫干预结果的因素.
- 为患有情绪障碍的儿童提供量身定制的治疗方法.
主要方法:
- 一个由61名儿童组成的样本接受了UP-C或Coping Cat小组干预.
- 治疗反应通过儿童,父母和临床医生的焦虑和抑郁症状报告来评估.
- 分析的预测因素包括干预前干扰,儿童年龄,父母抑郁症状和父母参与.
主要成果:
- 干预前更高的日常生活干扰和接受UP-C预测了儿童报告的更好的结果.
- 孩子年龄较大和父母治疗前抑郁症状较低预测了父母报告的更好的结果.
- 心理学家评价的父母参与是临床医生报告改善的最强预测因素.
结论:
- 群体CBT对年龄较大的儿童具有显著的症状干扰和高的家长参与,特别有效.
- 治疗收益受到儿童,父母和干预特定因素的组合的影响.
- 针对较小的孩子和父母参与度较低的家庭需要量身定制的干预措施.
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