青少年失声症的治疗:一项随机对照试验,将跨诊断认知行为疗法与精神教育和放松训练进行比较
Adam B Lewin1, Lauren Milgram2, Sandra L Cepeda2
1University of South Florida.
Behavior therapy
|January 31, 2026
概括
儿童和青少年情绪障碍的跨诊断治疗统一协议 (UP-C/A) 在治疗青少年失声症方面表现有前途. 这种认知行为干预比精神教育和放松训练 (PRT) 更有效.
科学领域:
- 临床心理学 临床心理学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为治疗是一种行为疗法.
背景情况:
- 失声症是一种公认的临床疾病,缺乏官方诊断标准.
- 尽管它的流行程度和影响,关于基于证据的干预对失声症的研究是有限的.
- 患有失声症的年轻人经历了显著的损伤,需要有效的治疗选择.
研究的目的:
- 为了比较儿童和青少年情绪障碍的跨诊断治疗统一协议 (UP-C/A) 与青少年失声症的精神教育和放松训练 (PRT) 的疗效.
- 评估治疗响应率和患有失声症的年轻人的症状改善.
- 评估短暂的接受性和有效性,远程医疗交付的干预对失声症.
主要方法:
- 一个两站点随机对照试验,涉及43名被诊断患有失声症的青少年.
- 参与者接受了10次UP-C/A (n=29) 或PRT (n=14) 的远程医疗会话.
- 在入学后5周和10周进行了症状评估,以衡量治疗结果.
主要成果:
- 总体而言,47%的参与者被归类为治疗响应者.
- 与PRT组 (25%) 相比,UP-C/A组显示出更高的反应率 (54%).
- 与PRT相比,UP-C/A治疗导致误听症症状和整体功能得到更大的改善,治疗满意度相似.
结论:
- 像UP-C/A这样的简短的,跨诊断的认知行为干预措施可以有效地应用于治疗青少年失声症.
- 在这个人群中,UP-C/A显示出高的可接受性和有效性,这表明它作为一种基于证据的治疗的潜力.
- 建议进行更长时间的进一步大规模试验和随访,以巩固发现并指导干预开发.
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