在接受焦虑症治疗的青少年中,表观性应对的变化
Marisa Meyer1, Thomas M Olino1, Anne Marie Albano2
1Temple University, Philadelphia, PA, USA.
概括
治疗青少年焦虑障碍的方法可以随着时间的推移提高应对效率. 从预治疗到随访期间,感知到的应对能力有所增加,儿童和青少年的治疗条件有所不同.
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
- 心理健康研究 心理健康研究
背景情况:
- 青少年焦虑障碍很常见,并且与糟糕的结果有关.
- 基于证据的治疗方法可以改善症状,但缓解和维持时间各不相同.
- 在青少年焦虑治疗中,研究了应对效率的异形变化.
研究的目的:
- 评估患有焦虑障碍的年轻人所感知的应对效率的变化.
- 为了比较不同治疗方式的异形应对变化.
- 了解个人应对能力在治疗期间如何发展.
主要方法:
- 488名患有焦虑症的年轻人 (7-17岁) 被随机分配到CBT,SRT,组合疗法或安慰剂.
- 使用"应对问卷"的青年和护理人员报告来衡量所感知的应对有效性.
- 多级模型分析了6个时间点应对效率的变化,有利于二次时间效应.
主要成果:
- 对于年轻人和护理人员来说,从预治疗到六个月的随访,感知到的应对效率都增加了.
- 随着时间的推移,应对效率的增长率在治疗条件之间有显著的变化.
- 虽然初始和最终的应对疗效并没有因治疗而有所不同,但临时评估显示有显著差异.
结论:
- 有效的治疗方法提高了年轻人应对令人焦虑的情况的能力.
- 青年和护理人员的报告都表明,应对效率有所改善.
- 对象评估对于为年轻人量身定制和优化焦虑治疗非常有价值.
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