预防有风险儿童的强迫症:一个可行性试验
Kristina Aspvall1, Martin Kraepelien2, Julia Peterson3
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. kristina.aspvall@ki.se.
Child psychiatry and human development
|March 14, 2026
概括
预防有风险儿童的强迫症 (OCD) 是可以通过简短的,家长指导的在线计划. 这种干预表明可行性,可接受性和减少症状,因此需要进一步研究.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为心理学 行为心理学
- 临床心理学 临床心理学
背景情况:
- 预防儿童的强迫症 (OCD) 是一个关键的研究目标.
- 识别有风险的个体和早期干预是预防症状出现的关键.
- 以前的预防策略并没有完全解决早期干预需求.
研究的目的:
- 评估一个简短的,由家长指导的在线针对性预防计划的可行性和可接受性,针对有强迫症风险的儿童.
- 评估干预措施在减少强迫症相关维持因素方面的初步有效性.
- 为了确定干预措施在12个月后续的长期影响.
主要方法:
- 为期4周的家长指导的在线干预对35名儿童 (5-12岁) 进行,这些儿童有强迫症或亚临床症状的家族病史.
- 该计划的目标是强迫,避开和家庭住宿.
- 可行性,可接受性和初步疗效通过基线,干预后和6个月和12个月的随访期间的家长报告来评估.
主要成果:
- 所有家庭都启动了干预,66%的家庭完成了至少三个模块.
- 家长报告了高的可信度和满意度.
- 在12个月的随访中,强迫行为,避开行为和家庭住宿方面观察到有统计学意义的改善 (p < .05).
- 在12个月的随访期间,只有一个孩子患有强迫症.
结论:
- 一个简短的,由家长指导的在线预防计划对于有强迫症风险的孩子来说是可行的和可以接受的.
- 该干预措施在减少强迫症相关症状和维持强迫症因素方面显示出前景.
- 建议进行随机对照试验,以进一步验证这些发现.
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