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青少年广泛性焦虑症的认知行为治疗:病例系列

Cognitive-behavioral treatment of generalized anxiety disorder among adolescents: a case series.

作者信息

Leger Eliane, Ladouceur Robert, Dugas Michel J, Freeston Mark H

机构信息

Department of Psychology, Concordia University, Montreal, Canada.

出版信息

J Am Acad Child Adolesc Psychiatry. 2003 Mar;42(3):327-30. doi: 10.1097/00004583-200303000-00013.

Abstract

Seven adolescents received a cognitive-behavioral treatment targeting generalized anxiety disorder. The treatment consisted of awareness training, worry interventions, and relapse prevention. The worry interventions targeted specifically intolerance of uncertainty, beliefs about worry, problem solving, and cognitive avoidance. According to the Anxiety Disorders Interview Schedule for diagnosis of generalized anxiety disorder, self-report questionnaire scores, and time spent worrying every day, three adolescents showed clinically significant change at post-test which was maintained at 6- and 12-month follow-up assessments. Minimal to moderate improvement was observed for other participants. Factors that may explain these differences are discussed.

摘要

七名青少年接受了针对广泛性焦虑症的认知行为治疗。该治疗包括意识训练、担忧干预和复发预防。担忧干预具体针对对不确定性的不耐受、对担忧的信念、问题解决和认知回避。根据用于诊断广泛性焦虑症的焦虑症访谈量表、自我报告问卷得分以及每天花在担忧上的时间,三名青少年在测试后显示出临床上的显著变化,这种变化在6个月和12个月的随访评估中得以维持。其他参与者观察到了轻微至中度的改善。文中讨论了可能解释这些差异的因素。

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