Kendall Philip C, Kortlander Elizabeth, Chansky Tamar Ellsas, Brady Erika U
Temple U, Philadelphia, PA.
J Consult Clin Psychol. 1992 Dec;60(6):869-880. doi: 10.1037/0022-006X.60.6.869.
Reviews the empirical literature on the comorbidity of anxiety and depressive disorders in youth, emphasizing prevalence of comorbidity, difficulties in assessment and measurement, familial factors, and developmental differences. The nature of anxiety and of depression in youth is examined (e.g., differentiating cognitive deficiencies from cognitive distortions), and treatment recommendations are presented from a cognitive-behavioral framework. Components of the treatment include affective education, enactive programming, addressing reinforcement difficulties, correcting cognitive distortions, and enhancing problem-solving skills. Peer and familial factors are discussed. Successful treatment of co-morbid children relies on a flexible application of these strategies with consideration of the developmental level and particular symptom constellation of the individual child.
回顾了关于青少年焦虑症和抑郁症共病的实证文献，重点关注共病的患病率、评估和测量的困难、家庭因素以及发育差异。研究了青少年焦虑和抑郁的本质（例如，区分认知缺陷和认知扭曲），并从认知行为框架提出了治疗建议。治疗的组成部分包括情感教育、实践规划、解决强化困难、纠正认知扭曲以及提高解决问题的能力。还讨论了同伴和家庭因素。成功治疗共病儿童依赖于灵活应用这些策略，并考虑个体儿童的发育水平和特定症状组合。
