Szigethy Eva, Carpenter Johanna, Baum Emily, Kenney Elyse, Baptista-Neto Lourival, Beardslee William R, Demaso David Ray
Department of Psychiatry, Children's Hospital Boston, MA, USA.
J Am Acad Child Adolesc Psychiatry. 2006 Apr;45(4):396-400. doi: 10.1097/01.chi.0000198591.45949.a4.
To assess longitudinal maintenance of improvements in depression, anxiety, global functioning, and physical health perception in 11 adolescents at 6 and 12 months following completion of manual-based cognitive-behavioral therapy.
Standardized instruments assessed follow-up changes in depression, anxiety, physical health, and global psychological functioning.
At both assessments, 10 adolescents did not meet criteria for mood disorders. Improvements in depression, anxiety, global functioning, and physical health perceptions at completion of the cognitive-behavioral therapy were maintained during the 12-month period. Additional cognitive-behavioral therapy sessions (mean = 4.36; SD = 4.37) and psychopharmacology (n = 5) were required during the follow-up period.
CBT with maintenance sessions and medication offers promise to adolescents facing comorbid depressive and physical disorders.
评估11名青少年在基于手册的认知行为疗法结束后6个月和12个月时，抑郁、焦虑、整体功能及身体健康感知方面改善情况的纵向维持情况。
使用标准化工具评估抑郁、焦虑、身体健康及整体心理功能的随访变化。
在两次评估中，10名青少年不符合情绪障碍的标准。认知行为疗法结束时在抑郁、焦虑、整体功能及身体健康感知方面的改善在12个月期间得以维持。随访期间需要额外的认知行为治疗疗程（平均 = 4.36；标准差 = 4.37）及心理药理学治疗（n = 5）。
结合维持疗程和药物治疗的认知行为疗法为面临共病抑郁和身体疾病的青少年带来了希望。
