Muñoz-Solomando Antonio, Kendall Tim, Whittington Craig J
Child and Family Centre Tonteg, Wales, UK.
Curr Opin Psychiatry. 2008 Jul;21(4):332-7. doi: 10.1097/YCO.0b013e328305097c.
The aim is to summarize recent evidence from the National Institute for Health and Clinical Excellence clinical guidelines and high-quality systematic reviews for the use of cognitive behavioural therapy to treat children and adolescents with mental health problems.
Data from meta-analyses of randomized controlled trials suggest that the best evidence for the potential of cognitive behavioural therapy is in the treatment of children and adolescents with generalized anxiety disorder, depression, obsessive compulsive disorder and posttraumatic stress disorder. More limited evidence suggests that attention deficit hyperactivity disorder and behavioural problems may also respond to cognitive behavioural therapy. We found no or insufficient evidence to determine whether cognitive behavioural therapy is useful for the treatment of antisocial behaviour, psychotic and related disorders, eating disorders, substance misuse and self-harm behaviour.
Clinical guidelines and recent systematic reviews establish that cognitive behavioural therapy has a potentially important role in improving the mental health of children and adolescents.
旨在总结来自英国国家卫生与临床优化研究所临床指南及高质量系统评价的近期证据,以探讨认知行为疗法用于治疗有心理健康问题的儿童和青少年的情况。
随机对照试验的荟萃分析数据表明,认知行为疗法潜力的最佳证据在于治疗患有广泛性焦虑症、抑郁症、强迫症和创伤后应激障碍的儿童和青少年。证据相对有限表明,注意力缺陷多动障碍和行为问题可能对认知行为疗法也有反应。我们没有找到或没有足够证据来确定认知行为疗法是否对治疗反社会行为、精神病及相关障碍、饮食失调、药物滥用和自我伤害行为有用。
临床指南和近期的系统评价证实,认知行为疗法在改善儿童和青少年心理健康方面可能具有重要作用。