Suveg Cynthia, Hudson Jennifer L, Brewer Gene, Flannery-Schroeder Ellen, Gosch Elizabeth, Kendall Philip C
Psychology Building, Department of Psychology, University of Georgia, Athens, GA 30602, USA.
J Anxiety Disord. 2009 Apr;23(3):341-9. doi: 10.1016/j.janxdis.2009.01.003. Epub 2009 Jan 20.
This study examined secondary outcomes of a randomized clinical trial that evaluated an individual cognitive-behavioral (ICBT), family-based cognitive-behavioral (FCBT), and family-based education, support and attention (FESA) treatment for anxious youth. Participants (161) were between 7 and 14 years (M=10.27) of age and had a principal diagnosis of separation anxiety disorder, social phobia, and/or generalized anxiety disorder. Hierarchical linear modeling examined youth-reported depressive symptomatology and parent- and teacher-reported externalizing behavior and adaptive functioning at pretreatment, posttreatment, and 1-year follow-up. In general, youth in all treatments evidenced improvements in most domains, with improvements maintained at follow-up. Overall, gender and age did not moderate treatment outcomes. The results suggest that both child and family cognitive-behavioral therapy, and the family-based supportive approach used in this study, can be effective in addressing some of the associated symptoms and adaptive functioning deficits typically linked to anxiety in youth.
本研究考察了一项随机临床试验的次要结果，该试验评估了针对焦虑青少年的个体认知行为疗法（ICBT）、家庭认知行为疗法（FCBT）以及家庭式教育、支持与关注疗法（FESA）。参与者（共161名）年龄在7至14岁之间（平均年龄M = 10.27岁），主要诊断为分离焦虑症、社交恐惧症和/或广泛性焦虑症。分层线性模型考察了青少年报告的抑郁症状，以及家长和教师报告的在治疗前、治疗后及1年随访时的外化行为和适应性功能。总体而言，所有治疗组的青少年在大多数领域都有改善，且这些改善在随访时得以维持。总体而言，性别和年龄并未调节治疗效果。结果表明，儿童和家庭认知行为疗法，以及本研究中使用的家庭支持疗法，均可有效解决一些通常与青少年焦虑相关的症状及适应性功能缺陷。
