青少年焦虑症早期干预项目的随机对照试验
Randomized controlled trial of an early intervention programme for adolescent anxiety disorders.
作者信息
Hunt Caroline, Andrews Gavin, Crino Rocco, Erskine Alicia, Sakashita Chika
机构信息
School of Psychology, University of Sydney, New South Wales, Australia.
出版信息
Aust N Z J Psychiatry. 2009 Apr;43(4):300-4. doi: 10.1080/00048670902721152.
OBJECTIVE
To assess the effectiveness of an indicated early intervention and prevention programme for anxiety disorders when conducted by school staff.
METHOD
A total of 260 students in their first year of high school with self-reported anxiety symptoms >1 SD above the mean score of a normative sample were randomly allocated on the basis of their school to an intervention condition led by school staff or to a monitoring condition.
RESULTS
There was little difference between conditions at the 2 year and 4 year follow up on self-reported symptoms, and no difference on diagnosis or health-care use.
CONCLUSIONS
Outcomes associated with indicated prevention programmes led by school staff may not be as strong as those produced by specialist mental health staff. More work is needed to delineate models by which evidence-based treatments can be effectively used in schools.
目的
评估由学校工作人员实施的针对焦虑症的早期干预和预防计划的有效性。
方法
共有260名高中一年级学生，他们自我报告的焦虑症状比常模样本的平均得分高出1个标准差，根据他们所在的学校被随机分配到由学校工作人员主导的干预组或监测组。
结果
在2年和4年随访时，自我报告症状方面两组之间差异不大，在诊断或医疗保健使用方面也没有差异。
结论
由学校工作人员主导的针对性预防计划所产生的效果可能不如专业心理健康工作人员所产生的效果显著。需要开展更多工作来明确能够在学校有效使用循证治疗的模式。
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