University of Pennsylvania, Department of Psychiatry, 3535 Market Street, Suite 600, Philadelphia, PA 19104, USA.
J Consult Clin Psychol. 2010 Oct;78(5):737-45. doi: 10.1037/a0019739.
This study examined the feasibility, acceptability, and effects of Camp Cope-A-Lot (CCAL), a computer-assisted cognitive behavioral therapy (CBT) for anxiety in youth.
Children (49; 33 males) ages 7-13 (M = 10.1 ± 1.6; 83.7% Caucasian, 14.2% African American, 2% Hispanic) with a principal anxiety disorder were randomly assigned to (a) CCAL, (b) individual CBT (ICBT), or (c) a computer-assisted education, support, and attention (CESA) condition. All therapists were from the community (school or counseling psychologists, clinical psychologist) or were PsyD or PhD trainees with no experience or training in CBT for child anxiety. Independent diagnostic interviews and self-report measures were completed at pre- and posttreatment and 3-month follow-up.
At posttreatment, ICBT or CCAL children showed significantly better gains than CESA children; 70%, 81%, and 19%, respectively, no longer met criteria for their principal anxiety diagnosis. Gains were maintained at follow-up, with no significant differences between ICBT and CCAL. Parents and children rated all treatments acceptable, with CCAL and ICBT children rating higher satisfaction than CESA children.
Findings support the feasibility, acceptability and beneficial effects of CCAL for anxious youth. Discussion considers the potential of computer-assisted treatments in the dissemination of empirically supported treatments.
本研究考察了 Camp Cope-A-Lot（CCAL）的可行性、可接受性和效果，这是一种针对青少年焦虑的计算机辅助认知行为疗法（CBT）。
患有主要焦虑障碍的儿童（49 名；33 名男性）年龄为 7-13 岁（M=10.1±1.6；83.7%为白种人，14.2%为非裔美国人，2%为西班牙裔）被随机分配到以下三种治疗组：（a）CCAL，（b）个体 CBT（ICBT），或（c）计算机辅助教育、支持和关注（CESA）。所有治疗师均来自社区（学校或咨询心理学家、临床心理学家），或为 PsyD 或 PhD 研究生，没有儿童焦虑 CBT 的经验或培训。在治疗前、治疗后和 3 个月随访时进行独立的诊断访谈和自我报告评估。
在治疗后，ICBT 或 CCAL 儿童的改善显著优于 CESA 儿童；分别有 70%、81%和 19%的儿童不再符合其主要焦虑诊断标准。随访时仍保持改善，ICBT 和 CCAL 之间无显著差异。父母和孩子都认为所有治疗方法都可以接受，CCAL 和 ICBT 儿童的满意度评分高于 CESA 儿童。
研究结果支持 CCAL 对焦虑青少年的可行性、可接受性和有益效果。讨论考虑了计算机辅助治疗在推广循证治疗方面的潜力。
