Pratt Helen D
Department of Pediatrics and Human Development, Michigan State University, College of Human Medicine, East Lansing, MI 48824-1317, USA.
Pediatr Clin North Am. 2011 Feb;58(1):1-9, ix. doi: 10.1016/j.pcl.2010.10.012.
The long-held view that medicine or therapy is an "art" is quickly becoming obsolete. To procure referrals and reimbursement, clinicians are being forced to be accountable (ie, use empirically supported, effective, reproducible, and efficient treatment interventions) by insurance companies, professional credentialing bodies, and their consumers. This article focuses on reviews of treatment interventions by scholars, researchers, clinicians, and study groups who have examined multiple databases of published studies and ongoing treatment protocols. Behavioral and cognitive-behavioral therapies were most often identified as well-established treatments for specific mental and behavioral health disorders in children and adolescents. Psychotherapy alone or in conjunction with pharmacotherapy can be powerful tools in helping youth manage or eliminate negative outcomes of mental and behavioral disorders.
长期以来认为医学或治疗是一门“艺术”的观点正在迅速过时。为了获得转诊和报销,临床医生正被迫向保险公司、专业认证机构及其消费者负责(即使用经验支持的、有效的、可重复的和高效的治疗干预措施)。本文重点关注学者、研究人员、临床医生和研究小组对治疗干预措施的综述,他们审查了已发表研究和正在进行的治疗方案的多个数据库。行为疗法和认知行为疗法最常被确定为针对儿童和青少年特定心理和行为健康障碍的成熟治疗方法。单独的心理治疗或与药物治疗相结合可以成为帮助年轻人管理或消除心理和行为障碍负面后果的有力工具。