Temple University, Department of Psychology, 1701 North 13th Street, Philadelphia, PA 19122, USA.
J Anxiety Disord. 2011 Jun;25(5):690-6. doi: 10.1016/j.janxdis.2011.03.005. Epub 2011 Mar 15.
A previous report suggested that successful cognitive behavioral therapy (CBT) for child anxiety reduced substance use problems at 7.4-year follow-up, but that report did not include predictors of: (a) substance use disorder (SUD; e.g., attention deficit-hyperactivity disorder symptoms, negative life events, family substance abuse, additional treatment), or (b) treatment outcome (e.g., severity of internalizing pathology, age). Analyses incorporating these factors tested previously reported findings in 72 participants (ages 15-22 at follow-up; 84% of the 7.4-year follow-up sample), using parent and youth diagnostic interviews and report measures. The majority of previously reported associations between less successful treatment and later substance use problems remained significant after controlling for known predictors of SUD and treatment outcome. Our findings bolster previous conclusions that effective CBT for child anxiety may have ameliorative effects on the target disorder and later substance use problems.
先前的一份报告表明，针对儿童焦虑的成功认知行为疗法（CBT）在 7.4 年的随访中减少了物质使用问题，但该报告并未包括以下因素的预测指标：(a) 物质使用障碍 (SUD；例如，注意缺陷多动障碍症状、负面生活事件、家庭物质滥用、额外的治疗)，或 (b) 治疗效果 (例如，内化病理的严重程度、年龄)。在 72 名参与者（随访时年龄为 15-22 岁；7.4 年随访样本的 84%）中，纳入这些因素的分析使用了父母和青少年诊断访谈和报告措施，检验了先前报告的发现。在控制 SUD 和治疗效果的已知预测因素后，先前报告的治疗效果较差与后来的物质使用问题之间的大多数关联仍然显著。我们的研究结果支持了先前的结论，即针对儿童焦虑的有效 CBT 可能对目标障碍和后来的物质使用问题产生改善作用。
