Karbasi Afsaneh, Arman Soroor, Maracy Mohamad Reza
Child Psychiatrist, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2010 Sep;15(5):256-63.
Anxiety disorders are one of the most psychiatric disorders in children and adolescents that can cause long life functional disability. The first line treatment for this disorder is cognitive behavioral therapy that has primary, secondary and tertiary preventive effect, but is expensive and long time. Today there is some effort to find short term, group, semi-attendance and low cost therapies.
Subjects were 42 girls (12- 17 y) with at least one anxiety disorder according to DSM-IV-TR with their parents who were divided into two groups randomly: group A which participated in 8 sessions and group B which participated in 4 sessions and the contents of sessions 3, 4, 6, and 7 were recorded on a CD for them. The tests used in this study were: SCARED, CATS, CAIS-C, CAIS-P, conducted before (T0), just after (T1) and three months after the treatment (T2). The collected data were analyzed by multivariate analysis of covariance test using SPSS software package, version 15.0.
There was no significant difference between efficacy of semi-attendance group CBT and attendance group CBT in T0, T1 and T2 according to 4 tests (p = 0.311). The difference between the scores of these tests between T0 andT1 and T0 and T2 was significant in both groups (p < 0.001) but the difference between T1 and T2 was not significant. (p = 0.771).
The efficacy of semi-attendance group CBT and attendance group CBT is similar and would sustain after 3 months.
焦虑症是儿童和青少年中最常见的精神疾病之一，可导致长期功能残疾。该疾病的一线治疗方法是认知行为疗法，具有一级、二级和三级预防作用，但费用昂贵且耗时较长。如今，人们正在努力寻找短期、团体、半出勤且低成本的治疗方法。
研究对象为42名年龄在12至17岁之间、根据《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）被诊断患有至少一种焦虑症的女孩及其父母，他们被随机分为两组：A组参加8次治疗课程，B组参加4次治疗课程，第3、4、6和7次课程的内容被录制在CD上供他们使用。本研究使用的测试包括：儿童焦虑相关情绪障碍筛查表（SCARED）、儿童焦虑量表（CATS）、儿童焦虑症父母版量表（CAIS-P）和儿童焦虑症儿童版量表（CAIS-C），分别在治疗前（T0）、治疗刚结束后（T1）和治疗后三个月（T2）进行。使用SPSS 15.0软件包对收集到的数据进行协方差多元分析。
根据四项测试，在T0、T1和T2时，半出勤组认知行为疗法（CBT）和出勤组CBT的疗效之间没有显著差异（p = 0.311）。两组中这些测试在T0与T1以及T0与T2之间的得分差异均具有统计学意义（p < 0.001），但T1与T2之间的差异不显著（p = 0.771）。
半出勤组CBT和出勤组CBT的疗效相似，且在三个月后仍能维持。
