Graduate School of Education and Information Studies, University of California, Los Angeles, 2027 Moore Hall, Los Angeles, CA 90095, USA.
Child Psychiatry Hum Dev. 2012 Apr;43(2):219-26. doi: 10.1007/s10578-011-0258-x.
The current study sought to evaluate the relative long-term efficacy of a modularized cognitive behavioral therapy (CBT) program for children with anxiety disorders. Twenty four children (5-12 years old) randomly assigned to modular CBT or a 3-month waitlist participated in a 1-year follow-up assessment. Independent evaluators blind to treatment condition conducted structured diagnostic interviews, and caregivers and children completed symptom checklists at pre- and post-, and 1 year follow-up assessments. Analyses revealed that 71.4% of children who received CBT demonstrated a positive treatment response 1 year following treatment, and 83.3% were free of any anxiety diagnosis at 1 year follow-up. Analyses further revealed robust effects of intervention on diagnostic outcomes, caregiver- and child-report measures of anxiety at 1 year follow-up. Results provide evidence of an ongoing advantage on anxiety-specific outcomes for this modularized school-based CBT program 1 year post-treatment.
本研究旨在评估模块化认知行为疗法（CBT）对儿童焦虑障碍的相对长期疗效。24 名儿童（5-12 岁）被随机分配到模块化 CBT 组或 3 个月候补组，参加为期 1 年的随访评估。独立评估员对治疗情况进行盲法评估，治疗前、治疗后和 1 年随访时，照顾者和儿童完成症状检查表。分析显示，接受 CBT 的儿童中有 71.4%在治疗 1 年后表现出积极的治疗反应，83.3%在 1 年随访时没有任何焦虑诊断。分析进一步表明，干预对诊断结果、照顾者和儿童报告的焦虑症状在 1 年随访时具有显著效果。研究结果为该基于学校的模块化 CBT 方案在治疗后 1 年对特定于焦虑的结果具有持续优势提供了证据。
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