Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA 19122-6085, USA.
J Clin Child Adolesc Psychol. 2012;41(1):103-15. doi: 10.1080/15374416.2012.632352.
Looking ahead, we review two themes concerning the treatment of youth anxiety: treatment personalization and its dissemination and implementation (DI). Anxious youth can be effectively treated, but not all youth respond, suggesting the need to further adapt, or personalize, interventions for nonresponders. Treatment personalization may benefit from increased knowledge of social phobia, modular and transdiagnostic treatments, and active mechanisms of change. Further, despite the availability of efficacious treatments, they remain underutilized in the community. DI needs to overcome concerns regarding treatment manuals, social and organizational factors, therapist training, and reaching underserved populations. Finally, computer-based programs can facilitate dissemination through both treating anxious youth and training therapists.
展望未来，我们将回顾两个与青少年焦虑症治疗相关的主题：治疗个性化及其传播和实施（DI）。焦虑的年轻人可以得到有效治疗，但并非所有年轻人都有反应，这表明需要进一步调整或个性化针对无反应者的干预措施。治疗个性化可能受益于对社交恐惧症、模块化和跨诊断治疗以及积极的变化机制的更多了解。此外，尽管有有效的治疗方法，但它们在社区中的使用率仍然很低。DI 需要克服对治疗手册、社会和组织因素、治疗师培训以及服务不足人群的关注。最后，基于计算机的程序可以通过治疗焦虑的年轻人和培训治疗师来促进传播。
