Department of Psychology, Long Island University, Brookville, NY, USA.
Epilepsy Behav. 2013 Apr;27(1):70-6. doi: 10.1016/j.yebeh.2012.12.014. Epub 2013 Feb 1.
Anxiety disorders are prevalent in children with epilepsy. The purpose of this study was to evaluate the efficacy, adaptability, and feasibility of a manual-based, computer-assisted cognitive behavioral therapy (CBT) intervention for anxiety disorders in children with epilepsy. Fifteen anxious youth (aged 8-13 years) with epilepsy completed 12 weeks of manualized computer-assisted CBT. The children and parents completed a semi-structured interview at baseline, and questionnaires assessing symptoms of anxiety, depression, and behavior problems were completed prior to treatment, at treatment midpoint, after treatment completion, and at three months posttreatment. There were significant reductions in the symptoms of anxiety and depression reported by the children at completion of the intervention and at the three-month follow-up. Similarly, the parents reported fewer symptoms of anxiety and a reduction in behavior problems. No adverse events were reported. This CBT intervention for children with epilepsy and anxiety disorders appears to be safe, effective, and feasible and should be incorporated into future intervention studies.
焦虑障碍在癫痫儿童中较为普遍。本研究旨在评估基于手册、计算机辅助的认知行为疗法（CBT）干预对癫痫儿童焦虑障碍的疗效、适应性和可行性。15 名患有癫痫的焦虑青少年（8-13 岁）完成了 12 周的手册化计算机辅助 CBT。在基线时，儿童和家长接受了半结构化访谈，在治疗前、治疗中点、治疗完成后和治疗后三个月，还完成了评估焦虑、抑郁和行为问题症状的问卷。干预完成时和三个月随访时，儿童报告的焦虑和抑郁症状均显著减轻。同样，家长报告的焦虑症状减少，行为问题也有所减少。没有报告不良事件。这种针对癫痫伴焦虑障碍儿童的 CBT 干预似乎是安全、有效和可行的，应纳入未来的干预研究中。
