Bechor Michele, Pettit Jeremy W, Silverman Wendy K, Bar-Haim Yair, Abend Rany, Pine Daniel S, Vasey Michael W, Jaccard James
Department of Psychology, Florida International University, Miami, FL 33199, USA.
Department of Psychology, Florida International University, Miami, FL 33199, USA.
J Anxiety Disord. 2014 Mar;28(2):154-9. doi: 10.1016/j.janxdis.2013.09.001. Epub 2013 Sep 16.
Evidence is emerging to support the promise of Attention Bias Modification Treatment (ABMT), a computer-based attention training program, in reducing anxiety in children. ABMT has not been tested as an adjuvant for children with anxiety disorders who do not respond to Cognitive-Behavioral Therapy (CBT). This case series presents findings from an open trial of ABMT among six children (four girls; M age = 11.2 years) who completed a CBT protocol and continued to meet diagnostic criteria for an anxiety disorder. All children completed the ABMT protocol with no canceled or missed sessions. Child self-ratings on anxiety symptoms and depressive symptoms significantly decreased from pretreatment to posttreatment, as did parent ratings on child anxiety-related impairment. Parent ratings on child anxiety and internalizing symptoms displayed non-significant decreases from pretreatment to posttreatment. These findings support the potential promise of ABMT as a feasible adjuvant treatment that reduces anxiety and impairment among child anxiety CBT nonresponders.
有证据表明，基于计算机的注意力训练项目——注意力偏差修正疗法（ABMT）有望减轻儿童的焦虑。对于对认知行为疗法（CBT）无反应的焦虑症儿童，尚未对ABMT作为辅助疗法进行测试。本病例系列展示了一项针对六名儿童（四名女孩；平均年龄 = 11.2岁）的ABMT开放试验的结果，这些儿童完成了CBT方案，但仍符合焦虑症的诊断标准。所有儿童均完成了ABMT方案，没有取消或错过任何疗程。从治疗前到治疗后，儿童对焦虑症状和抑郁症状的自我评分显著下降，家长对儿童焦虑相关损害的评分也显著下降。从治疗前到治疗后，家长对儿童焦虑和内化症状的评分下降不显著。这些发现支持了ABMT作为一种可行的辅助治疗方法的潜在前景，该方法可减轻儿童焦虑症CBT无反应者的焦虑和损害。
