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[针对伴有焦虑抑郁性学校缺勤的青少年住院认知行为疗法的长期稳定性]

[Long-term stability of inpatient cognitive-behavioral therapy of adolescents with anxious-depressed school absenteeism].

作者信息

Walter Daniel, Hautmann Christopher, Lehmkuhl Gerd, Döpfner Manfred

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters am Uniklinikum Köln.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2013;62(8):583-97.

Abstract

90 adolescents (aged 12-18 years) with chronic anxious-depressive school absenteeism with or without comorbid disruptive symptoms underwent an open inpatient treatment. The treatment was manual guided with a cognitive-behavioral focus. In case of long lasting school absence youth were integrated on a special school initially. The present analyses cover 2- and 9-months follow-ups. At discharge continuous school attendance was achieved by 83 (92.2%) adolescents, by 75 (83.3%) at 2-month and by 63 (70.0%) at 9-month follow-up. For youth with school absenteeism within the follow-up interval absence rates were only minor. The rate of adolescents visiting the special school decreased from 40 (44.4%) at discharge to 24 (26.7%) 9 month later. Associated mental health problems were assessed using standardized questionnaires in self and parent ratings. Small to medium statistically significant aggravations were found. Within the follow-up interval 2/3 of the samplhe underwent an outpatient, weekly cognitive-behavioral treatment. These results must be interpreted with caution because of the lack of a control condition and of concomitant interventions during inpatient treatment.

摘要

90名患有慢性焦虑抑郁性学校缺勤且伴有或不伴有共病破坏性行为症状的青少年(年龄在12至18岁之间)接受了开放式住院治疗。治疗采用以认知行为为重点的手册指导。对于长期缺课的青少年,最初会将他们安置在一所特殊学校。目前的分析涵盖了2个月和9个月的随访。出院时,83名(92.2%)青少年实现了持续上学,2个月随访时为75名(83.3%),9个月随访时为63名(70.0%)。对于随访期间缺课的青少年,缺课率仅为轻微。在特殊学校就读的青少年比例从出院时的40名(44.4%)降至9个月后的24名(26.7%)。使用标准化问卷对自我和家长评分中的相关心理健康问题进行了评估。发现有小到中等程度的统计学显著加重情况。在随访期间,样本中有三分之二的人接受了每周一次的门诊认知行为治疗。由于缺乏对照条件以及住院治疗期间存在伴随干预措施,这些结果必须谨慎解释。

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