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焦虑、抑郁和躯体困扰:为儿科实践开发一种跨诊断内化工具箱

Anxiety, Depression, and Somatic Distress: Developing a Transdiagnostic Internalizing Toolbox for Pediatric Practice.

作者信息

Weersing V Robin, Rozenman Michelle S, Maher-Bridge Maureen, Campo John V

机构信息

San Diego State University/University of California, San Diego.

Nationwide Children's Hospital and The Ohio State University.

出版信息

Cogn Behav Pract. 2012 Feb 1;19(1):68-82. doi: 10.1016/j.cbpra.2011.06.002.

Abstract

Anxiety, depression, and somatic complaints are a common set of comorbid problems in children and adolescents. This "internalizing cluster" is highly prevalent, impairing during youth and into adulthood, and has substantial impacts on health-care systems. Fortunately, these problem areas may share several etiological factors and, thus, respond to similar interventions. In this paper, we present (a) the rationale for focusing on this cluster, (b) clinical theory on transdiagnostic processes uniting these problems, (c) description of core treatment techniques for this group, with a description of clinical outcomes for two sample cases, and (d) implications of this approach for new transdiagnostic treatment development and everyday clinical practice.

摘要

焦虑、抑郁和躯体不适是儿童和青少年中常见的一组共病问题。这种“内化症候群”非常普遍,在青少年时期及成年后都会造成损害,并对医疗保健系统产生重大影响。幸运的是,这些问题领域可能有几个共同的病因,因此对类似的干预措施有反应。在本文中,我们阐述了(a)关注这一症候群的基本原理,(b)将这些问题联系起来的跨诊断过程的临床理论,(c)针对该群体的核心治疗技术描述,并给出两个样本病例的临床结果描述,以及(d)这种方法对新的跨诊断治疗发展和日常临床实践的意义。

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