Park Jennifer M, Geller Daniel A
OCD and Related Disorders Program, Massachusetts General Hospital 185 Cambridge St., Suite 2200, Boston, MA 02114 USA.
OCD and Related Disorders Program, Massachusetts General Hospital 185 Cambridge St., Suite 2200, Boston, MA 02114 USA ; Department of Psychiatry, Harvard Medical School Boston, MA USA.
F1000Prime Rep. 2014 May 6;6:30. doi: 10.12703/P6-30. eCollection 2014.
Pediatric anxiety disorders have high prevalence rates and morbidity and are associated with considerable functional impairment and distress. They may be predictors for the development of other psychiatric disorders and, without intervention, are more likely to persist into adulthood. While evidence-based pharmacological and behavioral interventions are currently available, there remains a sizable subset of youth who remain only partially treatment-responsive and therefore symptomatic following treatment. Novel methods of treatment, pharmacologic and non-pharmacologic, including acceptance and commitment therapy (ACT), attention bias modification (ABM), d-cycloserine (DCS) augmentation of cognitive behavioral treatment (CBT), and glutamatergic agents such as riluzole, are briefly introduced and discussed.
儿童焦虑症患病率和发病率都很高,与相当严重的功能损害和痛苦相关。它们可能是其他精神疾病发展的预测因素,若不进行干预,更有可能持续到成年期。虽然目前已有循证药理学和行为干预方法,但仍有相当一部分青少年对治疗仅部分有反应,因此治疗后仍有症状。本文简要介绍并讨论了药理学和非药理学的新型治疗方法,包括接纳与承诺疗法(ACT)、注意力偏差修正(ABM)、认知行为疗法(CBT)联合d-环丝氨酸(DCS)增强治疗,以及利鲁唑等谷氨酸能药物。