比较认知行为疗法治疗后不同焦虑障碍儿童的疗效。
Comparing outcomes for children with different anxiety disorders following cognitive behavioural therapy.
机构信息
Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia.
Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia.
出版信息
Behav Res Ther. 2015 Sep;72:30-7. doi: 10.1016/j.brat.2015.06.007. Epub 2015 Jun 23.
OBJECTIVE
The purpose of this study was to compare treatment outcomes following a group family-based cognitive behavioural therapy for children with different anxiety disorders (social anxiety disorder, separation anxiety disorder, generalised anxiety disorder, specific phobia and obsessive compulsive disorder).
METHOD
This study utilised a clinical sample of 842 children and adolescents (aged between 6 and 18 years) and assessed outcome using diagnostic interview, parent-report and child-report.
RESULTS
Based on diagnostic data and parent-reported symptoms, results revealed that children with a diagnosis of social anxiety disorder experienced a slower rate of change and poorer diagnostic outcomes at post treatment and follow-up than children with other anxiety disorders. Children with GAD showed better response to this broad-based intervention and children with OCD showed better response on one measure.
CONCLUSIONS
This study provides evidence for differential response to broad-based CBT for children, based on type of anxiety diagnoses.
目的
本研究旨在比较针对不同焦虑障碍（社交焦虑障碍、分离焦虑障碍、广泛性焦虑障碍、特定恐惧症和强迫症）的团体家庭认知行为疗法的治疗效果。
方法
本研究采用了 842 名儿童和青少年（年龄在 6 至 18 岁之间）的临床样本，并通过诊断访谈、家长报告和儿童报告评估了结果。
结果
基于诊断数据和家长报告的症状，结果显示，与其他焦虑障碍的儿童相比，患有社交焦虑障碍诊断的儿童在治疗后和随访时的变化速度较慢，诊断结果较差。广泛性焦虑障碍的儿童对这种基于广泛基础的干预措施反应更好，而强迫症的儿童在一项测量中反应更好。
结论
本研究为基于焦虑症诊断类型的儿童广泛认知行为治疗的不同反应提供了证据。
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