Whiteside Stephen P H, Deacon Brett J, Benito Kristen, Stewart Elyse
Department of Psychiatry and Psychology, Mayo Clinic, United States.
Department of Psychology, University of Wollongong, Australia.
J Anxiety Disord. 2016 May;40:29-36. doi: 10.1016/j.janxdis.2016.04.001. Epub 2016 Apr 6.
The current study examines factors related to use of exposure therapy by clinicians who treat children with anxiety disorders. A sample of 331 therapists from a variety of backgrounds (i.e., social workers, doctoral psychologists, masters level counselors, and marriage and family therapists) completed a survey regarding use of exposure and other treatment techniques for childhood anxiety disorders, as well as beliefs about exposure and child resiliency. Although the majority of therapists endorsed a CBT orientation (81%) and use of CBT techniques, exposure therapy was rarely endorsed. Holding a PhD in psychology as well as more positive beliefs about exposure and child resiliency were associated with greater use of exposure. The results suggest that exposure-based therapy is rarely offered in community settings and that dissemination should focus on individual evidence-based principles and correcting therapist misconceptions.
当前的研究考察了治疗焦虑症儿童的临床医生使用暴露疗法的相关因素。来自不同背景（即社会工作者、博士水平的心理学家、硕士水平的咨询师以及婚姻和家庭治疗师）的331名治疗师完成了一项关于使用暴露疗法及其他治疗儿童焦虑症技术的调查，以及关于暴露疗法和儿童复原力的信念调查。尽管大多数治疗师认可认知行为疗法导向（81%）并使用认知行为疗法技术，但暴露疗法很少被认可。拥有心理学博士学位以及对暴露疗法和儿童复原力持有更积极的信念与更多地使用暴露疗法相关。结果表明，在社区环境中很少提供基于暴露的疗法，传播工作应侧重于基于个体的循证原则并纠正治疗师的误解。
