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情绪自由技术与认知行为疗法减轻青少年焦虑的随机对照比较:一项初步研究

A Randomized Controlled Comparison of Emotional Freedom Technique and Cognitive-Behavioral Therapy to Reduce Adolescent Anxiety: A Pilot Study.

作者信息

Gaesser Amy H, Karan Orv C

机构信息

1 Department of Educational Studies, Counseling and Development Program, Purdue University , West Lafayette, IN.

2 Department of Educational Psychology, Counseling Program, University of Connecticut , Storrs, CT.

出版信息

J Altern Complement Med. 2017 Feb;23(2):102-108. doi: 10.1089/acm.2015.0316. Epub 2016 Sep 19.

DOI:10.1089/acm.2015.0316
PMID:27642676
Abstract

OBJECTIVE

The objective of this pilot study was to compare the efficacy of Emotional Freedom Techniques (EFT) with that of Cognitive-Behavioral Therapy (CBT) in reducing adolescent anxiety.

DESIGN

Randomized controlled study.

SETTINGS

This study took place in 10 schools (8 public/2 private; 4 high schools/6 middle schools) in 2 northeastern states in the United States.

PARTICIPANTS

Sixty-three high-ability students in grades 6-12, ages 10-18 years, who scored in the moderate to high ranges for anxiety on the Revised Children's Manifest Anxiety Scale-2 (RCMAS-2) were randomly assigned to CBT (n = 21), EFT (n = 21), or waitlist control (n = 21) intervention groups.

INTERVENTIONS

CBT is the gold standard of anxiety treatment for adolescent anxiety. EFT is an evidence-based treatment for anxiety that incorporates acupoint stimulation. Students assigned to the CBT or EFT treatment groups received three individual sessions of the identified protocols from trained graduate counseling, psychology, or social work students enrolled at a large northeastern research university.

OUTCOME MEASURES

The RCMAS-2 was used to assess preintervention and postintervention anxiety levels in participants.

RESULTS

EFT participants (n = 20; M = 52.16, SD = 9.23) showed significant reduction in anxiety levels compared with the waitlist control group (n = 21; M = 57.93, SD = 6.02) (p = 0.005, d = 0.74, 95% CI [-9.76, -1.77]) with a moderate to large effect size. CBT participants (n = 21; M = 54.82, SD = 5.81) showed reduction in anxiety but did not differ significantly from the EFT (p = 0.18, d = 0.34; 95% CI [-6.61, 1.30]) or control (p = 0.12, d = 0.53, 95% CI [-7.06, .84]).

CONCLUSIONS

EFT is an efficacious intervention to significantly reduce anxiety for high-ability adolescents.

摘要

目的

本试点研究的目的是比较情绪释放技术(EFT)与认知行为疗法(CBT)在减轻青少年焦虑方面的疗效。

设计

随机对照研究。

地点

本研究在美国东北部两个州的10所学校(8所公立/2所私立;4所高中/6所初中)进行。

参与者

63名6至12年级、10至18岁的高能力学生,他们在修订版儿童显性焦虑量表-2(RCMAS-2)上的焦虑得分处于中度至高度范围,被随机分配到CBT组(n = 21)、EFT组(n = 21)或等待名单对照组(n = 21)。

干预措施

CBT是青少年焦虑症治疗的金标准。EFT是一种基于证据的焦虑症治疗方法,包括穴位刺激。被分配到CBT或EFT治疗组的学生接受了由一所大型东北部研究型大学的训练有素的研究生咨询、心理学或社会工作专业学生进行的三次个体化的既定方案治疗。

结果测量

使用RCMAS-2评估参与者干预前和干预后的焦虑水平。

结果

与等待名单对照组(n = 21;M = 57.93,SD = 6.02)相比,EFT组参与者(n = 20;M = 52.16,SD = 9.23)的焦虑水平显著降低(p = 0.005,d = 0.74,95%CI[-9.76,-1.77]),效应大小为中度至高度。CBT组参与者(n = 21;M = 54.82,SD = 5.81)的焦虑有所降低,但与EFT组(p = 0.18,d = 0.34;95%CI[-6.61,1.30])或对照组(p = 0.12,d = 0.53,95%CI[-7.06,.84])相比无显著差异。

结论

EFT是一种有效的干预措施,可显著降低高能力青少年的焦虑。

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