基于互联网的认知行为疗法对青春期女孩焦虑症的疗效
The Efficacy of Internet-based Cognitive Behavioral Therapy on the Anxiety Disorders among Adolescent Girls.
作者信息
Karbasi Afsaneh, Haratian Azadeh
机构信息
Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran.
出版信息
Adv Biomed Res. 2018 Jan 30;7:13. doi: 10.4103/abr.abr_203_16. eCollection 2018.
BACKGROUND
The prevalence of anxiety disorders among children and adolescents are found to be approximately between 8-12 and 5-10, respectively, and the long-lasting effects of such disorders can expose the sufferers to impairment and dysfunction in several areas of life the examples of which are poor educational performance, low self-esteem, and depression. The present study aims to evaluate the efficacy of internet-based, cognitive-behavioral therapy (ICBT) in treating the anxiety disorders among adolescent females.
MATERIALS AND METHODS
The sample included thirty girls aged between 10 and 18 years suffering from a variety of anxiety disorders, under pharmaceutical therapy and referred to clinics of child and adolescent psychiatry specialists in Isfahan. The sample was selected through diagnostic interviews by psychiatrists based on the Diagnostic and Statistical Manual of Mental Disorders, 4 Edition, Text Revision; afterward, they were randomly assigned to either the experimental or the control groups. To evaluate the efficacy of an ICBT in reducing anxiety disorder symptoms, Screen for Child Anxiety Related Emotional Disorders questionnaire was administered among the patients both before and 4 weeks after the treatment.
RESULTS
The covariance analysis results aimed to compare the anxiety disorder score variations between the two groups which demonstrate the fact that anxiety disorder scores in these two groups differ from one another ( < 0.001).
CONCLUSIONS
This study is comprised of two Conclusions.the significant reduction in the mean of anxiety disorders scores in the experimental group compared to those in control group can be indicative of the efficacy of ICBT. In addition the significant reduction in the average of anxiety disorders symptoms' scores according to the type of anxiety disorders in the experimental group, compared to those in control group, can be indicative of the efficacy of ICBT.
背景
研究发现，儿童和青少年焦虑症的患病率分别约为8% - 12%和5% - 10%，这些疾病的长期影响会使患者在生活的多个方面出现功能损害和障碍，例如学业成绩差、自尊心低和抑郁。本研究旨在评估基于互联网的认知行为疗法（ICBT）治疗青春期女性焦虑症的疗效。
材料与方法
样本包括30名年龄在10至18岁之间、患有多种焦虑症且正在接受药物治疗的女孩，她们被转介至伊斯法罕儿童和青少年精神病学专家诊所。样本是由精神科医生根据《精神障碍诊断与统计手册》第4版修订版通过诊断访谈选取的；之后，她们被随机分配到实验组或对照组。为了评估ICBT在减轻焦虑症症状方面的疗效，在治疗前和治疗后4周对患者进行儿童焦虑相关情绪障碍筛查问卷测试。
结果
协方差分析结果旨在比较两组之间焦虑症评分的变化，结果表明这两组的焦虑症评分存在差异（<0.001）。
结论
本研究包含两个结论。与对照组相比，实验组焦虑症评分均值显著降低，这表明ICBT具有疗效。此外，与对照组相比，实验组根据焦虑症类型划分的焦虑症症状评分均值显著降低，这也表明ICBT具有疗效。
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