Virginia Tech.
Virginia Tech.
Behav Ther. 2018 Jul;49(4):594-603. doi: 10.1016/j.beth.2017.11.003. Epub 2017 Nov 22.
Although a host of evidence-based treatments exist for youth with anxiety disorders, less than 30% of youth and their families receive these treatments. One of the main barriers to receiving these treatments is the lack of access to care, due largely to the absence of mental health professionals who have expertise in the delivery of these treatments in certain geographic locales. The current study examined whether a brief intensive treatment for specific phobias (SPs), Augmented One-Session Treatment (OST-A), would result in comparable treatment gains for families who traveled a considerable distance to receive this treatment when compared to families who resided in our local community. Participants included 76 youth with a clinically confirmed diagnosis of SP (38 local families and an age- and sex-matched sample of 38 nonlocal families). Although SP severity at pretreatment was significantly greater for the nonlocal youth than the local youth, both nonlocal and local youth showed commensurate improvement and maintenance of treatment gains over a 6-month period across several clinical outcome measures. Findings from this study show that OST-A is effective when families choose to travel for treatment, addressing at least one of the barriers to use of this evidence-based treatment.
尽管有许多针对青少年焦虑症的循证治疗方法，但只有不到 30%的青少年及其家庭接受这些治疗。接受这些治疗的主要障碍之一是缺乏获得治疗的机会，这主要是由于在某些地理位置缺乏擅长提供这些治疗的心理健康专业人员。本研究考察了一种针对特定恐惧症（SP）的简短强化治疗（Augmented One-Session Treatment，OST-A）是否会导致前来接受治疗的家庭（包括居住在当地社区的家庭）在治疗上取得相当的进展。研究对象包括 76 名患有临床确诊的 SP 的青少年（38 名当地家庭和 38 名年龄和性别匹配的非当地家庭）。尽管非当地青少年的 SP 严重程度在治疗前显著高于当地青少年，但无论当地还是非当地的青少年在几个临床结果测量中都表现出相当的改善和治疗效果的维持，持续时间为 6 个月。这项研究的结果表明，当家庭选择旅行接受治疗时，OST-A 是有效的，它解决了使用这种循证治疗方法的障碍之一。
