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青少年焦虑治疗结果的调节因素:当前发现与未来方向。

Moderators of Outcome for Youth Anxiety Treatments: Current Findings and Future Directions.

机构信息

Department of Psychology, Temple University.

出版信息

J Clin Child Adolesc Psychol. 2021 Jul-Aug;50(4):450-463. doi: 10.1080/15374416.2020.1833337. Epub 2020 Nov 3.

Abstract

To improve outcomes and create more personalized interventions, the field has sought to identify moderators of treatment response (variables that specify which treatments work for whom and under what conditions). The current review examines moderators of youth anxiety treatments. The majority of studies to date have examined variables of convenience, including demographics (age, sex, race, ethnicity, socioeconomic status), pretreatment youth clinical characteristics (anxiety severity, principal diagnosis, comorbidity) and pretreatment parent variables (parent psychopathology, parenting). Findings indicate few consistent moderators. Future directions are discussed, including (a) group to individual generalizability, (b) power considerations, and (c) updates to study design and measure selection.

摘要

为了改善结果并创建更具个性化的干预措施,该领域一直在寻求确定治疗反应的调节因素(指定哪些治疗对哪些人有效以及在什么条件下有效的变量)。本综述检查了青少年焦虑症治疗的调节因素。迄今为止,大多数研究都检查了方便变量,包括人口统计学特征(年龄、性别、种族、民族、社会经济地位)、治疗前青少年临床特征(焦虑严重程度、主要诊断、共病)和治疗前父母变量(父母的精神病理学、教养方式)。研究结果表明,很少有一致的调节因素。讨论了未来的方向,包括(a)从群体到个体的可推广性,(b)考虑功率,以及(c)更新研究设计和测量选择。

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