在 COVID-19 大流行期间对自闭症谱系障碍儿童进行焦虑的认知行为疗法。
Conducting CBT for Anxiety in Children with Autism Spectrum Disorder During COVID-19 Pandemic.
机构信息
Child Study Center, Yale University School of Medicine, 230 S. Frontage Road, New Haven, CT, 06520, USA.
Department of Psychology, University of Hartford, West Hartford, USA.
出版信息
J Autism Dev Disord. 2021 Nov;51(11):4239-4247. doi: 10.1007/s10803-020-04845-1. Epub 2021 Jan 1.
Abstract
This commentary describes the transition to remote delivery of cognitive-behavioral therapy (CBT) for anxiety in children with autism spectrum disorder (ASD) who participates in a clinical trial during the COVID-19 pandemic. The effects of COVID-19 on children's anxiety and on the family functioning are discussed. Modifications to CBT necessitated by telehealth delivery were aimed at maximizing engagement of children and their parents while maintaining treatment fidelity and adhering to the research protocol. Treatment targets were updated to address new sources of anxiety and CBT exposure exercises were modified to accommodate the new reality of quarantine restrictions. If the COVID-19 pandemic continues to affect treatment delivery it may require a widespread utilization of telehealth for treating anxiety in children with ASD.
摘要
本述评描述了在 COVID-19 大流行期间参加临床试验的自闭症谱系障碍（ASD）儿童的认知行为疗法（CBT）如何向远程治疗过渡。文中讨论了 COVID-19 对儿童焦虑和家庭功能的影响。远程医疗需要对 CBT 进行修改，目的是在保持治疗一致性和遵守研究方案的同时，最大限度地提高儿童及其父母的参与度。治疗目标进行了更新，以解决新的焦虑源，CBT 暴露练习也进行了修改，以适应隔离限制的新现实。如果 COVID-19 大流行继续影响治疗的提供，那么可能需要广泛利用远程医疗来治疗 ASD 儿童的焦虑症。
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