针对儿童焦虑症的团体与家长参与认知行为疗法：治疗特异性与长期康复调解
Group- versus Parent-Involvement CBT for Childhood Anxiety Disorders: Treatment Specificity and Long-term Recovery Mediation.
作者信息
Silverman Wendy K, Marin Carla E, Rey Yasmin, Kurtines William M, Jaccard James, Pettit Jeremy W
机构信息
Yale University School of Medicine.
Florida International University.
出版信息
Clin Psychol Sci. 2019 Jul 1;7(4):840-855. doi: 10.1177/2167702619830404. Epub 2019 Mar 29.
Abstract
OBJECTIVE
Treatment specificity and long-term recovery mediation of peer-involvement group cognitive behavioral therapy (GCBT) and parent-involvement CBT (PCBT) were investigated for youth anxiety disorders.
METHOD
240 youths with primary anxiety diagnoses participated in a randomized controlled efficacy trial. Youth anxiety and peer variables/mediators (positive peer-youth relationships; social skills), and parent variables/mediators (psychological control; negative parent-youth relationships) were assessed.
RESULTS
At posttreatment and 12-month follow up, positive peer-youth relationships were significantly higher in GCBT than PCBT (specificity). At posttreatment, not follow up, parental psychological control was significantly lower in PCBT than GCBT (specificity). Parental psychological control and positive peer-youth relationships were putative mediators. The two CBTs produced similar anxiety reductions through different mechanisms.
CONCLUSIONS
CBT targets show specificity and mediation, providing insight into specific mechanisms through which GCBT and PCBT bring about anxiety reduction and guidance for streamlining these CBTs in practice.
摘要
目的
研究同伴参与组认知行为疗法（GCBT）和家长参与认知行为疗法（PCBT）对青少年焦虑症的治疗特异性及长期恢复调节作用。
方法
240名患有原发性焦虑症的青少年参与了一项随机对照疗效试验。对青少年焦虑及同伴变量/调节因素（积极的同伴 - 青少年关系；社交技能）和家长变量/调节因素（心理控制；消极的家长 - 青少年关系）进行了评估。
结果
在治疗后及12个月随访时，GCBT组中积极的同伴 - 青少年关系显著高于PCBT组（特异性）。在治疗后而非随访时，PCBT组中家长的心理控制显著低于GCBT组（特异性）。家长心理控制和积极的同伴 - 青少年关系是假定的调节因素。两种认知行为疗法通过不同机制使焦虑程度得到相似程度的降低。
结论
认知行为疗法的目标显示出特异性和调节作用，为深入了解GCBT和PCBT减轻焦虑的具体机制以及在实践中简化这些认知行为疗法提供了指导。
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