Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA; Department of Psychology, Harvard University, 33 Kirkland Street, Cambridge, MA, 02138, USA.
Department of Psychology, Harvard University, 33 Kirkland Street, Cambridge, MA, 02138, USA; McLean Hospital School Consultation Service, Cambridge, MA, USA.
Child Adolesc Psychiatr Clin N Am. 2021 Jul;30(3):623-636. doi: 10.1016/j.chc.2021.04.011.
Severe irritability is common in treatment-referred youth, often occurring in externalizing, anxiety, and mood conditions. The best available evidence indicates behavioral parent training and cognitive-behavioral therapy as first-line interventions. Modular approaches (eg, MATCH) can package these strategies in a flexible format, facilitating personalization. Ample evidence supports MATCH's effectiveness generally and initial evidence supports its effectiveness for irritability specifically. We provide an overview of MATCH and its application to severe irritability. Emphasis is placed on behavioral parent training as a likely primary/first-line treatment. Potential benefits and limitations are considered. This approach calls for careful clinical judgment and for further empirical research.
严重的易怒在接受治疗的青少年中很常见，通常发生在外化、焦虑和情绪障碍中。现有最佳证据表明，行为家长培训和认知行为疗法是一线干预措施。模块化方法（例如 MATCH）可以以灵活的格式打包这些策略，便于个性化。大量证据支持 MATCH 通常的有效性，并且初步证据支持其对易怒的有效性。我们提供了 MATCH 的概述及其在严重易怒中的应用。重点是行为家长培训作为可能的主要/一线治疗。考虑了潜在的益处和局限性。这种方法需要谨慎的临床判断和进一步的实证研究。
