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一项随机对照试验:比较新冠疫情期间视频会议与面对面方式为抽动秽语综合征青少年提供行为疗法的效果

A Randomized Controlled Trial Comparing Videoconference vs. Face-to-Face Delivery of Behavior Therapy for Youths With Tourette Syndrome in the Time of COVID-19.

作者信息

Prato Adriana, Maugeri Nicoletta, Chiarotti Flavia, Morcaldi Lucia, Vicario Carmelo M, Barone Rita, Rizzo Renata

机构信息

Child and Adolescent Neurology and Psychiatric Section, Department of Clinical and Experimental Medicine, Catania University, Catania, Italy.

Department of Cognitive Sciences, Psychology, Education and Cultural Studies, University of Messina, Messina, Italy.

出版信息

Front Psychiatry. 2022 May 24;13:862422. doi: 10.3389/fpsyt.2022.862422. eCollection 2022.

DOI:10.3389/fpsyt.2022.862422
PMID:35686189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9170982/
Abstract

OBJECTIVE

To evaluate the clinical effectiveness of online remote behavior therapy, compared with face-to-face therapy in reducing tics and co-occurring disorders associated with the tics in a sample of youths with Tourette Syndrome.

DESIGN

A randomized controlled trial. TS patients were randomized to receive face-to-face or online remote behavior therapy.

PARTICIPANTS

40 children aged between 9 and 16 years affected by Tourette Syndrome.

RESULTS

Online remote and face-to-face behavior therapy are equally effective in the treatment of tics and co-occurring disorders in children and adolescents affected by Tourette Syndrome. Both groups showed an improvement in the severity of tics, obsessive-compulsive symptoms, and anxiety symptoms, as assessed by neuropsychological findings. Online remote behavior therapy was more effective for reducing depressive symptoms than face-to-face behavior therapy.

CONCLUSIONS

Online remote behavior therapy is a promising tool for behavioral therapies for patients with Tourette Syndrome and may represents an alternative treatment option.

摘要

目的

评估在线远程行为疗法与面对面疗法相比,在减少图雷特综合征青少年样本中的抽动症状以及与抽动相关的共病方面的临床疗效。

设计

一项随机对照试验。图雷特综合征患者被随机分配接受面对面或在线远程行为疗法。

参与者

40名年龄在9至16岁之间受图雷特综合征影响的儿童。

结果

在线远程行为疗法和面对面行为疗法在治疗受图雷特综合征影响的儿童和青少年的抽动症状及共病方面同样有效。根据神经心理学检查结果评估,两组的抽动严重程度、强迫症状和焦虑症状均有所改善。在线远程行为疗法在减轻抑郁症状方面比面对面行为疗法更有效。

结论

在线远程行为疗法是图雷特综合征患者行为治疗的一种有前景的工具,可能代表一种替代治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7bc/9170982/a53d90e1681f/fpsyt-13-862422-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7bc/9170982/a53d90e1681f/fpsyt-13-862422-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7bc/9170982/a53d90e1681f/fpsyt-13-862422-g0001.jpg

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