年龄和抑郁症状变化可预测焦虑治疗后青少年 4 年的自我概念轨迹。
Age and depressive symptoms change predict the 4-year self-concept trajectory for youth after anxiety treatment.
机构信息
Department of Psychology, University of Oslo, Oslo, Norway.
Yale Child Study Centre Program for Youth Anxiety Disorders, Yale University, New Haven, Connecticut, USA.
出版信息
J Clin Psychol. 2022 Nov;78(11):2109-2121. doi: 10.1002/jclp.23427. Epub 2022 Aug 16.
OBJECTIVES
To investigate the self-concept trajectory from before to 4 years after cognitive behavioral therapy (CBT) for youth with anxiety disorders, including predictors.
METHODS
Youth with anxiety diagnoses (N = 179; M = 11.5 years, SD = 2.1; 53.6% girls; 46.4% boys) received CBT in community clinics. Self-concept, anxiety/depression symptoms, and diagnostic status were assessed at pre-, post, 1-year, and 4-year posttreatment.
RESULTS
Growth curve analyses showed that the self-concept improved significantly over time (d = 0.07 to 0.34). Higher age and a decrease in the depressive symptom trajectory predicted increased self-concept trajectory from baseline to 4 years posttreatment. Not dropping out of treatment also contributed positively to the self-concept trajectory, but not above and beyond decreased depressive symptoms. The correlation between self-concept and depressive symptoms was r = 0.60, indicating these are related but distinct.
CONCLUSION
Self-concept can improve after CBT, also long-term. This change appears to primarily be associated with decreased depressive symptoms over time.
目的
调查认知行为疗法（CBT）治疗青少年焦虑障碍前后 4 年的自我概念轨迹，包括预测因素。
方法
在社区诊所接受 CBT 治疗的患有焦虑症诊断的青年（N=179；M=11.5 岁，SD=2.1；53.6%为女孩；46.4%为男孩）。在治疗前、治疗后、1 年和 4 年后评估自我概念、焦虑/抑郁症状和诊断状况。
结果
增长曲线分析表明，自我概念随时间显著改善（d=0.07 至 0.34）。较高的年龄和抑郁症状轨迹的下降预测了从基线到治疗后 4 年自我概念轨迹的增加。不退出治疗也对自我概念轨迹有积极贡献，但并不超过抑郁症状的减少。自我概念和抑郁症状之间的相关性为 r=0.60，表明它们是相关但不同的。
结论
CBT 后，自我概念可以改善，甚至长期改善。这种变化似乎主要与随时间推移抑郁症状的减少有关。
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