Department of Psychology, University of Oslo, Oslo, Norway.
Yale Child Study Centre Program for Youth Anxiety Disorders, Yale University, New Haven, Connecticut, USA.
J Clin Psychol. 2022 Nov;78(11):2109-2121. doi: 10.1002/jclp.23427. Epub 2022 Aug 16.
To investigate the self-concept trajectory from before to 4 years after cognitive behavioral therapy (CBT) for youth with anxiety disorders, including predictors.
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.
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.
Self-concept can improve after CBT, also long-term. This change appears to primarily be associated with decreased depressive symptoms over time.
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。
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。
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。
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。
