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认知行为疗法治疗失眠对儿童和青少年焦虑和抑郁的疗效:来自随机对照试验的系统评价。

Efficacy of Cognitive Behavioral Therapy for Insomnia for the Treatment of Child and Adolescent Anxiety and Depression: A Systematic Review From Randomized Controlled Trials.

机构信息

Department of Psychiatry, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.

Department of Psychiatry, Boston Children's Hospital/Harvard Medical School, Boston, Massachusetts.

出版信息

J Nerv Ment Dis. 2023 Mar 1;211(3):238-243. doi: 10.1097/NMD.0000000000001613.

Abstract

Cognitive behavioral therapy for insomnia (CBT-I) has shown promising results in the adult population. However, there is not enough evidence for children and adolescents. Hence, we evaluated the current evidence of CBT-I in the treatment of anxiety and depression in children and adolescents. Published randomized clinical trials published before June 2020 were searched from PubMed, Cochrane Library of database, clinicaltrials.gov, and Google Scholar. Out of seven included studies, six studies assessed the effect of CBT-I on depression, and five assessed the effect on anxiety. In this review, most studies in this review showed a strong effect of CBT-I on symptoms of depression. Although a positive effect of CBT-I on anxiety was noted, only a small number of studies have considered this management. These findings should be considered preliminary, and further large-scale studies are warranted to further explore this finding further.

摘要

失眠的认知行为疗法(CBT-I)在成年人群中显示出有前景的结果。然而,针对儿童和青少年的证据还不够充分。因此,我们评估了 CBT-I 在治疗儿童和青少年焦虑和抑郁中的现有证据。从 PubMed、Cochrane 数据库、clinicaltrials.gov 和 Google Scholar 中搜索了 2020 年 6 月之前发表的随机临床试验。在纳入的 7 项研究中,有 6 项研究评估了 CBT-I 对抑郁症状的影响,5 项研究评估了对焦虑的影响。在这篇综述中,大多数研究表明 CBT-I 对抑郁症状有很强的影响。虽然注意到 CBT-I 对焦虑有积极的影响,但只有少数研究考虑了这种治疗方法。这些发现应该被认为是初步的,需要进一步的大规模研究来进一步探索这一发现。

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