Department of Psychology, San Diego State University, 6363 Alvarado Court, Suite 200, San Diego, CA, 92120, USA.
Joint Doctoral Program in Clinical Psychology, San Diego State University, University of California - San Diego, 6363 Alvarado Court, Suite 200, San Diego, CA, 92120, USA.
Behav Res Ther. 2023 May;164:104290. doi: 10.1016/j.brat.2023.104290. Epub 2023 Mar 8.
Brief behavioral therapy (BBT) is an efficacious transdiagnostic intervention for pediatric anxiety and depression that targets behavioral avoidance as a key mechanism. It is unknown if change in avoidance mediates treatment effects, as theorized. Data on avoidance at baseline and Week 16 were available on 52 youth (ages 8-16 years) from a randomized controlled trial (Weersing, Jeffreys, et al., 2017) comparing BBT and assisted referral to community care (ARC). BBT had significant effects on youth-reported behavioral avoidance, and significant indirect effects on functioning and anxiety, statistically mediated through changes in youth-reported behavioral avoidance. Change in youth-reported avoidance was not a significant mediator of depression. Parent-report of avoidance was not impacted by treatment and was not a significant mediator. Overall, BBT appears to be an effective treatment for targeting behavioral avoidance, which in turn, may improve functioning and lessen anxiety. CLINICAL TRIAL REGISTRATION INFORMATION: https://clinicaltrials.gov; NCT01147614.
简短行为疗法（BBT）是一种针对行为回避这一关键机制的、对儿童焦虑和抑郁有效的跨诊断干预措施。尚不清楚是否如理论假设的那样，回避的改变会介导治疗效果。一项随机对照试验（Weersing、Jeffreys 等人，2017）中，对 52 名（8-16 岁）青少年进行了基线和第 16 周的回避数据评估，该试验比较了 BBT 和社区辅助转介（ARC）。BBT 对青少年自我报告的行为回避有显著影响，并且通过青少年自我报告的行为回避的变化，对功能和焦虑有显著的间接影响，这在统计学上是中介的。青少年自我报告的回避变化并不是抑郁的显著中介因素。父母报告的回避不受治疗的影响，也不是一个显著的中介因素。总的来说，BBT 似乎是一种针对行为回避的有效治疗方法，而行为回避的改变可能会改善功能并减轻焦虑。临床试验注册信息：https://clinicaltrials.gov；NCT01147614。
