青少年接受互联网认知行为疗法治疗社交焦虑障碍的体验。
Adolescents' experience of receiving internet-delivered cognitive therapy for social anxiety disorder.
作者信息
Leigh Eleanor, Nicol-Harper Rosie, Travlou Mariana, Clark David M
机构信息
Department of Experimental Psychology, University of Oxford, Oxford Health NHS Foundation Trust, UK.
Department of Experimental Psychology, University of Oxford, UK.
出版信息
Internet Interv. 2023 Sep 7;34:100664. doi: 10.1016/j.invent.2023.100664. eCollection 2023 Dec.
BACKGROUND
Social anxiety disorder (SAD) is a debilitating condition that usually begins in adolescence. We recently demonstrated preliminary efficacy of an internet-delivered therapist-assisted version of Cognitive Therapy for Social Anxiety Disorder (SAD) for adolescents called Online Social anxiety Cognitive therapy for Adolescents (OSCA). Here we report on the helpfulness, support, and overall acceptability of OSCA from the perspective of trial participants.
METHODS
Participants were 17 young people aged 15-18 years who had participated in a trial of OSCA. Post-treatment, participants completed an online treatment acceptability questionnaire and took part in a semi-structured interview to gain an understanding of their experience of OSCA.
RESULTS
Overall, there was a very high rate of treatment satisfaction. Core aspects of the treatment were viewed as most helpful, including behavioural experiments even though participants found them challenging. Participants found the online nature of the treatment helpful, allowing for easier communication with the therapist, regular encouragement from the therapist, and the ability to go back to their treatment and view their progress. Challenges were, for some, the quantity of content and practical issues around scheduling the short weekly calls with their therapist.
CONCLUSIONS
This study suggests that young people felt helped and supported by OSCA.
背景
社交焦虑障碍（SAD）是一种通常始于青春期的使人衰弱的疾病。我们最近证明了一种通过互联网提供、由治疗师辅助的针对青少年社交焦虑障碍（SAD）的认知疗法——青少年在线社交焦虑认知疗法（OSCA）的初步疗效。在此，我们从试验参与者的角度报告OSCA的帮助作用、支持情况及总体可接受性。
方法
参与者为17名年龄在15至18岁之间、参加过OSCA试验的年轻人。治疗后，参与者完成一份在线治疗可接受性问卷，并参加一次半结构化访谈，以了解他们对OSCA的体验。
结果
总体而言，治疗满意度非常高。治疗的核心方面被认为最有帮助，包括行为实验，尽管参与者发现这些实验具有挑战性。参与者发现治疗的在线性质很有帮助，便于与治疗师沟通、得到治疗师的定期鼓励，以及能够回顾自己的治疗过程并查看进展。对一些人来说，挑战在于内容量以及安排与治疗师每周进行简短通话的实际问题。
结论
这项研究表明，年轻人感到OSCA对他们有帮助且提供了支持。
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