Psychiatric Research Center, Beijing Huilongguan Hospital, Peking University Huilonguan Clinical Medical School, Beijing, IN, 100096, China.
State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, IN, 100875, China.
BMC Complement Med Ther. 2024 Nov 21;24(1):403. doi: 10.1186/s12906-024-04650-8.
Adolescents exhibit a high prevalence of mental health disorders, with more than half of all cases emerging before the age of 14 years. Since the advent of the COVID-19 pandemic, there has been a marked upsurge in anxiety and depression among adolescents across several nations. Emotional disorders often lead to severe outcomes, including school absenteeism, self-harm, and suicidal tendencies. The suboptimal efficacy of pharmacotherapy, compounded by limited availability and substantial costs associated with individual psychotherapy, underscores the critical need for identifying simple yet efficacious psychotherapeutic interventions suitable for both individual and group settings. Tension and Trauma Release Exercise (TRE) is a mind-body therapeutic approach that efficiently alleviates symptoms of anxiety and depression. This randomized controlled trial (RCT) aims to evaluate the effectiveness of a mother-child intervention model using TRE in enhancing the clinical management of adolescent patients diagnosed with emotional disorders.
This study recruits 140 dyads of adolescents with emotional disorders and their mothers, randomly assigned to intervention or control groups. The intervention arm combines eight weeks of standard pharmacotherapy with an eight-week TRE group therapy, assessing at baseline, post-8-week treatment, and three-month follow-up. Initially, controls receive eight weeks of standard medication with parallel assessments, later transitioning to the same TRE intervention while maintaining continuous evaluation. The study further examines the influence of maternal emotional health on adolescent treatment response and investigates associated neurophysiological and psychological mechanisms.
This research endeavors to identify a straightforward and potent body-oriented psychological intervention that could improve the clinical outcomes for adolescent patients with emotional disorders. Such findings would carry profound implications not only for the healthy development of teenagers but also for potentially mitigating the burden on families, educational institutions, and society as a whole.
ChiCTR2100044553, Registered March 24, 2021.
青少年的心理健康障碍患病率较高，超过一半的病例发生在 14 岁之前。自 COVID-19 大流行以来，许多国家的青少年焦虑和抑郁情绪明显上升。情绪障碍常常导致严重后果，包括逃学、自残和自杀倾向。药物治疗效果不理想，再加上个别心理治疗的可用性有限和费用高昂，这突显了迫切需要确定适合个体和团体环境的简单而有效的心理治疗干预措施。张力与紧张释放练习（TRE）是一种身心治疗方法，可有效缓解焦虑和抑郁症状。这项随机对照试验（RCT）旨在评估使用 TRE 的母子干预模式对增强情绪障碍青少年患者临床管理的有效性。
本研究招募了 140 对患有情绪障碍的青少年及其母亲，随机分为干预组和对照组。干预组结合了 8 周的标准药物治疗和 8 周的 TRE 团体治疗，在基线、8 周治疗后和 3 个月随访时进行评估。最初，对照组接受 8 周的标准药物治疗和平行评估，然后过渡到相同的 TRE 干预，同时保持持续评估。该研究还研究了母亲情绪健康对青少年治疗反应的影响，并调查了相关的神经生理和心理机制。
本研究旨在确定一种简单而有效的身体导向的心理干预措施，可以改善情绪障碍青少年患者的临床结果。这些发现不仅对青少年的健康发展具有深远意义，而且有可能减轻家庭、教育机构和整个社会的负担。
ChiCTR2100044553，于 2021 年 3 月 24 日注册。
