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治疗儿童焦虑症:一项随机临床试验的结果

Treating anxiety disorders in children: results of a randomized clinical trial.

作者信息

Kendall P C

机构信息

Department of Psychology, Temple University, Philadelphia, Pennsylvania 19122.

出版信息

J Consult Clin Psychol. 1994 Feb;62(1):100-10. doi: 10.1037//0022-006x.62.1.100.

Abstract

In this study a psychosocial treatment for 47 Ss (aged 9-13 years) with anxiety disorders was investigated. A 16-session cognitive-behavioral treatment was compared with a wait-list condition. Outcome was evaluated using child self-report, parent report, teacher report, cognitive assessment, and behavioral observations. Pretreatment-posttreatment changes and maintenance of gains at 1-year follow-up were examined. Results revealed that many treated Ss were found to be without a diagnosis at posttest and at follow-up and to be within normal limits on many measures. The child's perception of the therapeutic relationship and the therapist's perception of parental involvement were measured but were not related to outcome. Discussion focuses on characteristics of effective child therapy and the need for further research on treatment components and alternative treatment methods.

摘要

在本研究中,对47名患有焦虑症的9至13岁受试者进行了一种心理社会治疗的调查。将一个为期16节的认知行为治疗与等待名单条件进行了比较。使用儿童自我报告、家长报告、教师报告、认知评估和行为观察来评估结果。研究了治疗前至治疗后的变化以及1年随访时疗效的维持情况。结果显示,许多接受治疗的受试者在测试后和随访时被发现没有诊断,并且在许多测量指标上处于正常范围内。测量了儿童对治疗关系的感知以及治疗师对家长参与情况的感知,但这些与治疗结果无关。讨论集中在有效儿童治疗的特点以及对治疗成分和替代治疗方法进行进一步研究的必要性。

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