The Use of Adventure Therapy in Community-Based Mental Health: Decreases in Problem Severity Among Youth Clients
The Use of Adventure Therapy in Community-Based Mental Health: Decreases in Problem Severity Among Youth Clients
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冒险疗法在社区心理健康中的应用：青年客户问题严重程度的降低
DOI：
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发表时间：
2012
影响因子：
1.8
通讯作者：
Bobbi Beale
中科院分区：
文献类型：
--
作者：
Anita R. Tucker;Stephen E. Javorski;J. Tracy;Bobbi Beale
有越来越多的需要，以确定有效的精神卫生治疗的做法，为儿童和青少年在社区为基础的设置，由于目前的混合调查结果的现有干预措施。这项研究将冒险疗法（AT）视为满足这一需求的可行选择。本研究以一个社区心理健康中心的1,135名青少年为样本，探讨了以下问题：（1）与传统咨询相比，AT是一种有效的青少年治疗方式吗？(2)在性别、年龄、主要诊断和种族方面，与参与基于AT的干预措施相关的问题严重程度的变化与传统咨询相关的问题严重程度的变化相比如何？(3)客户端问题严重性变化的预测因素是什么？在这项探索性非等效组准实验设计研究中，通过治疗类型和客户特征比较了青年初级临床医生报告的问题严重程度的前后平均评分。治疗和客户特征被用作问题严重程度变化的预测因素。AT的参与者有显着的平均下降，问题的严重程度大于那些没有参与咨询的客户，冒险组件与女性和非洲裔美国人的客户更大的下降。AT和心理咨询被认为是问题严重程度降低的重要预测因素;然而，咨询的时间长度，而不是AT的时间长度，是一个重要的预测因素。这些研究结果表明，以社区为基础的AT可能是一个可行的治疗青年在社区设置，但这些研究结果应谨慎解释，由于一些研究的局限性。
There is an increasing need to identify effective mental health treatment practices for children and adolescents in community-based settings, due to current mixed findings of existing interventions. This study looked at adventure therapy (AT) as a viable option to meet this need. Using a sample of 1,135 youth from a community-based mental health center, this study addressed the following questions: (1) Is AT an effective treatment modality for youth compared to traditional counseling? (2) How do changes in problem severity associated with participation in AT-based interventions compare with those associated with traditional counseling across gender, age, primary diagnosis, and race? (3) What are the predictors of changes in problem severity in clients? In this exploratory non-equivalent groups quasi-experimental design study, pre- and post- mean scores of problem severity as reported by youth’s primary clinician were compared by type of treatment and client characteristics. Treatment and client characteristics were used as predictors of changes in problem severity. Participants in AT had significant reported mean decreases in problem severity larger than those of clients not involved in counseling with an adventure component with larger decreases in female and African American clients. AT and psychological counseling were found to be significant predictors of decreases in problem severity; however, length of counseling, not length of AT, was a significant predictor. These findings suggest that community-based AT may be a viable treatment for youth in community settings; yet these findings should be interpreted with caution due to several study limitations.
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P