Computer-Assisted Cognitive Behavioral Therapy for Child Anxiety: Results of a Randomized Clinical Trial
Computer-Assisted Cognitive Behavioral Therapy for Child Anxiety: Results of a Randomized Clinical Trial
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DOI：
10.1037/a0019739
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发表时间：
2010-10-01
影响因子：
5.9
通讯作者：
Kendall, Philip C.
中科院分区：
文献类型：
--
作者：
Khanna, Muniya S.;Kendall, Philip C.
目的：探讨计算机辅助认知行为疗法（CBT）治疗青少年焦虑的可行性、可接受性和效果。方法：7-13岁患有主要焦虑障碍的儿童（49:33名男性）（M = 10.1 +/- 1.6； 83.7%高加索人，14.2%非洲裔美国人，2%西班牙裔）随机分配到(a) CCAL, (b)个体CBT （ICBT）或(c)计算机辅助教育，支持和关注（CESA）条件。所有的治疗师都来自社区（学校或咨询心理学家，临床心理学家），或者是心理学博士或博士实习生，没有儿童焦虑的CBT经验或培训。在治疗前后和3个月的随访中完成独立诊断访谈和自我报告测量。结果：治疗后，ICBT或CCAL患儿的治疗效果明显优于CESA患儿；分别有70%，81%和19%的人不再符合他们主要焦虑诊断的标准。在随访中，收益保持不变，ICBT和CCAL之间没有显著差异。家长和儿童均认为所有治疗均可接受，CCAL和ICBT患儿的满意度高于CESA患儿。结论：研究结果支持CCAL治疗焦虑青少年的可行性、可接受性和有益效果。讨论考虑了计算机辅助治疗在传播经验支持治疗方面的潜力。
Objective: This study examined the feasibility, acceptability, and effects of Camp Cope-A-Lot (CCAL), a computer-assisted cognitive behavioral therapy (CBT) for anxiety in youth. Method: Children (49: 33 males) ages 7-13 (M = 10.1 +/- 1.6; 83.7% Caucasian, 14.2% African American, 2% Hispanic) with a principal anxiety disorder were randomly assigned to (a) CCAL, (b) individual CBT (ICBT), or (c) a computer-assisted education, support, and attention (CESA) condition. All therapists were from the community (school or counseling psychologists, clinical psychologist) or were PsyD or PhD trainees with no experience or training in CBT for child anxiety. Independent diagnostic interviews and self-report measures were completed at pre- and posttreatment and 3-month follow-up. Results: At posttreatment, ICBT or CCAL children showed significantly better gains than CESA children; 70%, 81%, and 19%, respectively, no longer met criteria for their principal anxiety diagnosis. Gains were maintained at follow-up, with no significant differences between ICBT and CCAL. Parents and children rated all treatments acceptable, with CCAL and ICBT children rating higher satisfaction than CESA children. Conclusions: Findings support the feasibility, acceptability and beneficial effects of CCAL for anxious youth. Discussion considers the potential of computer-assisted treatments in the dissemination of empirically supported treatments.