Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up

Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up
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DOI:
10.1037/0022-006x.72.2.276
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发表时间:
2004-04-01
影响因子:
5.9
通讯作者:
Webb, A
Webb, A
中科院分区:
心理学1区
文献类型:
--
作者:
Kendall, PC;Safford, S;Webb, A

文献摘要

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研究表明,如果不及时治疗,儿童焦虑症的后遗症可能包括慢性焦虑、抑郁和药物滥用。目前的研究评估了平均提前 7.4 岁接受为期 16 周的原发性焦虑症(广泛性焦虑症、分离性焦虑症和社交焦虑症)认知行为治疗的儿童的结果维持情况。 86 名参与者(年龄 15 至 22 岁;占原始样本的 91%)及其父母完成了诊断访谈以及自我报告和家长报告措施。根据诊断访谈,相当一部分参与者在长期随访中焦虑症保持显着改善。关于后遗症,与不太积极的反应者相比,对焦虑治疗有积极反应的人在长期随访中物质使用参与和相关问题的数量减少。研究结果讨论了儿童焦虑及其一些后遗症。
Research suggests that the sequelae of childhood anxiety disorders, if left untreated, can include chronic anxiety, depression, and substance abuse. The current study evaluated the maintenance of outcomes of children who received a 16-week cognitive-behavioral treatment for primary anxiety disorders (generalized, separation, and social anxiety disorders) an average of 7.4 years earlier. The 86 participants (ages 15 to 22 years; 91% of the original sample) and their parents completed diagnostic interviews and self-and parent-report measures. According to the diagnostic interviews, a meaningful percentage of participants maintained significant improvements in anxiety at long-term follow-up. With regard to sequelae, positive responders to anxiety treatment, as compared with less positive responders, had a reduced amount of substance use involvement and related problems at long-term follow-up. The findings are discussed with regard to child anxiety and some of its sequelae.