Randomised controlled trial of school-based humanistic counselling for emotional distress in young people: feasibility study and preliminary indications of efficacy.
Randomised controlled trial of school-based humanistic counselling for emotional distress in young people: feasibility study and preliminary indications of efficacy.
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DOI：
10.1186/1753-2000-4-12
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发表时间：
2010-04-22
影响因子：
5.6
通讯作者：
Richards K
中科院分区：
文献类型：
--
作者：
Cooper M;Rowland N;McArthur K;Pattison S;Cromarty K;Richards K
本研究的目的是测试一项随机对照试验的可行性，比较为期六周的人本主义学校辅导与等候名单在减少年轻人情绪困扰方面的效果，并获得初步的疗效指标。在筛选程序之后，经历过情绪困扰的年轻人（13 - 15岁）被随机分配到人文咨询组或等候名单中。使用一系列自我报告的心理健康测量来评估结果，以优势和困难问卷（SDQ）的情绪症状子量表作为主要结果指标。招募过程是成功的，有32名年轻人同意参加试验，27名完成了终点测量。所有参与研究的人都可以接受试验程序。在情绪症状水平的降低方面，咨询组和等候名单组之间没有发现显著差异（赫奇斯的g = 0.03），但分配给咨询组的客户在亲社会行为方面表现出显著更大的改善（g = 0.89），九个结果测量的平均效应大小(g)为0.25。抑郁症状越严重的参与者表现出更大的变化。这项研究表明，在学校进行随机对照咨询试验是可以接受和可行的，尽管最初的疗效指标参差不齐。当前对照试验ISRCTN68290510。
The purpose of this study was to test the feasibility of a randomised controlled trial comparing six weeks of humanistic school-based counselling versus waiting list in the reduction of emotional distress in young people, and to obtain initial indications of efficacy. Following a screening procedure, young people (13 - 15 years old) who experienced emotional distress were randomised to either humanistic counselling or waiting list in this multi-site study. Outcomes were assessed using a range of self-report mental health measures, with the emotional symptoms subscale of the Strengths and Difficulties Questionnaire (SDQ) acting as the primary outcome indicator. Recruitment procedures were successful, with 32 young people consenting to participate in the trial and 27 completing endpoint measures. Trial procedures were acceptable to all involved in the research. No significant differences were found between the counselling and waiting list groups in reductions in levels of emotional symptoms (Hedges' g = 0.03), but clients allocated to counselling showed significantly greater improvement in prosocial behaviour (g = 0.89) with an average effect size (g) across the nine outcome measures of 0.25. Participants with higher levels of depressive symptoms showed significantly greater change. This study suggested that a randomised controlled trial of counselling in schools is acceptable and feasible, although initial indications of efficacy are mixed. Current Controlled Trials ISRCTN68290510.