Therapy for youths with anxiety disorders: A second randomized clinical trial
Therapy for youths with anxiety disorders: A second randomized clinical trial
复制标题
DOI：
10.1037/0022-006x.65.3.366
复制
发表时间：
1997-06-01
影响因子：
5.9
通讯作者：
Warman, M
中科院分区：
文献类型：
--
作者：
Kendall, PC;FlannerySchroeder, E;Warman, M
94 名患有焦虑症的儿童（年龄 9-13 岁）被随机分配接受认知行为治疗或等待名单控制。使用诊断状态、儿童自我报告、家长和老师报告、认知评估和行为观察来评估结果；使用 I 年随访数据检查维护情况。对依赖措施的分析表明，随着时间的推移，情况有了显着改善，其中大多数表明接受治疗的人获得了更大的收益。治疗效果使病例恢复到非异常限度内（即规范比较），并在 1 年随访中保持不变。客户年龄和合并症状况并不影响结果。对治疗部分的初步检查表明，主动暴露（当它遵循认知教育训练时）是有益变化的积极力量。讨论包括对未来研究的建议。
Ninety-four children (aged 9- 13 years) with anxiety disorders were randomly assigned to cognitive-behavioral treatment or waiting-list control. Outcomes were evaluated using diagnostic status, child self-reports, parent and teacher reports, cognitive assessment and behavioral observation; maintenance was examined using I-year follow-up data. Analyses of dependent measures indicated significant improvements over time, with the majority indicating greater gains for those receiving treatment. Treatment gains returned cases to within nondeviant limits (i.e., normative comparisons) and were maintained at 1-year follow-up. Client age and comorbid status did not moderate outcomes. A preliminary examination of treatment segments suggested that the enactive exposure (when it follows cognitive-educational training) was an active force in beneficial change. Discussion includes suggestions for future research.