Computerized CBT (Think, Feel, Do) for Depression and Anxiety in Children and Adolescents: Outcomes and Feedback from a Pilot Randomized Controlled Trial
Computerized CBT (Think, Feel, Do) for Depression and Anxiety in Children and Adolescents: Outcomes and Feedback from a Pilot Randomized Controlled Trial
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DOI：
10.1017/s135246581000086x
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发表时间：
2011-05-01
影响因子：
1.8
通讯作者：
Attwood, Megan
中科院分区：
文献类型：
--
作者：
Stallard, Paul;Richardson, Thomas;Attwood, Megan
研究已经证明了计算机认知行为疗法（cCBT）对成人抑郁和焦虑的有效性，但对儿童和青少年的研究却很少。目的：描述一种针对年轻人的cCBT干预（思考、感觉、行动）的发展，以及一项随机对照试验的初步结果和反馈。方法：20名年龄在11至16岁之间的抑郁或焦虑患者被随机分为立即或延迟接受cCBT。标准化的测量方法被用来评估自我报告的焦虑、抑郁、自尊和认知，以及家长对优点和困难的评价。还填写了一份反馈表格，以评估青年人对该方案的看法。结果：共有15名参与者完成了试验前后的评估，17名参与者对干预进行了反馈。配对样本t检验显示，与cCBT条件下的7个分量表相比，对照条件下的3个分量表有显著改善。反馈显示参与者有中等到高度的满意度。结论：本研究为该年龄组cCBT的有效性和可接受性提供了令人鼓舞的初步结果。
Research has demonstrated the effectiveness of computerized cognitive behaviour therapy (cCBT) for depression and anxiety in adults, but there has been little work with children and adolescents. Aims: To describe the development of a cCBT intervention (Think, Feel, Do) for young people, and preliminary outcomes and feedback from a pilot randomized controlled trial. Method: Twenty participants aged 11 to 16 with depression or anxiety were randomized to receive cCBT immediately or after a delay. Standardized measures were used to assess self-reported anxiety, depression, self-esteem and cognitions, as well as parent rated strengths and difficulties. A feedback form was also completed to assess young people's views of the programme. Results: A total of 15 participants completed the pre and post assessments in the trial, and 17 provided feedback on the intervention. Paired samples t-tests demonstrated significant improvements on 3 subscales in the control condition, compared to 7 subscales in the cCBT condition. Feedback showed moderate to high satisfaction for participants. Conclusions: This study provides encouraging preliminary results for the effectiveness and acceptability of cCBT with this age group.