Anxiety and related outcomes in young adults 7 to 19 years after receiving treatment for child anxiety.
Anxiety and related outcomes in young adults 7 to 19 years after receiving treatment for child anxiety.
复制标题
DOI：
10.1037/a0033048
复制
发表时间：
2013-10
影响因子：
5.9
通讯作者：
Kendall, Philip C.
中科院分区：
文献类型：
--
作者：
Benjamin, Courtney L.;Harrison, Julie P.;Settipani, Cara A.;Brodman, Douglas M.;Kendall, Philip C.
本研究通过比较治疗后 6.72 至 19.17 年成功和不成功治疗的参与者，评估了与儿童焦虑症认知行为治疗 (CBT) 相关的随访结果。参与者是 66 名青少年样本（治疗时年龄为 7 至 14 岁，目前随访年龄为 18 至 32 岁），他们在平均 16.24（SD = 3.56，范围 = 6.72–19.17）年前被诊断患有焦虑症并在随机临床试验中随机接受治疗。目前的后续行动包括自我报告措施和诊断访谈，以评估焦虑、抑郁和药物滥用。与那些在童年时期对焦虑症 CBT 做出成功反应的人相比，那些反应较差的人在成年后出现恐慌症、酒精依赖和药物滥用的几率更高。与正常对照组相比，那些在儿童时期对 CBT 反应较差的人在成年后患多种焦虑症和药物滥用问题的几率较高。与正常组相比，无论初始治疗结果如何，参与者普遍性焦虑症和尼古丁依赖的风险仍然特别高。本研究首次评估了 CBT 治疗青少年焦虑症对成年早期焦虑、抑郁和药物滥用（这些疾病经常出现）的长期随访效果。结果支持早期 CBT 成功治疗焦虑具有重要的长期益处。
This study evaluated follow-up outcomes associated with cognitive-behavioral therapy (CBT) for childhood anxiety by comparing successfully and unsuccessfully treated participants 6.72 to 19.17 years after treatment. Participants were a sample of 66 youth (ages 7 to 14 at time of treatment, ages 18 to 32 at present follow-up) who had been diagnosed with an anxiety disorder and randomized to treatment in a randomized clinical trial on average 16.24 (SD = 3.56, Range = 6.72–19.17) years prior. The present follow-up included self-report measures and a diagnostic interview to assess anxiety, depression, and substance misuse. Compared to those who responded successfully to CBT for an anxiety disorder in childhood, those who were less responsive had higher rates of Panic Disorder, Alcohol Dependence, and Drug Abuse in adulthood. Relative to a normative comparison group, those who were less responsive to CBT in childhood had higher rates of several anxiety disorders and substance misuse problems in adulthood. Participants remained at particularly increased risk, relative to the normative group, for Generalized Anxiety Disorder and Nicotine Dependence regardless of initial treatment outcome. The present study is the first to assess the long-term follow-up effects of CBT treatment for an anxiety disorder in youth on anxiety, depression, and substance abuse through the period of young adulthood when these disorders are often seen. Results support the presence of important long-term benefits of successful early CBT for anxiety.
登录
查看更多内容
影响因子：
7.4
作者：
Chavira, DA;Stein, MB;Stein, MT
通讯作者：
Stein, MT
影响因子：
--
作者：
Beesdo, Katja;Bittner, Antje;Wittchen, Hans-Ulrich
通讯作者：
Wittchen, Hans-Ulrich
影响因子：
5.9
作者：
Barrett, PM;Dadds, MR;Rapee, RM
通讯作者：
Rapee, RM
DOI：
10.1080/13651500510014800
发表时间：
2005-03-01
影响因子：
3
作者：
Carmody, DP
通讯作者：
Carmody, DP
影响因子：
5.9
作者：
Chambless, DL;Hollon, SD
通讯作者：
Hollon, SD