Effectiveness of CBT versus standard treatment for childhood anxiety disorders in a community clinic setting
Effectiveness of CBT versus standard treatment for childhood anxiety disorders in a community clinic setting
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DOI：
10.1375/bech.22.1.29.66786
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发表时间：
2005-01-01
期刊：
影响因子：
1.1
通讯作者：
Allen, K
中科院分区：
文献类型：
--
作者：
Barrington, J;Prior, M;Allen, K
认知行为疗法（CBT）治疗儿童焦虑的疗效主要在大学诊所得到证实。本研究旨在评估CBT在社区心理健康服务中治疗儿童焦虑的有效性，并与标准治疗（“常规治疗”[TAU]） -儿童心理治疗，家庭治疗和折衷治疗进行比较。54名7至14岁的焦虑症儿童被随机分配到CBT组或TAU组。CBT和标准治疗由18名经验丰富的治疗师提供，平均治疗次数为12次。3、6和12个月的基线和随访措施包括根据第四版《精神疾病诊断与统计手册》（DSM-IV）的标准进行的访谈，该访谈由一名对治疗情况一无所知的临床心理学家进行，以及标准化的焦虑测量（家长、孩子和老师）。报告)。随着时间的推移，所有焦虑测量都有显著改善，但CBT和TAU之间没有显著差异。讨论了在社区环境中进行此类研究的挑战。
The efficacy of cognitive-behavioural therapy (CBT) for the treatment of childhood anxiety has mainly been demonstrated in university-clinic settings. This study aimed to evaluate the effectiveness of CBT for the treatment of childhood anxiety in a community mental health service, compared with standard treatments ('Treatment as Usual' [TAU]) - child psychotherapy, family therapy and eclectic treatments. Fifty-four children with anxiety disorders, aged from 7 to 14 years, were randomly assigned to either a CBT or TAU group. CBT and the standard treatments were provided by 18 experienced therapists, and the mean number of treatment sessions was 12. Baseline and follow-up measures at 3, 6 and 12 months included an interview based on criteria in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) that was conducted by a clinical psychologist who was blind to the treatment conditions, and stan, dardised anxiety measures (parent, child and teacher. reports). Significant improvements were found on all anxiety measures over time, but no significant differences were found between CBT and TAU. The challenge of conducting such research in community settings is discussed.