Cognitive-behavioral therapy for youth anxiety: An effectiveness evaluation in community practice.
Cognitive-behavioral therapy for youth anxiety: An effectiveness evaluation in community practice.
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DOI：
10.1037/ccp0000326
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发表时间：
2018-09
影响因子：
5.9
通讯作者：
Neumer SP
中科院分区：
文献类型：
--
作者：
Villabø MA;Narayanan M;Compton SN;Kendall PC;Neumer SP
比较个体 CBT (ICBT) 和团体 CBT (GCBT) 对社区心理健康诊所转诊患有焦虑症的儿童的有效性。儿童 (N=165) 转诊至挪威五家诊所，年龄为 7-13 岁，患有原发性 DSM-IV 分离焦虑症 (SAD)、社交焦虑症 (SOC) 或广泛性焦虑症 (GAD)，参与了一项随机临床试验。参与者被随机分配到 ICBT、GCBT 或候补名单 (WL)。 WL 参与者在等待期后被随机分配接受两种积极治疗条件之一。主要结局是 12 周和 2 年随访期间主要焦虑症消失。 ICBT 和 GCBT 在所有结果上均优于 WL。在 ITT 分析中，ICBT 中 52%、GCBT 中 65% 和 WL 中 14% 是治疗反应者。计划的成对比较发现 ICBT 和 GCBT 之间没有显着差异。对于诊断为 SOC 的儿童，GCBT 优于 ICBT。两年随访期间，病情持续改善，组间无显着差异。对于焦虑症儿童，社区诊所可以有效地开展个人和团体认知行为治疗。缓解率与功效试验中报告的类似。尽管对于治疗后患有 SOC 的儿童来说，GCBT 比 ICBT 更有效，但两种治疗在 2 年随访中具有可比性。 GCBT 的辍学率低于 ICBT，表明 GCBT 的耐受性可能更好。在随访期间，反应率持续提高，复发率较低。研究结果表明，社区心理健康从业人员只需接受最少的正式培训即可有效地提供 ICBT 和 GCBT。结果与在更受控制的环境中报告的结果相似。
To compare the effectiveness of individual CBT (ICBT) and group CBT (GCBT) for referred children with anxiety disorders within community mental health clinics. Children (N=165) referred to five clinics in Norway, aged 7–13 years, with primary DSM-IV separation anxiety disorder (SAD), social anxiety disorder (SOC), or generalized anxiety disorder (GAD) participated in a randomized clinical trial. Participants were randomized to ICBT, GCBT, or wait list (WL). WL participants were randomized to one of the two active treatment conditions following the wait period. Primary outcome was loss of principal anxiety disorder over 12 weeks and 2-year follow-up. Both ICBT and GCBT were superior to WL on all outcomes. In the ITT analysis, 52% in ICBT, 65% in GCBT, and 14% in WL were treatment responders. Planned pairwise comparisons found no significant differences between ICBT and GCBT. GCBT was superior to ICBT for children diagnosed with SOC. Improvement continued during two-year follow-up with no significant between group differences. Among anxiety disordered children, both individual and group CBT can be effectively delivered in community clinics. Response rates were similar to those reported in efficacy trials. Although GCBT was more effective than ICBT for children with SOC following treatment, both treatments were comparable at 2-year follow-up. Drop-out rates were lower in GCBT than ICBT, suggesting that GCBT may be better tolerated. Response rates continued to improve over the follow-up period with low rates of relapse. Findings indicate that both ICBT and GCBT can be effectively delivered by community mental health practitioners with only a minimal amount of formal training. Outcomes were similar to those reported in more controlled settings.
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DOI：
10.1016/j.jaac.2013.09.017
发表时间：
2014-01
影响因子：
13.3
作者：
Copeland, William E.;Angold, Adrian;Shanahan, Lilly;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
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DOI：
10.1007/s10488-007-0134-y
发表时间：
2007-11-01
影响因子：
2.6
作者：
Hanssen-Bauer, Ketil;Aalen, Odd O.;Heyerdahl, Sonja
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DOI：
10.1007/s10488-010-0328-6
发表时间：
2011-09-01
影响因子：
2.6
作者：
Ehrenreich-May, Jill;Southam-Gerow, Michael A.;Weisz, John R.
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影响因子：
2.8
作者：
Flannery-Schroeder, EC;Kendall, PC
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Kendall, PC