Cognitive-Behavioral Treatment of Panic Disorder in Adolescence
Cognitive-Behavioral Treatment of Panic Disorder in Adolescence
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DOI：
10.1080/15374416.2010.501288
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发表时间：
2010-01-01
影响因子：
4.2
通讯作者：
Barlow, David H.
中科院分区：
文献类型：
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作者：
Pincus, Donna B.;May, Jill Ehrenreich;Barlow, David H.
这项研究是第一个评估青少年惊恐控制治疗(PCT-A)的可行性和有效性的随机对照试验。13名14岁至17岁的青少年被随机分配到每周11次的PCT-A治疗中，而13名被随机分配到自我监测的对照组。结果表明，与对照组参与者相比，立即接受PCT-A的青少年在临床医生评定的惊恐障碍严重程度以及自我报告的焦虑、焦虑敏感和抑郁方面显著降低。这些治疗收益在3个月和6个月的随访中保持不变。从治疗后到3个月随访，惊恐的临床严重程度持续改善，然后在6个月随访时保持稳定。鉴于研究的局限性，这些发现表明，对青春期惊恐障碍的认知行为治疗是一种可行的、潜在的有效干预措施，可以有效地干预年轻人的这种虚弱状况。
This investigation represents the first randomized controlled trial to evaluate the feasibility and efficacy of Panic Control Treatment for Adolescents (PCT-A). Thirteen adolescents, ages 14 to 17, were randomized to 11 weekly sessions of PCT-A treatment, whereas 13 were randomized to a self-monitoring control group. Results indicate that adolescents receiving immediate PCT-A showed a significant reduction in clinician-rated severity of panic disorder and in self-reported anxiety, anxiety sensitivity, and depression, in comparison to control group participants. These treatment gains were maintained at 3- and 6-month follow-up. Clinical severity of panic continued to improve from posttreatment to 3-month follow-up and then remained stable at 6-month follow-up. In light of study limitations, these findings suggest that cognitive-behavioral treatment for panic disorder in adolescence is a feasible and potentially efficacious intervention for this debilitating condition in youth.