Cognitive bias modification of interpretations: A viable treatment for child and adolescent anxiety?
Cognitive bias modification of interpretations: A viable treatment for child and adolescent anxiety?
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DOI：
10.1016/j.brat.2013.07.001
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发表时间：
2013-10-01
影响因子：
4.1
通讯作者：
Lau, Jennifer Y. F.
中科院分区：
文献类型：
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作者：
Lau, Jennifer Y. F.
儿童和青少年的焦虑症很常见，而且会造成损害。由于许多患者不能从一线治疗中受益，或者难以获得一线治疗，因此需要新颖、有效和易于实施的干预措施。认知偏差修正解释（CBM-I）训练已被用于治疗成人焦虑症。CBM-I方法训练个体认同对模棱两可线索的良性解决方案，而不是消极解决方案。由于几个原因，CBM-I的发展扩展很重要。首先，在有症状的儿童和青少年中实施CBM-I可促进早期预防成果。其次，由于训练使用简单的学习机制，CBM-I可能反映了一种适合发展的策略来形成适应性加工风格。第三，由于这个年龄段涉及到长期的神经认知成熟和相关的可塑性，早期实施CBM-I可以为情感发展带来强大而持久的好处。最后，CBM-I研究的数据可以为早期出现焦虑的认知机制提供信息。本文首次对在儿童和青少年中进行的CBM-I研究进行了有组织的回顾，并包含了对未来研究的建议，这些研究可能有助于实现早期CBM-I干预的治疗潜力。(C) 2013 Elsevier Ltd.版权所有。
Anxiety disorders in children and adolescents are common and impairing. As many patients do not benefit from - or have difficulties accessing - frontline treatments, novel, effective and easy-to-deliver interventions are needed. Cognitive Bias Modification of Interpretations (CBM-I) training has been used to treat adult anxiety disorders. CBM-I methods train individuals to endorse benign rather than negative resolutions of ambiguous cues. Developmental extensions of CBM-I are important for several reasons. First, implementing CBM-I in symptomatic children and adolescents may facilitate early preventative gains. Second, as training uses simple learning mechanisms, CBM-I may reflect a developmentally-suitable strategy for shaping adaptive processing styles. Third, as this age range involves protracted neurocognitive maturation and associated plasticity, administering CBM-I early could drive powerful, long-lasting benefits for emotional development. Finally, data from CBM-I studies could inform the cognitive mechanisms involved in the genesis of early-emerging anxiety. This paper provides the first organised review of CBM-I studies conducted in children and adolescents, and contains suggestions for future research that may help realise the therapeutic potential of early CBM-I interventions. (C) 2013 Elsevier Ltd. All rights reserved.