Have Phobias, Will Travel: Addressing One Barrier to the Delivery of an Evidence-Based Treatment
Have Phobias, Will Travel: Addressing One Barrier to the Delivery of an Evidence-Based Treatment
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DOI：
10.1016/j.beth.2017.11.003
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发表时间：
2018-07-01
期刊：
影响因子：
3.7
通讯作者：
Fraire, Maria
中科院分区：
文献类型：
--
作者：
Endick, Thomas H.;Ryan, Sarah M.;Fraire, Maria
尽管有许多针对患有焦虑症的青少年的循证治疗，但只有不到30%的青少年及其家人接受了这些治疗。接受这些治疗的主要障碍之一是缺乏获得护理的机会，这主要是因为缺乏在某些地理位置提供这些治疗的专业精神卫生专业人员。目前的研究考察了针对特定恐惧症的短暂强化治疗(SPS)，即强化单次治疗(OST-A)，与居住在当地社区的家庭相比，长途跋涉接受这种治疗的家庭是否会获得类似的治疗收益。参与者包括76名临床确诊为SP的年轻人(38个本地家庭和38个年龄和性别匹配的外地家庭样本)。尽管治疗前非本地青年的SP严重程度显著高于本地青年，但在6个月的多项临床结果指标中，非本地青年和本地青年均显示出相应的改善和维持治疗成果。这项研究的结果表明，当家庭选择旅行接受治疗时，OST-A是有效的，解决了使用这种循证治疗的至少一个障碍。
Although a host of evidence-based treatments exist for youth with anxiety disorders, less than 30% of youth and their families receive these treatments. One of the main barriers to receiving these treatments is the lack of access to care, due largely to the absence of mental health professionals who have expertise in the delivery of these treatments in certain geographic locales. The current study examined whether a brief intensive treatment for specific phobias (SPs), Augmented One-Session Treatment (OST-A), would result in comparable treatment gains for families who traveled a considerable distance to receive this treatment when compared to families who resided in our local community. Participants included 76 youth with a clinically confirmed diagnosis of SP (38 local families and an age- and sex matched sample of 38 nonlocal families). Although SP severity at pretreatment was significantly greater for the nonlocal youth than the local youth, both nonlocal and local youth showed commensurate improvement and maintenance of treatment gains over a 6-month period across several clinical outcome measures. Findings from this study show that OST-A is effective when families choose to travel for treatment, addressing at least one of the barriers to use of this evidence-based treatment.