Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial

Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial
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DOI:
10.1023/a:1005500219286
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发表时间:
2000-06-01
影响因子:
2.8
通讯作者:
Kendall, PC
Kendall, PC
中科院分区:
心理学3区
文献类型:
--
作者:
Flannery-Schroeder, EC;Kendall, PC

文献摘要

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患有焦虑症的儿童(8-14岁)被随机分配到认知行为个体治疗,认知行为团体治疗或等待列表控制。通过诊断状态、儿童自我报告和家长-教师报告评价治疗结果。诊断状态分析显示,显着更多的治疗儿童(73%的个人,50%的组)比等待名单的儿童(8%)不符合诊断标准,他们的原发性焦虑症在治疗后。其他依赖性指标证明了两种治疗条件均优于等待名单条件。然而,儿童报告的焦虑困扰表明,只有个别治疗效果显着改善。社会功能的措施未能区分不同的条件。临床意义的分析显示,显着比例的治疗病例在治疗后恢复到非偏离限度。在3个月随访时保持治疗增益。
Children (aged 8-14 years) with anxiety disorders were randomly assigned to cognitive-behavioral individual treatment, cognitive-behavioral group treatment, or a wait-list control. Treatment outcome was evaluated using diagnostic status, child self-reports, and parent teacher-reports. Analyses of diagnostic status revealed that significantly more treated children (73% individual, 50% group) than wait-list children (8%) did not meet diagnostic criteria for their primary anxiety disorder at posttreatment. Other dependent measures demonstrated the superiority of both treatment conditions compared to the wait-list condition. However, a child-report of anxious distress demonstrated only the individual treatment to effect significant improvement. Measures of social functioning failed to discriminate among conditions. Analyses of clinical significance revealed that notable proportions of treated cases were returned to nondeviant limits at posttreatment. Treatment gains were maintained at a 3-month follow-up.