Cognitive-Behavioral Treatment Versus an Active Control for Children and Adolescents With Anxiety Disorders: A Randomized Trial
Cognitive-Behavioral Treatment Versus an Active Control for Children and Adolescents With Anxiety Disorders: A Randomized Trial
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DOI：
10.1097/chi.0b013e31819c2401
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发表时间：
2009-05-01
影响因子：
13.3
通讯作者：
Bovopoulos, Nataly
中科院分区：
文献类型：
--
作者：
Hudson, Jennifer L.;Rapee, Ronald M.;Bovopoulos, Nataly
目的：目前的试验检验了特定的认知-行为治疗方案是否比非特定的支持方案更有效地治疗儿童焦虑症。方法：112例7~16岁的焦虑症儿童随机分为认知-行为治疗组(CBT)和对照组(GSA)。结果：总体而言，CBT的疗效显著高于GSA条件：CBT条件下68.6%的儿童在6个月后不符合主要焦虑诊断标准，而GSA条件下的儿童中这一比例为45.5%。儿童和父母完成的测量结果表明，尽管CBT儿童的母亲报告的治疗收益明显高于GSA儿童的母亲，但儿童报告的情况改善类似。结论：在儿童焦虑的治疗中，认知行为技能的特定传授比只包括非特定治疗因素的治疗更有效。J.Am阿卡德。青春期儿童。精神病学，2009；48(5)：533-544。
Objective: The current trial examined whether a specific cognitive-behavioral treatment package was more efficacious in treating childhood anxiety disorders than a nonspecific support package. Method: One hundred twelve children (aged 7 16 years) with a principal anxiety disorder were randomly allocated to either a group cognitive-behavioral treatment (CBT) program or a control condition (group support and attention [GSA]). Results: Overall, results showed that CBT was significantly more efficacious compared with the GSA condition: 68.6% of children in the CBT condition did not meet diagnostic criteria for their principal anxiety diagnosis at 6-month follow-up compared with 45.5% of the children in the GSA condition. The results of the child- and parent-completed measures indicated that, although mothers of CBT children reported significantly greater treatment gains than mothers of GSA children, children reported similar improvements across conditions. Conclusions: Specific delivery of cognitive-behavioral skills is more efficacious in the treatment of childhood anxiety than a treatment that includes only nonspecific therapy factors. J. Am. Acad. Child Adolesc. Psychiatry, 2009;48(5):533-544.