CD-ROM Child Anxiety Treatment

儿童焦虑治疗光盘

• 批准号: 6582675
• 负责人: Marian Sue Harris
• 金额: $ 11.61万
• 依托单位: WORKBOOK PUBLISHING, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-03-14 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6582675
• 关键词: DVD /CD ROM; adolescence (12-20); anxiety; anxiety disorders; clinical research; cognitive behavior therapy; computer assisted patient care; computer system design /evaluation; emotions; human therapy evaluation; identity; interactive multimedia; middle childhood (6-11); psychometrics; reinforcer; relaxation

DESCRIPTION (provided by applicant): This study will examine the feasibility and initial efficacy of a CD-ROM version of a cognitive-behavioral therapy (CBT) for anxiety disorders in youth. Anxiety disorders (Generalized Anxiety Disorder; Social Phobia; Separation Anxiety Disorder) are among the most prevalent psychopathological problems in youth and, if untreated, are said to be chronic in nature and to cause significant social and educational impairment. Recent empirical work based on randomized clinical trials suggests that various forms of CBT (e.g., individual, family, group) can be effective in reducing the presence of these very same anxiety disorders. Although studies have found a person-to-person therapeutic approach to be effective, anxious youth often do not seek help. The very nature of anxiety in youth includes a worrisome and perfectionist style and a self presentation that there isn't a problem. Therefore, many anxious youth do not seek or receive needed intervention. The use of a CD-ROM version of the CBT could increase, by significant magnitude, the number of anxious youth for whom a CBT treatment would become available. Further, for the more than 40 million Americans who have no health insurance, or inadequate insurance, a more accessible and affordable treatment modality is needed. Researchers agree that an examination of the viability of cost-effective therapy approaches is critical. The primary goal of this Phase I project is to develop a 14-session CD-ROM version of the CBT and to examine its efficacy by comparing pre-post treatment to pre-post waitlist. A final total of 12 participants, ages 8-13 years, will have been assessed via a structured diagnostic interview (by a reliable independent evaluator) and self-report measures to determine the presence of an anxiety disorder and to evaluate changes before and after waitlist and before and after treatment (and at a 3-month follow-up after treatment completion). Successful completion of this Phase I project will enable a Phase II randomized clinical trial to evaluate the CD-ROM treatment versus the application of CBT in the customary one-to-one context. The long-term goals are to develop an effective and affordable CD-ROM version of CBT for anxious youth for use on PC-based (and Mac) systems that are available to a wide range of youth, educators, and therapists.

描述（由申请人提供）：本研究将探讨青少年焦虑症的认知行为疗法（CBT）的CD-ROM版本的可行性和初步疗效。焦虑症（广泛性焦虑症、社交恐惧症、分离焦虑症）是青年中最普遍的精神病理学问题，如果不加以治疗，据说是慢性的，会造成严重的社会和教育障碍。最近基于随机临床试验的实证研究表明，各种形式的CBT（例如，个人，家庭，团体）可以有效地减少这些非常相同的焦虑症的存在。虽然研究发现一个人对人的治疗方法是有效的，焦虑的年轻人往往不寻求帮助。年轻人焦虑的本质包括一种令人担忧的完美主义风格和一种没有问题的自我表现。因此，许多焦虑的青少年不寻求或接受必要的干预。使用CBT的光盘版本可以显著增加焦虑青年的数量，这些青年可以获得CBT治疗。此外，对于4000多万没有医疗保险或保险不足的美国人来说，需要一种更容易获得和负担得起的治疗方式。研究人员一致认为，检查成本效益的治疗方法的可行性是至关重要的。第一阶段计划的主要目的是制作一个14节的CBT光盘版本，并通过比较治疗前后和治疗前的等候名单来检查其疗效。最终共有12名参与者，年龄8-13岁，将通过结构化诊断访谈（由可靠的独立评估者）和自我报告措施进行评估，以确定焦虑症的存在，并评估等待名单前后和治疗前后的变化（以及治疗完成后3个月的随访）。这个第一阶段项目的成功完成将使第二阶段的随机临床试验，以评估光盘治疗与CBT在传统的一对一的背景下的应用。长期目标是为焦虑的青少年开发一个有效的和负担得起的CBT光盘版本，用于基于PC（和Mac）的系统，可供广大青少年，教育工作者和治疗师使用。