Targeting Burdensomeness among Clinic Referred Youth: Development of a Brief CBT Module

针对诊所转介青少年的负担：开发简短的 CBT 模块

• 批准号: 9788755
• 负责人: Victor Buitron
• 金额: $ 3.03万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-17 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9788755
• 关键词: Address; Adherence; Age; Anxiety; Anxiety Disorders; Belief; Client; Client satisfaction; Clinic; Clinical Services; Clinical Trials; Code; Cognitive Therapy; Collection; Communities; Data; Development; Evaluation; Family; Feeling suicidal; Future; Hand; High School Student; Impairment; Interruption; Intervention; Interview; Mental Depression; Mentors; Methodology; National Research Service Awards; Outpatients; Parents; Participant; Pilot Projects; Population; Positioning Attribute; Process; Protocols documentation; Provider; Psychopathology; Questionnaires; Randomized Controlled Trials; Reporting; Research; Risk; Risk Factors; Sampling; Series; Suicide; Suicide attempt; Supervision; Thinking; Time; Treatment Protocols; Universities; Youth; anxiety treatment; base; brief intervention; childhood anxiety; clinically relevant; design; experience; follow-up; high risk; ideation; implementation trial; insight; novel; population based; prevent; psychoeducation; psychosocial; response; satisfaction; selective prevention; suicidal; suicidal behavior; trial design

Project Summary/Abstract Suicidal ideation is prevalent and impairing in youth, with approximately 15% of high school students reporting seriously considering a suicide attempt and making a specific plan for suicide in the past 12 months Substantial evidence documents perceived burdensomeness towards others, or the belief that one is a burden or drain on others, as a risk factor for suicidal ideation in youth. This evidence highlights the potential promise of perceived burdensomeness as a novel intervention target to reduce suicidal ideation in youth. However, only one pilot study, conducted by the sponsor, has examined an intervention targeting perceived burdensomeness in youth, and that study used a brief online intervention administered to a relatively low risk community sample. The current proposal seeks to leverage the sponsor’s clinical trial to enable the applicant to assist in the development and preliminary evaluation of a novel, brief psychosocial treatment module targeting perceived burdensomeness in youth that can be embedded within existing psychosocial treatments. Outpatient youth clinical services represent a critical window of opportunity for selective prevention of perceived burdensomeness in at-risk youth. The current proposal thus extends ongoing outpatient cognitive behavioral treatment (CBT) for anxiety or depression to implement a brief, minimally disruptive, parent-involved module targeting perceived burdensomeness. The first aim of this proposal is to assist the sponsor in developing a novel, brief psychosocial intervention module (the GIVE module) targeting perceived burdensomeness towards others that can be embedded within existing CBT protocols for youth internalizing problems. The second aim is to collect qualitative and quantitative data relevant to cultural adaptation, acceptability, and satisfaction, as well as preliminary data on the timing of reductions in perceived burdensomeness. Participants will be N=30 clinic- referred youth ages 10 to 17 with anxiety and depression-related difficulties and their parents who are part of the sponsor’s open trial of the GIVE module in a large university-based clinic, who display high levels of perceived burdensomeness. The GIVE module will be administered during CBT session 6 and then briefly reviewed in CBT session 7. It is hypothesized that perceived burdensomeness will be significantly lower after the GIVE module. The proposed research is expected to provide additional, rich quantitative and qualitative data on the sponsor’s GIVE module trial. This data will further spur the refinement of this novel module targeting an identified risk factor for suicidal ideation that can be efficiently implemented within the context of ongoing psychosocial treatments for at-risk youths with anxiety and/or depression. With these research findings in hand, the applicant and his sponsor will be positioned to refine and evaluate the module in a randomized controlled trial.

项目摘要/摘要 自杀念头在年轻人中很普遍，而且有损害作用，大约有15%的高中生 报告过去12个月内认真考虑自杀未遂并制定具体自杀计划的情况 实质性证据证明了对他人的负担，或认为自己是负担的信念 或压榨他人，这是年轻人产生自杀念头的风险因素。这一证据突出了潜在的希望 将知觉到的负担作为一种新的干预目标来减少年轻人的自杀意念。然而，只有 赞助商进行了一项试点研究，检查了针对感知到的负担的干预 在青年中，该研究使用了对相对低风险社区样本进行的简短在线干预。 目前的建议旨在利用赞助商的临床试验，使申请人能够在 一种针对知觉的新型简明心理社会治疗模块的开发和初步评估 青少年的负担过重，可以嵌入现有的心理社会治疗。门诊青年 临床服务是选择性预防知觉疾病的关键机会之窗 高危青年的负担过重。因此，目前的提案延长了正在进行的门诊患者的认知行为 焦虑或抑郁的治疗(CBT)，以实施简短、最小干扰、家长参与的模块 以感知到的负担为目标。这项提案的第一个目的是帮助赞助商制定一项 新颖、简短的心理社会干预模块(给予模块)，针对感觉到的负担 其他可以嵌入现有CBT协议的方案，以解决青年内化问题。第二个目标是 收集与文化适应、可接受性和满意度相关的定性和定量数据 作为关于减少感知负担的时间的初步数据。参与者将是N=30个诊所- 转介了10至17岁有焦虑和抑郁相关困难的青少年及其父母 赞助商在一家以大学为基础的大型诊所对Give模块的公开试验，显示出高水平的 感觉到的负担沉重。给予模块将在CBT课程6期间进行管理，然后简短地 在CBT会议7中回顾。假设在 给予模块。预计拟议的研究将提供更多、丰富的定量和定性研究 赞助商的GET模块试验的数据。这些数据将进一步推动这一新颖模块的完善 针对已确定的自杀意念的风险因素，在以下背景下有效实施 目前正在对患有焦虑和/或抑郁的高危青少年进行心理社会治疗。有了这些研究 有了调查结果，申请者和他的赞助人将能够在一个 随机对照试验。