Reduced anxiety and depression predict improved health-related quality of life in school-based CBT

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-09-05 DOI:10.1016/j.brat.2025.104855

Pal (Pål) Teigland Lystrup , Bente Storm Mowatt Haugland , Gro Janne Wergeland , Asle Hoffart , Ronald M. Rapee , Rolf Gjestad

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引用次数: 0

Abstract

Health-related quality of life (HRQOL) adds important information about the quality and usefulness of interventions. It has not previously been examined in school-based indicated prevention for anxiety in adolescents. Using secondary analyses of data from a randomized controlled trial of cognitive behavioral therapy (CBT) interventions for anxious adolescents (N = 302; mean age 14), we examined whether HRQOL increased during and after treatment. Additionally, we examined whether changes and pre-treatment levels in anxiety and depression symptoms predicted changes in and final levels of HRQOL. This was done using latent growth curve modeling. Results showed that the interventions increased levels of HRQOL and that the levels of HRQOL were sustained at 1-year follow-up, independent of the timing of change. Pre-treatment levels and changes in symptoms of anxiety and depression predicted the changes and final levels in HRQOL. The results indicate that the school-based indicated-preventive interventions may have benefits on HRQOL in addition to reduction in symptoms of anxiety and depression and that these benefits are associated with changes in symptoms.

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减少焦虑和抑郁预示着学校CBT中健康相关生活质量的改善

健康相关生活质量（HRQOL）增加了有关干预措施质量和有用性的重要信息。以前还没有在以学校为基础的青少年焦虑预防中进行过研究。通过对一项针对焦虑青少年的认知行为疗法（CBT）干预的随机对照试验（N = 302，平均年龄14岁）的数据进行二次分析，我们检查了治疗期间和治疗后HRQOL是否增加。此外，我们检查了焦虑和抑郁症状的变化和治疗前水平是否预测了HRQOL的变化和最终水平。这是使用潜在生长曲线模型完成的。结果显示，干预提高了HRQOL水平，并且HRQOL水平在1年随访中持续，与改变时间无关。治疗前焦虑和抑郁症状的水平和变化预测了HRQOL的变化和最终水平。结果表明，以学校为基础的指示性预防干预措施除了减轻焦虑和抑郁症状外，还可能对HRQOL有好处，而且这些好处与症状的改变有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.