Cognitive analytic therapy in child and adolescent mental health services: systematic scoping review of evidence.

IF 2 Q3 PSYCHIATRY

BJPsych Bulletin Pub Date : 2026-05-05 DOI:10.1192/bjb.2026.10218

Emma Salter, Matthew Carr, Frank Reakes, Scott Ankrett

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Abstract

Aims and method: Cognitive analytic therapy (CAT) is a relational, time-limited psychotherapy primarily evidenced to support adults with emotional and relational difficulties. The extent of evidence for CAT in younger populations is not known. This paper aimed to collate all published articles describing CAT with under-18-year-olds and establish feasibility and effectiveness of CAT in this population. An initial systematic search was conducted in MEDLINE, PsycINFO and CINAHL databases, with a second search using key terms and author names in the Association for Cognitive Analytic Therapy website bibliography.

Results: Thirty-seven articles were found to meet the inclusion criteria, 11 of which contained quantitative studies. Articles described CAT as individual therapy for young people or their parents, group therapy and consultation frameworks for staff and parents.

Clinical implications: The limited evidence published on CAT in under-18-year-olds suggests that it is feasible and accessible. Further randomised controlled studies and publication of practice-based outcomes are required.

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儿童和青少年心理健康服务中的认知分析疗法：证据的系统范围评价。

目的和方法：认知分析疗法（CAT）是一种关系的、有时间限制的心理治疗，主要用于支持有情感和关系困难的成年人。目前尚不清楚年轻人群中CAT的证据程度。本文旨在整理所有发表的描述未满18岁儿童CAT的文章，并确定CAT在这一人群中的可行性和有效性。在MEDLINE， PsycINFO和CINAHL数据库中进行了初步的系统搜索，并在认知分析治疗协会网站参考书目中使用关键术语和作者名称进行了第二次搜索。结果：37篇文章符合纳入标准，其中11篇为定量研究。文章将CAT描述为针对年轻人或其父母的个体治疗，针对工作人员和家长的团体治疗和咨询框架。临床意义：发表在18岁以下儿童CAT的有限证据表明它是可行和可获得的。需要进一步的随机对照研究和基于实践的结果的发表。

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

BJPsych Bulletin PSYCHIATRY-

CiteScore

4.30

自引率

3.80%

发文量

审稿时长

15 weeks

期刊介绍： BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.