针对患有跨诊断健康相关焦虑症的青少年的远程健康接受与承诺疗法:随机对照试验

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Julie M. Petersen, Marissa L. Donahue, Leila K. Capel, Emily M. Bowers, Mercedes G. Woolley, Sara Boghosian, Michael P. Twohig
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引用次数: 0

摘要

与健康相关的焦虑是一个研究不足且急需了解的青少年问题,尤其是在 COVID-19 大流行的情况下。本研究是一项随机、候补名单对照试验,针对青少年与健康有关的焦虑,每周进行 10 次、每次 50 分钟的远程保健 ACT,并与候补名单进行比较。研究对象包括 30 名青少年(12-17 岁)和一名看护人(60 人),他们目前都在与健康相关的焦虑中挣扎。大多数照顾者和青少年都是白人、非西班牙裔/拉丁裔、女性。我们使用多层次模型对治疗前、治疗中、治疗后和一个月随访期间的数据进行了分析。与候补名单相比,青少年在健康相关焦虑方面有小幅、显著的下降。照顾者报告称,儿童的一般焦虑有小幅到中幅的显著下降,家长的心理不灵活程度有小幅到中幅的改善。在照顾者或青少年评价的变量方面,各组之间没有发现其他明显差异。青少年和看护人都对治疗的可接受性表示肯定。这项研究的局限性包括:样本小而单一、缺乏积极的对比组,以及干预和测量时间短。不过,本研究是第一项将 ACT 作为治疗青少年健康相关焦虑症的潜在方法的随机对照试验,从而为越来越多的支持将 ACT 作为治疗青少年焦虑症及相关问题的潜在方法的文献增添了新的内容。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telehealth acceptance and commitment therapy for adolescents with transdiagnostic health-related anxiety: A pilot randomized controlled trial

Health-related anxiety is an under-researched and pressing issue to understand in adolescents, particularly given the COVID-19 pandemic. The present study is a randomized, waitlist-controlled trial of 10 weekly, 50-min sessions of telehealth ACT targeting health-related anxiety in adolescents as compared to a waitlist. A sample of 30 adolescents (ages 12–17), plus one caretaker each (N = 60), currently struggling with clinical levels of health-related anxiety were enrolled. The majority of caretakers and adolescents were White, non-Hispanic/Latine, and female. Data were analyzed using multilevel modeling across pre-, mid-, post-treatment, and one-month follow-up. Adolescents reported small, significant decreases in health-related anxiety as compared to the waitlist. Caretakers reported small to medium significant decreases in child general anxiety and small to medium improvements in parental psychological inflexibility. No additional significant differences were found between groups for caretaker- or adolescent-rated variables. Both adolescents and caretakers reported positive acceptability of the treatment. Limitations of this study include a small, homogenous sample, a lack of an active comparison group, and a short period of intervention and measurement. However, this study is the first randomized controlled trial examining ACT as a potential treatment for health-related anxiety in adolescents, and thereby adds to the growing literature supporting the use of ACT as a potential treatment option for youth with anxiety and related problems.

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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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