青少年严重焦虑症的综合虚拟治疗:病例报告

D. G. Gittins Stone, Mona P. Potter, Hannah Doucette, Brianna Weissel, K. Boger
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摘要

焦虑症和强迫症(OCD)是儿童和青少年最常见的精神疾病之一,与各种损伤和长期后果相关。目前已有循证治疗方法,但往往缺乏有效治疗症状较为严重的青少年所需的要素。本病例报告阐述了一名患者在一项针对患有严重焦虑症的儿童、青少年和年轻人的创新项目中的治疗过程。该项目根据患者病情的严重程度,为其提供连续的门诊循证治疗。案例研究的主人公 "简 "是一名患有焦虑症和强迫症谱系障碍的青少年女性,之前曾接受过大量治疗,但病情没有得到持续改善。在项目的三个治疗阶段中,简和她的父母表现出了对治疗的持续参与和坚持。简的治疗取得了重大进展,症状和功能障碍迅速减轻。本病例报告强调了该治疗方法的关键要素,这些要素弥补了传统治疗方法的不足,尤其是针对表现严重的患者,包括以团队为基础的协调方法;根据需要进行连续的循证分阶段治疗;利用虚拟的个人、小组和以家长为中心的护理以及疗程间辅导来提高学习的普遍性;以及使用基于测量的护理。我们有必要开展进一步的研究,以评估该计划的可推广性和长期效果,以及其改变儿科焦虑症和强迫症治疗格局的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comprehensive Virtual Treatment for Severe Anxiety in Youth: A Case Report
Anxiety disorders and obsessive-compulsive disorder (OCD) are among the most common mental health conditions in children and adolescents and are associated with various impairments and long-term consequences. Evidence-based treatments exist but are often lacking in elements needed to effectively treat youth with more severe presentations. This case report illustrates a patient’s treatment course in an innovative program for children, adolescents, and young adults with severe anxiety. The program offers a continuum of outpatient, evidence-based care tailored to the severity of the patient’s condition. The case study focuses on “Jane,” an adolescent female with anxiety as well as obsessive-compulsive spectrum disorders, who had previously received extensive treatment without sustained improvement. Through the program’s three treatment phases, Jane and her parents demonstrated consistent engagement and adherence to treatment. Jane showed significant progress, with rapid reduction in symptoms and functional impairment. This case report underscores key elements of this treatment that address gaps in traditional approaches to care, particularly for patients with severe presentations, including the coordinated, team-based approach; the continuum of evidence-based, phased treatment titrated to need; the utilization of virtual individual, group and parent-focused care and between-session coaching to enhance learning generalization; and the use of measurement-based care. Further research is warranted to evaluate the generalizability and long-term outcomes of this program and its potential to transform the treatment landscape for pediatric anxiety and OCD.
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