诊断特异性群体CBT治疗青少年社交焦虑的可行性研究。

IF 1.4 Q3 PSYCHIATRY
Thea Nørregaard Agersnap, Esben Hougaard, Morten Berg Jensen, Mikael Thastum
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引用次数: 1

摘要

背景:社交焦虑障碍(Social anxiety disorder, SAD)是青少年中最常见的焦虑症之一。它与广泛的痛苦和负面的长期后果有关。通用认知行为疗法(CBT)是焦虑症的首选治疗方法之一,但它对患有SAD的青少年的治疗效果不如其他焦虑症。目的:作为一项随机对照试验的准备,本研究的目的是检验一种调整诊断特异性CBT组干预青少年SAD的可行性,并提供有关青少年和家庭结局的初步信息。方法:13名被诊断为SAD的青少年(12-17岁)接受了酷孩子焦虑项目的团体治疗版本,社交增强(CK-E),该项目由澳大利亚悉尼麦考瑞大学开发。治疗是针对青少年SAD的诊断特异性手动CBT治疗。在基线、后期、3个月和1年随访时完成半诊断性访谈和问卷调查。结果:13名青少年参加,无退出。大多数家庭参加了全部10次干预会议。这些家庭普遍对治疗感到满意,并将其推荐给其他有需要的人。初步结果显示,参与者在焦虑症状和生活干扰方面有显著改善,在1年随访中具有显著的中至大基线-后效应值。其中两名青少年在3个月的随访中没有被诊断出SAD。结论:本可行性研究的结果表明,丹麦语翻译和修订的“酷孩子焦虑程序-社会增强”对丹麦青少年SAD是可行的干预措施。干预措施将在一项随机对照试验中进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Diagnosis-Specific Group CBT Treating Social Anxiety in Adolescents: A Feasibility Study.

Diagnosis-Specific Group CBT Treating Social Anxiety in Adolescents: A Feasibility Study.

Background: Social anxiety disorder (SAD) is one of the most common anxiety disorders among adolescents. It is associated with extensive distress and negative long-term consequences. Generic cognitive behavioral therapy (CBT) is one of the preferred treatments for anxiety disorders, but it has shown poorer outcome for adolescents with SAD than for other anxiety disorders.

Aim: As preparation for a randomized controlled trial the aim of the present study was to examine the feasibility of an adjusted diagnosis-specific CBT group intervention for adolescents with SAD, and provide preliminary information on adolescent and family outcomes.

Method: Thirteen adolescents (age 12-17 years) diagnosed with SAD received a group therapy version of the Cool Kids Anxiety Program, Social Enhanced (CK-E), a program developed at Macquarie University, Sydney, Australia. The treatment is a diagnosis-specific manualized CBT treatment for adolescents with SAD. Semi-diagnostic interviews and questionnaires were completed at baseline, post, 3-month follow-up and 1-year follow-up.

Results: Thirteen adolescents participated with no drop-outs. Most families attended all 10 intervention sessions. The families were generally satisfied with the treatment and would recommend it to others in need. Preliminary outcomes showed that participants had marked improvements in their anxiety symptoms and life interference, with significant medium to large baseline-post effect sizes durable at 1-year follow-up. Two of the adolescents were free of their SAD diagnosis at 3-month follow-up.

Conclusion: Results from this feasibility study indicate that the Danish-translated and revised version of Cool Kids Anxiety Program - Social Enhanced could be a feasible intervention for Danish adolescents with SAD. The intervention will be investigated further in a randomized controlled trial.

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自引率
5.30%
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12
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