网络注意力偏差矫正与认知行为疗法相结合治疗儿童和青少年焦虑症：一项随机对照试验

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2019-05-03 DOI:10.1017/bec.2019.8

J. D. de Lijster, G. Dieleman, E. Utens, J. van der Ende, Tamsin M. Alexander, A. Boon, M. Hillegers, J. Legerstee

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引用次数: 6

摘要

注意偏倚矫正(Attention Bias Modification, ABM)是针对青少年焦虑障碍中常见的威胁注意偏倚(Attention Bias, AB)。以往的临床试验显示ABM的疗效不一致，很少有研究考察在线ABM的效果及其与认知行为治疗(CBT)的增强效果。当前研究的目的是在一项随机、双盲、安慰剂对照试验中检验在线ABM与CBT联合治疗患有焦虑症的儿童和青少年的疗效。儿童(8-16岁)完成了9次在线ABM (n = 28)或在线注意控制条件(ACC;n = 27)，为期3周(焦虑障碍一致刺激的改良点探测任务)，随后进行CBT。主要结局是临床报告的焦虑障碍状态。次要结局是患者报告的焦虑和抑郁症状以及AB。结果显示，随着时间的推移，主要和次要结局持续下降(ps < 0.001)。然而，ABM组和ACC组在时间上没有差异(p < 0.05)。基线AB和年龄不影响治疗效果。在线ABM联合CBT与在线ACC联合CBT治疗儿童和青少年焦虑症的疗效无差异。

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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Online Attention Bias Modification in Combination With Cognitive-Behavioural Therapy for Children and Adolescents With Anxiety Disorders: A Randomised Controlled Trial

Abstract Attention Bias Modification (ABM) targets attention bias (AB) towards threat, which is common in youth with anxiety disorders. Previous clinical trials showed inconsistent results regarding the efficacy of ABM, and few studies have examined the effect of online ABM and its augmented effect with cognitive behavioural therapy (CBT). The aim of the current study was to examine the efficacy of online ABM combined with CBT for children and adolescents with anxiety disorders in a randomised, double-blind, placebo-controlled trial. Children (aged 8–16 years) completed nine online sessions of ABM (n = 28) or online sessions of the Attention Control Condition (ACC; n = 27) over a period of 3 weeks (modified dot-probe task with anxiety disorder-congruent stimuli), followed by CBT. Primary outcomes were clinician-reported anxiety disorder status. Secondary outcomes were patient-reported anxiety and depression symptoms and AB. Results showed a continuous decrease across time in primary and secondary outcomes (ps < .001). However, no differences across time between the ABM and ACC group were found (ps > .50). Baseline AB and age did not moderate treatment effects. Online ABM combined with CBT does not show different efficacy compared with online ACC with CBT for children and adolescents with anxiety disorders.

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来源期刊

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.