青少年经历CBT后焦虑回归的单次远程医疗助推器:一个案例系列

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
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引用次数: 0

摘要

有一部分青少年尽管对 CBT 反应良好,但在治疗结束后的几年里,他们的焦虑症又复发了。尽管实证研究和临床建议都介绍了如何预防 CBT 治疗后焦虑症复发,但据我们所知,还没有任何实证或临床文章对帮助焦虑症复发青少年的方法进行过评估。在本文中,我们介绍了一种方法的开发过程,即利用远程医疗技术远程提供强化治疗,并通过对三名在接受 CBT 治疗后焦虑症复发的青少年进行病例系列研究,展示了令人鼓舞的初步数据,从而为解决焦虑症青少年复发问题提供临床指导迈出了第一步。参与者为 N = 3 名 10 至 15 岁的青少年(M = 12 岁;33% 为男性,33% 为女性,33% 为非二元性),他们之前在美国东南部城市地区的门诊临床服务中完成了针对焦虑症的完整 CBT 方案。在治疗前和治疗后,评估了家长和青少年对青少年焦虑严重程度的报告。这三个家庭对助推器的临床反应不一,且因信息来源而异,根据家长的评价,总体反应积极,而根据青少年的评价,反应较小。本系列病例是解决 CBT 治疗后青少年焦虑症复发问题的重要第一步,研究结果为单次治疗增强剂的进一步开发和评估工作提供了动力。本文还讨论了研究结果的局限性和影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-Session Telehealth Booster for Youth Experiencing a Return of Anxiety After CBT: A Case Series
There is a subset of youth who, despite responding well to CBT, experience a return of anxiety in the years after treatment ends. Although empirical research and clinical recommendations have described approaches to prevent a return of anxiety following CBT, to our knowledge, no empirical or clinical articles have evaluated approaches to help youth who have experienced such a return. In this article, we take an initial step toward providing clinical guidance on addressing recurrence in youth with anxiety disorders by describing the development of an approach, a booster session delivered remotely using telehealth, and by presenting promising preliminary data in a case series among three youths who experienced a return of anxiety following CBT. Participants were N = 3 youths ages 10 to 15 years (M = 12 years; 33% male, 33% female, 33% nonbinary) who previously completed a full CBT protocol for anxiety disorders as part of outpatient clinical services in an urban area of the southeastern United States. Parent- and youth-report on youth anxiety severity were assessed pretreatment and posttreatment. Clinical response to the booster among these three families was mixed and varied by informant source, with an overall positive response according to parent ratings and a smaller response according to youth ratings. This case series represents an important first step toward addressing the return of anxiety in youth following CBT, and findings provide the impetus for further development and evaluation work of single session boosters. Limitations and implications of the findings are discussed.
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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