心理干预对儿童和青少年特定焦虑症的有效性:系统综述和荟萃分析的系统综述

IF 0.8 Q4 PSYCHOLOGY, DEVELOPMENTAL
Teresa Galán-Luque
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引用次数: 1

摘要

焦虑症在儿童和青少年中非常普遍。相关的功能限制和负面心理后果导致对有效心理干预的研究增加。然而,缺少的是对这些治疗特定疾病的有效性的文献的全面回顾。对评估儿童和青少年特定焦虑症心理治疗有效性的系统综述和荟萃分析进行了系统综述。该研究遵循PRISMA指南。检索了四个书目数据库:MEDLINE (PubMed)、PsycINFO、Web of Science(核心馆藏)和The Cochrane Library。两位作者根据既定的纳入和排除标准,分别对文章的标题、摘要和全文进行独立筛选。两位独立作者使用AMSTAR-2评估纳入的综述的方法学质量。本系统综述纳入了5例记录。四项研究包括患有特定恐惧症、广泛性焦虑障碍和分离焦虑障碍的儿童和青少年,一项研究仅关注夜间恐惧。基于认知行为疗法的干预已被证明对这些诊断的短期和长期治疗都是有效的。纳入研究的方法学质量被归类为极低。认知行为干预在治疗儿童和青少年的特定恐惧症、广泛性焦虑症、分离焦虑症和夜间恐惧方面是有效的。讨论了方法质量的提高和进一步研究的必要性,重点是治疗特定疾病的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of psychological interventions for child and adolescent specific anxiety disorders: A systematic review of systematic reviews and meta-analyses
Anxiety disorders are highly prevalent in children and adolescents. The associated functional limitations and the negative psychological consequences have led to increased research into effective psychological interventions. What is missing, however, is a comprehensive review of the literature addressing the effectiveness of these treatments for specific disorders. A systematic review of systematic reviews and meta-analyses evaluating the effectiveness of psychological treatments for specific anxiety disorders in children and adolescents was performed. The study followed PRISMA guidelines. Four bibliographic databases were searched: MEDLINE (PubMed), PsycINFO, Web of Science (Core Collection), and The Cochrane Library. Two authors independently screened the articles by title, abstract, and full-text, according to established inclusion and exclusion criteria. Two independent authors evaluated the methodological quality of the included reviews using AMSTAR-2. Five records were included in this systematic review. Four studies included children and adolescents with specific phobias, generalized anxiety disorder, and separation anxiety disorder and one focused solely on nocturnal fears. Cognitive behavioral therapy-based interventions have been shown to be effective for the treatment of these diagnoses in both short and long term. The methodological quality of the included studies was classified as critically low. Cognitive behavioral interventions are effective in treating specific phobias, generalized anxiety disorder, and separation anxiety disorder and nighttime fears in children and adolescents. The improvement of the methodological quality and the need for further studies focusing on the effectiveness of treatments for specific disorders are discussed.
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来源期刊
CiteScore
4.40
自引率
3.60%
发文量
27
审稿时长
16 weeks
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