门诊认知行为疗法(CBT)在常规护理条件下治疗儿童和青少年焦虑和抑郁障碍的有效性和长期稳定性

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Daniel Walter, Ulrike Behrendt, Eva Katharina Matthias, Martin Hellmich, Lydia Dachs, Hildegard Goletz, Anja Goertz-Dorten, Daniela Perri, Christiane Rademacher, Stephanie Schuermann, Katrin Woitecki, Tanja Wolff Metternich-Kaizman, Manfred Doepfner
{"title":"门诊认知行为疗法(CBT)在常规护理条件下治疗儿童和青少年焦虑和抑郁障碍的有效性和长期稳定性","authors":"Daniel Walter,&nbsp;Ulrike Behrendt,&nbsp;Eva Katharina Matthias,&nbsp;Martin Hellmich,&nbsp;Lydia Dachs,&nbsp;Hildegard Goletz,&nbsp;Anja Goertz-Dorten,&nbsp;Daniela Perri,&nbsp;Christiane Rademacher,&nbsp;Stephanie Schuermann,&nbsp;Katrin Woitecki,&nbsp;Tanja Wolff Metternich-Kaizman,&nbsp;Manfred Doepfner","doi":"10.1017/S1352465823000073","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Randomised controlled trials (RCTs) have provided considerable evidence for the short-term efficacy of cognitive behavioural therapy (CBT) in children and adolescents with depressive and anxiety disorders. However, the effectiveness and long-term stability of treatment effects under routine care conditions remain unproven.</p><p><strong>Aims: </strong>This observational study investigates the effectiveness and stability of CBT under routine care conditions within a large sample of clinically referred youth with depressive and anxiety disorders.</p><p><strong>Method: </strong>Two hundred and twenty former patients (age 6-18 years at start of treatment) underwent a follow-up assessment (follow-up interval: <i>M</i>=5.3 years, <i>SD</i>=2.47). Parent and self-ratings of behavioural and emotional problems were obtained at the beginning and end of treatment and at follow-up. Additionally, at follow-up, a telephone interview and questionnaires exploring other mental symptoms and life satisfaction were administered.</p><p><strong>Results: </strong>A repeated measures ANOVA yielded statistically significant, medium to large pre- post symptom reductions (η<sub>p</sub><sup>2</sup>=.15 to η<sub>p</sub>²=.47) and small to medium post-follow-up symptom reductions (η<sub>p</sub>²=.03 to η<sub>p</sub>²=.19). At follow-up, between 57 and 70% of the sample reported a decrease in different emotional symptoms since the end of treatment, and 80% reported improved life satisfaction.</p><p><strong>Conclusions: </strong>These findings provide evidence for the effectiveness and stability of treatment effects of CBT in youth with depressive and anxiety disorders under routine care conditions. Due to the lack of a direct control condition and a substantial proportion of missing data, the results must be interpreted with caution.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness and long-term stability of outpatient cognitive behavioural therapy (CBT) for children and adolescents with anxiety and depressive disorders under routine care conditions.\",\"authors\":\"Daniel Walter,&nbsp;Ulrike Behrendt,&nbsp;Eva Katharina Matthias,&nbsp;Martin Hellmich,&nbsp;Lydia Dachs,&nbsp;Hildegard Goletz,&nbsp;Anja Goertz-Dorten,&nbsp;Daniela Perri,&nbsp;Christiane Rademacher,&nbsp;Stephanie Schuermann,&nbsp;Katrin Woitecki,&nbsp;Tanja Wolff Metternich-Kaizman,&nbsp;Manfred Doepfner\",\"doi\":\"10.1017/S1352465823000073\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Randomised controlled trials (RCTs) have provided considerable evidence for the short-term efficacy of cognitive behavioural therapy (CBT) in children and adolescents with depressive and anxiety disorders. However, the effectiveness and long-term stability of treatment effects under routine care conditions remain unproven.</p><p><strong>Aims: </strong>This observational study investigates the effectiveness and stability of CBT under routine care conditions within a large sample of clinically referred youth with depressive and anxiety disorders.</p><p><strong>Method: </strong>Two hundred and twenty former patients (age 6-18 years at start of treatment) underwent a follow-up assessment (follow-up interval: <i>M</i>=5.3 years, <i>SD</i>=2.47). Parent and self-ratings of behavioural and emotional problems were obtained at the beginning and end of treatment and at follow-up. Additionally, at follow-up, a telephone interview and questionnaires exploring other mental symptoms and life satisfaction were administered.</p><p><strong>Results: </strong>A repeated measures ANOVA yielded statistically significant, medium to large pre- post symptom reductions (η<sub>p</sub><sup>2</sup>=.15 to η<sub>p</sub>²=.47) and small to medium post-follow-up symptom reductions (η<sub>p</sub>²=.03 to η<sub>p</sub>²=.19). At follow-up, between 57 and 70% of the sample reported a decrease in different emotional symptoms since the end of treatment, and 80% reported improved life satisfaction.</p><p><strong>Conclusions: </strong>These findings provide evidence for the effectiveness and stability of treatment effects of CBT in youth with depressive and anxiety disorders under routine care conditions. Due to the lack of a direct control condition and a substantial proportion of missing data, the results must be interpreted with caution.</p>\",\"PeriodicalId\":47936,\"journal\":{\"name\":\"Behavioural and Cognitive Psychotherapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Behavioural and Cognitive Psychotherapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1017/S1352465823000073\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behavioural and Cognitive Psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1017/S1352465823000073","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

摘要

背景:随机对照试验(RCTs)已经为认知行为疗法(CBT)治疗儿童和青少年抑郁症和焦虑症的短期疗效提供了大量证据。然而,在常规护理条件下治疗效果的有效性和长期稳定性仍未得到证实。目的:本观察性研究调查了CBT在常规护理条件下的有效性和稳定性,研究对象为临床转诊的抑郁症和焦虑症青年。方法:对220例既往患者(治疗开始时年龄6 ~ 18岁)进行随访评估(随访时间M=5.3年,SD=2.47)。在治疗开始和结束时以及随访时获得行为和情绪问题的父母和自我评价。此外,在随访中,进行电话访谈和问卷调查,探讨其他精神症状和生活满意度。结果:重复测量方差分析显示有统计学意义,中至大的症状前后减少(ηp2=)。15至ηp²= 0.47),随访后小至中等症状减轻(ηp²= 0.47)。p²= 0.19)。在随访中,57%至70%的样本报告说,自治疗结束以来,不同的情绪症状有所减轻,80%的样本报告说,生活满意度有所提高。结论:本研究结果为常规护理条件下CBT治疗青少年抑郁焦虑障碍的有效性和稳定性提供了证据。由于缺乏直接控制条件和大量缺失数据,必须谨慎解释结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness and long-term stability of outpatient cognitive behavioural therapy (CBT) for children and adolescents with anxiety and depressive disorders under routine care conditions.

Background: Randomised controlled trials (RCTs) have provided considerable evidence for the short-term efficacy of cognitive behavioural therapy (CBT) in children and adolescents with depressive and anxiety disorders. However, the effectiveness and long-term stability of treatment effects under routine care conditions remain unproven.

Aims: This observational study investigates the effectiveness and stability of CBT under routine care conditions within a large sample of clinically referred youth with depressive and anxiety disorders.

Method: Two hundred and twenty former patients (age 6-18 years at start of treatment) underwent a follow-up assessment (follow-up interval: M=5.3 years, SD=2.47). Parent and self-ratings of behavioural and emotional problems were obtained at the beginning and end of treatment and at follow-up. Additionally, at follow-up, a telephone interview and questionnaires exploring other mental symptoms and life satisfaction were administered.

Results: A repeated measures ANOVA yielded statistically significant, medium to large pre- post symptom reductions (ηp2=.15 to ηp²=.47) and small to medium post-follow-up symptom reductions (ηp²=.03 to ηp²=.19). At follow-up, between 57 and 70% of the sample reported a decrease in different emotional symptoms since the end of treatment, and 80% reported improved life satisfaction.

Conclusions: These findings provide evidence for the effectiveness and stability of treatment effects of CBT in youth with depressive and anxiety disorders under routine care conditions. Due to the lack of a direct control condition and a substantial proportion of missing data, the results must be interpreted with caution.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信