研究短文：针对儿童和青少年焦虑的自助在线程序中生活功能的变化。

IF 6.8 3区医学 Q1 PEDIATRICS Child and Adolescent Mental Health Pub Date : 2023-01-18 DOI:10.1111/camh.12637

Arlen K. Rowe, Jocelyn L. Evans, Caroline L. Donovan, Susan H. Spence, Sonja March

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引用次数: 1

摘要

背景：生活干扰所反映的焦虑相关功能损害是一种较少探索但高度相关的治疗结果，将其纳入并检查互联网认知行为疗法（iCBT）的治疗结果评估至关重要，研究前后调查了一组儿童（n= 1198；平均年龄9.66 岁）和青少年（n= 721；平均年龄13.66 结果：结果表明，儿童和青少年的焦虑症状都有所改善，影响范围从ηp2= .194-.318。儿童的生活干扰明显减少（ηp2= .008-.044），特别是在该计划的后期，但青少年没有表现出这种影响。低完成率组的青少年（完成3-5个疗程）在家干扰增加（ηp2= .038）。结论：尤其是青少年，在克服根深蒂固的生活干扰（如回避行为造成的干扰）之前，可能需要更多的治疗。

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Short Research Article: Changes in life functioning in a self-help, online program for child and adolescent anxiety

Background

Anxiety-related functional impairment, as reflected by life interference, is a lesser explored but highly relevant treatment outcome, and it is crucial that it be included and examined in the evaluation of treatment outcomes of internet-delivered Cognitive Behavioural Therapy (iCBT).

Methods

This single group, pre-post study examined changes in life interference and anxiety symptoms in a sample of children (n = 1198; mean age 9.66 years) and adolescents (n = 721; mean age 13.66 years) participating in the BRAVE Self-Help program in Australia.

Results

Results demonstrated that both children and adolescents showed improvements in anxiety symptoms, with effect sizes ranging from η_p² = .194–.318. Reductions in life interference were evident for children (η_p² = .008–.044), particularly later in the programme, but adolescents did not show such effects. Adolescents in the low completer group (completing 3–5 sessions) showed increases in at-home interference (η_p² = .038).

Conclusions

Adolescents in particular may require more sessions before entrenched life interference, such as that resulting from avoidance behaviours, can be overcome.

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.