基于学校的接受和承诺疗法治疗青少年焦虑症:一项试点试验

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2023-08-01 DOI:10.1016/j.cbpra.2022.02.021
Julie M. Petersen, Carter H. Davis, Tyler L. Renshaw, Michael E. Levin, Michael P. Twohig
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引用次数: 2

摘要

焦虑症是青少年中最普遍的诊断之一,通常会导致社交和学校功能受损。青少年焦虑症的治疗研究主要基于传统的临床环境。然而,将青少年心理治疗纳入学校环境可以改善获得循证护理的机会。本研究是一项以学校为基础,以团体接受和承诺治疗(ACT)为基础的青少年焦虑干预的试点,随机候补对照试验。在两所不同的学校(N = 26),焦虑升高的学生被随机分配到一个为期12周的等待名单或立即接受治疗。与等候组相比,立即接受治疗的参与者在治疗后和随访期间的焦虑和缺课情况有统计学上的显著减少。在抑郁、心理灵活性、积极心理健康和学生幸福感方面,各组之间没有统计学上的显著差异。然而,治疗组所有结果的条件内效应均为中等。参与者报告说治疗是有利的,接受度很高。总的来说,这项研究支持ACT作为学校和其他临床机构为焦虑青少年提供服务的可行干预措施。
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School-Based Acceptance and Commitment Therapy for Adolescents With Anxiety: A Pilot Trial

Anxiety disorders are one of the most prevalent diagnoses in youth, often resulting in impaired social and school functioning. Research on treatments for youth anxiety is primarily based in traditional clinical settings. However, integrating youth psychotherapies into the school environment improves access to evidence-based care. The present study is a pilot, randomized waitlist-controlled trial of a school-based, group Acceptance and Commitment Therapy–based (ACT) intervention for adolescents with anxiety. Students at two separate schools (N = 26) with elevated anxiety were randomized to a 12-week waitlist or to immediate treatment. Participants in the immediate treatment condition reported statistically significant decreases in anxiety and class absences at posttreatment and follow-up compared to the waitlist group. No statistically significant differences were found between groups for depression, psychological flexibility, positive mental health, and student well-being. However, medium within-condition effect sizes were seen in the treatment group for all outcomes. Participants reported the treatment as favorable with good acceptance ratings. Overall, this study supports ACT as a viable intervention for schools and other clinical settings providing services to adolescents with anxiety.

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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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