门诊青少年焦虑障碍患者团体认知行为治疗的3个月随访研究

目的:评估门诊焦虑障碍青少年团体认知行为治疗(GCBT)的有效性。方法:对儿童青少年门诊就诊的70例13～18岁焦虑障碍青少年采用随机抽样方法,分为GCBT组和等待对照(WLC)组。GCBT组接受为期8周、每周1次、每次120 min的GCBT治疗。在治疗前填写自制一般情况问卷,治疗前、治疗8周后、治疗结束3个月后用儿童焦虑性情绪障碍筛查表(SCARED)进行测试。结果:GCBT组共34例完成研究,3个月后的随访有17例参加。WLC组共22例完成8周随访。与WLC组相比GCBT组治疗后青少年焦虑障碍患者SCARED总分及广泛性焦虑、躯体化、社交焦虑、分离性焦虑因子分呈显著性下降(t=6.24,P0.01;t=4.58,P0.01,t=4.31,P0.01,t=4.17,P0.01)。治疗结束后3个月随访发现患者SCARED总分及广泛性焦虑、躯体化、社交焦虑、分离性焦虑因子分呈明显下降趋势(F=11.26,P0.01;F=11.38,P0.01;F=11.01,P0.01;F=20.02;P0.01)。结论:GCBT能有效缓解门诊焦虑障碍青少年的焦虑情绪。

3-month follow-uP study for grouP cognitive behavioral treatment on adolescents with anxiety disorders

Objective：To evaluate the effectiveness of group cognitive behavioral treatment（GCBT）on adolescents with anxiety disorders in outpatient clinic. Method：Seventy anxiety disorder adolescents（aged 13-18 years）asking help in children and adolescents clinic department were assigned randomly into study group and waiting list control group. The study group members accepted 8 - session（one session weekly,120 minutes every session）group cognitive behavioral treatments. All the adolescents were asked to complete the tailor-made general questionnaire before treatment,and screen for child anxiety related emotional disorders（SCARED）before treatment,after 8 weeks treatment and 3 months after 8-weeks therapy. Results：① 34 children of the study group had completed the 8-week sessions and 17 children had participated in the 3-month follow-up. Additionally,22 participants of waiting list control groups had completed the before 8-week wait and post 8-week wait follow-up diagnostic tests. ②After group cognitive behavioral treatments,the scores of adolescents＆#39;SCARED total and factor scores in dimensions of generalized anxiety disorder,panic disorder or significant somatic symptoms, social anxiety disorder and separation anxiety decreased significantly（t = 6. 24,P ﹤ 0. 01;t = 6. 37,P ﹤ 0. 01;t = 4. 28,P ﹤ 0. 01,t = 4. 31,P ﹤ 0. 01;t = 4. 17,P ﹤ 0. 01）. ③The 3-months follow-up showed that the above scores of SCARED Total and 4 dimensions SCARED factor scores decreased continuously and significant（F =11. 26,P ﹤ 0. 01;F = 11. 38,P ﹤ 0. 01;F = 11. 01,P ﹤ 0. 01;F = 20. 02,P ﹤ 0. 01）. Conclusion：The group cognitive behavioral treatment on adolescents with anxiety disorder is effective in outpatient clinic.